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Health Insurance FAQs
Health Insurance FAQs

questions and answers about health insurance and employee benefits

Do employers with only HSAs or QSEHRAs have to file Form 5500?

June 16, 2025

Employers that only offer Health Savings Accounts (HSAs) or Qualified Small Employer HRAs (QSEHRAs) do not need to file Form 5500—because these arrangements are not considered ERISA-covered welfare plans.

HSAs:

  • HSAs are individual-owned accounts, not group health plans.

  • As long as the employer limits its role to contributions and payroll deductions, the HSA is not subject to ERISA.

  • HSAs offered alongside a high-deductible health plan (HDHP) may be mentioned in SPD materials, but the HSA itself doesn’t require a 5500.

QSEHRAs:

  • QSEHRAs are exempt from ERISA by law, so no Form 5500 is required.

  • Employers must meet eligibility rules and provide required QSEHRA notices, but no SPD or 5500 filing applies.

However, if an HSA or QSEHRA is offered alongside other ERISA-covered benefits, those other plans may still require a 5500 filing if the employer meets the participant threshold.

Compliance Form 5500

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