HI HB1991

Allows group accident and health insurance policies and group hospital/medical service plans issued or renewed after July 1, 2016, to include an optional health savings account program paired with high deductible health plans.

Requires employers offering health savings accounts to contribute annually at least 80% of the high deductible health plan's annual deductible (separately for self-only and family coverage), with total contributions not exceeding Internal Revenue Code Section 223 limits.

Mandates insurers and mutual benefit societies provide employers with a one-page declaration of understanding explaining program terms, retain employer compliance certifications for five years, and submit annual reports to the insurance commissioner on participation rates and fund disbursements.

Protects health savings account funds from creditor claims, garnishment, attachment, and seizure, making account balances the property of account holders at year-end.

Applies health savings account program requirements to health maintenance organization group policies issued or renewed after July 1, 2016, with provisions superseding the requirement of Section 432D-23.