Small-business health savings account (HSA) HSA for small businesses and self-employed

For businesses with fewer than 100 employees, the Fidelity HSA® can help you and your employees save, earn, and invest for whatever comes your way.


Open an HSA


Have a larger business? Fidelity's workplace HSA may be right for you.

Benefits of an HSA for your small business

Employees save for qualified medical expenses tax-free1


Employees enrolled in a high-deductible health plan can open their own HSA.


What's a high deductible health plan? (PDF)

No account fees for employers or employees2


A self-directed Fidelity HSA® costs employers $0 (and $0 account fees or minimums for employees too).


Compare HSA fees from other providersOpens in a new window

Self-employment tax savings


Employers could save 15.3% in FICA taxes on contributions if paying as both employer and employee.3



Learn more about self-employment tax benefitsOpens in a new window

Benefits of an HSA for your employees

A health savings account (HSA) can help your employees save more on qualified medical expenses by contributing, investing, and spending tax-free.

Triple-tax advantage1

Contributions, growth on investments, and withdrawals for qualified health care expenses are all tax-free.


Learn about tax benefits

Not "use it or lose it"

HSA contributions can be spent now, or invested for the future. Balances carry over from year to year.


Learn about saving in an HSA



How to get started with an HSA for your business

1. Share the Fidelity HSA® with your employees.

Use this email templateOpens in a new window and share the advantages of saving with an HSA (PDF) and the first year in an HSA (PDF). It'll take 5 minutes or less for them to open an HSA.



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2. Set up payroll contributions so you and your employees can contribute pre-tax (if eligible).

Learn how to set up payroll contributionsOpens in a new window for those enrolled in a Fidelity HSA® (if applicable).

Discover more


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Compare other small-business retirement plans

Rated #1 HSA and best HSA in the industry


Named the #1 HSA provider for 6 years in a row (2019-2024)4


Named for widest investment options, low fees, best savings rates, and zero investment threshold 5

2025

Offer your employees the top-rated HSA4

Open an HSA

Questions?
866-402-7610

FAQs

  • Can I open an HSA for my employees?

    Your employees can easily open an HSA on their own. Once they do, they can set up payroll deductions by providing their account number to you.

  • How many employees do I need to be considered a small business?

    There’s no set number for what’s considered a small business. If you’re self-employed, you can open and contribute to an HSA if you’re enrolled in an HSA-eligible health plan. Keep in mind you’re not eligible if your only coverage is under your spouse’s health insurance plan, and that plan is not HSA-eligible, you’re claimed as a dependent on someone else’s tax return, or you’re covered by Medicare or Medicaid.

  • How do I set up an HSA for my small business?

    First, you’ll want to confirm that you offer an HSA-eligible health plan for your employees. This is a high-deductible health plan (HDHP) and it’s important to remember that not all HDHPs are HSA-eligible.


    Next, if your goal is for your employees to contribute to their HSA on a pre-tax basis, you’ll need to establish something that’s referred to as an HSA cafeteria plan. It’s called a cafeteria plan because employees can pick and choose the benefits they want. This type of plan allows your employees to pay certain expenses with pretax income.


    If you don’t set up a cafeteria plan, your employees can contribute to an HSA with after-tax dollars. This means when they file their taxes, they can claim the deduction—but they won’t benefit from the added savings on Social Security and Medicare taxes.

  • How does an employee/employer contribute to an HSA?

    Employees generally contribute through payroll deduction, but an employer can also choose to contribute to their employee's HSA. Any employer contribution counts towards the HSA limit and there is no minimum contribution amount. As the employer, you also have the option of funding the entire annual contribution limit for the year. In addition, you may be able to deduct any employer contributions as a company business expense.


    For 2024 the IRS contribution limits for HSAs are $4,150 for individual coverage and $8,300 for family coverage. For 2025, HSA contribution limits are $4,300 for individual coverage and $8,550 for family coverage. If you're 55 or older during the tax year, you may be able to make a catch-up contribution of up to $1,000 per year. Spouses age 55 or older can also make a catch-up contribution, but will need to open their own HSA.

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