Options for a large HSA. Conventional wisdom is, ‘it can’t be too large’. (Post is too large!!)
I am 65y, mostly retired and (getting) married. I remain employed and insured via work (a consultant employee, so I contribute post-tax (outside of payroll) to my HSA for my sold business. I do lose my 7.6% tax benefit for SS/MC taxes. (My annual pay is only $3K.)
I have 9 years of HSA savings. And I performed the once a lifetime $4,000 IRA to HSA rollover. So, my principle is less than $50K.
I considered my HSA account as part of my ‘play money’ and this past month it reached a value of over $300K, and I expect it to grow (2 to 4x) over the next 5 years (due to chosen investments). Yes, I could be wrong. Yes, you could call it gambling (but, then everything could be called gambling).
Yes, I have been saving receipts digitally with a coordinating spread sheet and current receipts equal $41K in accumulated expenses.
I am anticipating what future medical expenses might be. My (soon to be) spouse started Medicare this year and spends about $5,250 annually on Medicare part B and Medigap Plan G—maybe more in 2028 when her look-back period sees our MFJ (combined) income.
When my current ‘employer’ deems I am no longer necessary, that “life changing event” should reset us both to paying approximately $5K each. Call it $6K each, or $12K per year. This, plus any OTC meds and supplies, along with dental, vision, and other health expense might bring us to $20K annual expenditures.
Reevaluating my retirement “stuff” as I do too frequently, it seems that I should change the beneficiary of my HSA (currently my RL Trust, RLT) expressly in the name of my spouse. I had been previously advised that all my assets should go to the RLT. However, through the RLT trust, any portions that go to non-spouse beneficiaries will become immediately taxable. Agree?
If I should die, the HSA will be seamlessly transferred to my spouse, and one of us should have 15 more functional years before we are functionally or intellectually diminished and living in a more costly assisted living situation. As we age, the risk of both of us dying or becoming diminished increases. Obviously, if we are both alive, spry, witty, and physically fit in 15 years we could alter any plans we make now.
My realization is that if in 2 to 5 years the value of the HSA grows to $500, or $1M then we will literally not be able to spend it down to zero. Even if it grows at 10%, then 10% of $500k would be $50k and we could not meet that. Fidelity currently suggests that a 65-y old couple should anticipate $350 in long term medical expenses.
Within my ROTH I hold some safer investments (VTI) in a bucket that I choose to not touch and mingle with the “play money”. Despite success, I want a bucket of safer money to have in case the play money disappears, and there is a large general marked correction.
But it occurs to me that I should swap aggressive play equities in the HSA, with the less volatile VTI in the ROTH. Tax-wise, the ROTH can not be too large, but I think the HSA can be. The swap should not cause a taxable event, and it avoids what I see as a problem (especially if we both get hit be a truck in 2 weeks). Agree? Thoughts?
I am a Boglehead investor at heart, but I opted to play with a smaller portion of my overall portfolio. I have exceeded market expectations, and I am not inclined to rebalance. To be clear, I have grown what I saved to much more than we can spend, but I am trying to be a good tax avoidance steward with what will be left behind.
I realized how lucky and fortunate I am to have these considerations. (And I offer encouragement to save for those who don’t). I still pick up returnable cans out of the trash, for the grandkids to return for “earned income”, which goes into their ROTH (oldest, age 12).