HSA Frequently Asked Questions (FAQ)

F. Recordkeeping

1. What kind of records do I need to keep?

You must keep records sufficient to show that:

  • The distributions were exclusively to pay or reimburse qualified health expenses,
  • The qualified health expenses had not been previously paid or reimbursed from another source, and
  • The health expenses had not been taken as an itemized deduction in any year.

Do not send these records with your tax return.  Keep them with your tax records.

2. What kind of records can I use in case I get audited?

You can use the following type of records:

  • Hard-copy receipts from healthcare providers (bills from the doctor’s office or hospital, receipts from the pharmacy, etc.)
  • Bank statements from your HSA account
  • Claims information from your Castlight account
  • Claims information or Explanation of Benefit Statements from your insurance provider

3. How long should I save receipts?

Save your receipts for at least three years. The IRS will generally not look back further than three years due to a Statute of Limitations beyond that point. Keep in mind, if the IRS suspects fraud, they will disregard the Statute of Limitations and look back as far as they think is necessary.

4. What if my health expenses are more than my Health Savings Account balance?

You will have to pay, out-of-pocket, the difference between your expenses and your Health Savings Account balance. Check your balance online prior to withdrawing funds to avoid Insufficient Funds fees. As additional funds are deposited into your HSA account you can then reimburse yourself for those prior expenses. 

5. What are my options if I withdraw my money from my Health Savings Account in error?

You can return the money to the account if there is clear and convincing evidence that the withdrawal was a mistake. You can contact Nyhart and request a Return of Mistaken Distribution form. This money must be repaid by April 15th of the year following the error.

6. Do I have to keep receipts showing what I withdrew from my account?

Yes, you should keep your receipts. If you are audited by the IRS, you will need to justify your expenditures.

7. Do I need to file claims with an HSA?

No. You pay qualified expenses using your IU Benefit debit card. If you use another form of payment (e.g., cash or a personal check), then you can reimburse yourself by transferring funds online. If requested by the IRS, you must be able to show that the withdrawals were exclusively for health expenses.

8. Who keeps track of my deductible?

For the Anthem PPO HDHP, Anthem tracks your deductible. For the IU Health HDHP, IU Health tracks your deductible. You can review your progress towards the deductible using Explanation of Benefits (EOB) statements mailed to your home, or by logging in to Anthem or IU Health’s web portal or Castlight. Once you meet the annual deductible, you must provide proof to Nyhart. After they receive this information, funds in your TSB Healthcare Reimbursement account can then be used for medical and prescription expenses.

9. How can I keep track of my account balance?

You can track your HSA account activity online at Nyhart’s secure Web site anytime day or night. Information on how to access this site will be made available in the welcome packet sent to you after enrollment in the plan. You can check your account balance, look at transaction activity or download account statements. You can also setup the Online Account Alerts service to automatically notify you when certain activities occur. Additionally, you can contact Nyhart Member Services at 1-800-284-8412 or at .

It is your responsibility to review your account on a periodic basis. Contact Nyhart Member Services immediately if you notice any discrepancies in your account activity.

10. What happens if I lose my debit card?

Call Nyhart Member Services immediately at 800-284-8412. A replacement card fee may apply.

11. What happens if I incur bank fees (e.g. insufficient funds fee, check fee, etc.)?

Amounts withdrawn from an HSA for administration and account maintenance are not treated as a taxable distribution and will not be included in the HSA owner’s gross income. Nyhart will report amounts withdrawn from the HSA to pay HSA administration and account maintenance fees on Form 5498-SA in the fair market value (FMV) of the HSA at the end of the taxable year.

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