Are You Fully Leveraging Your Health Savings Account as a MillerKnoll Employee?

Healthcare Provider Update: MillerKnoll offers health insurance coverage through PPO plans with Blue Cross Blue Shield of Michigan. Employees benefit from low deductibles, preventive care at no cost, and access to a broad provider network. The company also provides dental and vision coverage, FSAs, HSAs, and prescription drug benefits through Express Scripts. Additional perks include wellness programs, mental health support, and a 401(k) with employer match 1. MillerKnoll Healthcare costs in the United States are projected to continue rising through 2026, with insurers proposing significant premium increases for Affordable Care Act (ACA) plans. A recent analysis found that ACA insurers are seeking a median premium increase of 15% for 2026, marking the largest hike since 2018. This surge is attributed to factors such as the anticipated expiration of enhanced premium tax credits, rising medical costsincluding expensive medications and increased hospital staysand a shift in the risk pool towards higher-cost enrollees. Without the renewal of enhanced subsidies, out-of-pocket premiums for ACA marketplace enrollees could increase by more than 75% on average. Click here to learn more

Health Savings Accounts (HSAs) were introduced under the administration of George W. Bush in 2003, but their adoption was initially slow, with only about $10 billion in assets by the end of their first decade. However, growth surged in the years that followed, particularly alongside the rise of high-deductible health plans, which are a prerequisite for HSA eligibility.  By the end of 2024, HSA assets grew to nearly $147 billion across more than 39 million accounts, according to the Devenir HSA Research Report .

A significant portion of HSA funds—$77 billion—remains in savings accounts, primarily used to cover out-of-pocket healthcare expenses. Meanwhile, $46 billion has been allocated for long-term investment in bonds, despite recent market fluctuations affecting balances. The investment feature within HSAs has gained popularity due to its substantial tax advantages, such as pre-tax contributions, tax-deferred growth, and tax-free distributions for qualified medical expenses, making HSAs more appealing than other retirement vehicles like IRAs and 401(k)s.

Concerns about contributing too much to HSAs may seem misplaced given the account's flexible withdrawal options. In cases where the account balance exceeds expected healthcare expenses, there are two primary strategies to access the funds while maintaining the tax benefits.

Strategy 1: Spend Now, Reimburse Later

This strategy encourages using non-HSA funds for immediate healthcare costs, allowing the HSA balance to grow tax-free. One of the greatest flexibilities of HSAs is the lack of a time limit for reimbursing yourself for past medical expenses, as long as you maintain proper documentation. For instance, if a MillerKnoll employee paid $5,000 for medical expenses from a non-HSA account in 2023 and then contributed the maximum family limit of $8,750 to their HSA in 2026 without using it, they could reimburse themselves later that year for prior-year qualified healthcare expenses. This reimbursement would be tax-free, provided they can document the prior-year qualified expenses. While this strategy allows for tax-free fund access, it may be more beneficial to preserve HSA funds for maximum tax-free growth.

Strategy 2: HSA Withdrawals After Age 65

Once you reach age 65, HSA withdrawal rules become even more flexible. Funds can be withdrawn for any purpose, much like distributions from a traditional IRA or 401(k), where withdrawals are taxed but enjoy prior tax-free contributions and growth. This makes HSAs a powerful additional savings vehicle for retirement. For MillerKnoll employees who used non-HSA assets for medical expenses and preserved their HSA funds, these funds can be accessed for any reason after age 65, as long as past medical expenses are documented.

The Importance of Strategic HSA Management

While HSAs offer flexible withdrawal options, it’s essential to manage them strategically, especially considering inheritance scenarios. Unlike IRAs, HSAs do not offer the same tax benefits when inherited by non-spouses, as the inherited funds become fully taxable. MillerKnoll employees with HSAs may want to consider spending these funds on healthcare expenses or designating charitable beneficiaries, who would not face tax liabilities on inherited amounts.

A well-thought-out strategy is crucial for HSA beneficiaries. Spouse beneficiaries can continue to enjoy HSA tax benefits, but in cases where a non-spouse is the beneficiary, it is advisable to prioritize strategic withdrawals to minimize tax impacts.

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In conclusion, the evolution of HSAs highlights their growing recognition as both a healthcare funding and retirement resource. Their dual tax efficiency and flexibility make them a valuable part of any comprehensive financial strategy, especially for MillerKnoll employees seeking to effectively manage healthcare costs while optimizing retirement savings growth. HSAs are not just tools for managing healthcare expenses; they are also essential components of a broader financial plan.

According to EBRI research, one key aspect of HSAs is their significance for individuals approaching retirement . The study revealed that those over 55 with HSAs had significantly higher average balances ($45,000) compared to their younger counterparts. This underscores the importance of HSAs not only as a tool for managing healthcare expenses but also as an essential asset in retirement planning. Many in this demographic take advantage of the catch-up contribution (an additional $1,100 allowed for individuals over 55), further bolstering their financial stability during retirement transitions.

Think of an HSA as a hybrid financial vehicle: it combines long-term tax savings with the power of investment growth. Just as a hybrid car uses both fuel and electricity to optimize efficiency and performance, an HSA leverages both immediate tax benefits and future financial growth opportunities to optimize healthcare and retirement savings. By funding short-term medical expenses with tax-advantaged dollars and growing investments for future use, the HSA mirrors the flexibility and long-term benefits of a hybrid, making it a key component of MillerKnoll's strategic retirement planning.

That same shift from growing assets to drawing them down applies directly to the pension decisions in front of you at MillerKnoll. MillerKnoll has frozen its defined benefit pension to new accruals, meaning your benefit is based on service and compensation accumulated up to the freeze date - but the value already locked in remains a meaningful asset worth analyzing. If a lump sum option is available, IRS segment rates in effect during the plan's lookback period directly affect the present value calculation; rising rates reduce the lump sum amount, so the rate environment at your retirement date matters. Understanding the annuity equivalent of your frozen benefit and comparing it to a potential lump sum is an important step in sequencing your retirement income from multiple sources.

On the healthcare side, MillerKnoll does not offer continued medical coverage to retirees, which means coverage through the company ends when employment does. Planning for the cost of health insurance during any gap between your retirement date and Medicare eligibility at age 65 is a critical step - marketplace coverage, COBRA continuation, or a spouse's employer plan are common options. Building an accurate estimate of bridge-coverage costs into your retirement income projection prevents underestimating one of the largest variable expenses retirees face. Connecting your specific MillerKnoll benefits situation to a comprehensive retirement income plan - and understanding how each component interacts - gives you the most complete picture of what retirement will look like.