LD 950
pg. 2
Page 1 of 7 An Act Authorizing the Creation of Individual Medical Savings Accounts Page 3 of 7
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LR 1334
Item 1

 
1.__Health insurance coverage.__Before establishing an
individual medical savings account, the prospective account
holder must obtain or have a high-deductible health plan that
meets the following conditions:

 
A.__For individual coverage, the health insurance policy
must have an annual deductible of not less than $1,500 and
not more than $2,550;

 
B. For family coverage, the health insurance policy must
have an annual deductible of not less than $3,000 and not
more than $4,500; and

 
C.__The annual out-of-pocket expenses, other than for
premiums, for covered benefits may not exceed $3,000 for
individual coverage or $5,500 for family coverage.

 
The annual deductible and annual limit on out-of-pocket
expenses established in this subsection may be adjusted to
conform to any cost-of-living adjustment made pursuant to 26
United States Code, Section 220.

 
2.__Account establishment.__A person may establish an
individual medical savings account for taxable years beginning
after December 31, 2003.__The account must be established as a
trust under the laws of this State and must be placed with an
account administrator.__At the time of establishment, the
account administrator shall notify the account holder of
potential federal income tax liability that may be associated
with the account.

 
3.__Payment of eligible medical expenses.__The account
administrator may use the funds in an account solely to pay
eligible medical expenses of the account holder and members of
the account holder's household that are not otherwise covered
under the account holder's existing health insurance coverage.
Funds held in an account may not be used to cover medical
expenses of the account holder or members of the account
holder's household that are otherwise covered, including, but
not limited to, medical expenses covered pursuant to an
automobile insurance policy, a workers' compensation insurance
policy or a self-insured workers' compensation plan.__If the
account holder submits appropriate documentation to the
account administrator, the account administrator may reimburse
the account holder from account funds for eligible medical
expenses paid directly by the account holder during the
taxable year.

 
4.__Employer contribution.__Upon agreement between an
employer and an employee, an employer may contribute to the
employee's individual medical savings account.


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