Morningstar's Sixth Annual Health Savings Account Landscape Finds Fidelity Remains Industry Leader

Rhea-AI Summary

Morningstar published its sixth annual landscape study on Health Savings Accounts (HSAs) on Sept. 27, 2022. The study reveals a 31% annualized growth rate in HSA assets over the past 15 years. Despite improvements in the industry, only 9% of reviewed HSAs have investment assets, indicating underutilization. Fidelity was recognized as the top provider for both spending and investment accounts. The study also criticized high fees and advocated for better onboarding practices.

Positive

• HSA assets have grown at a 31% annualized growth rate over 15 years.
• Fidelity remains the top HSA provider with high assessments for both spending and investment accounts.
• Improvement in HSA offerings noted since 2017, with a majority of funds having above-average quality.

Negative

• Only 9% of reviewed HSAs contain investment assets, showing underutilization of their features.
• High fees and complicated fund options persist across providers, hindering account effectiveness.

In addition to provider recommendations, the study also features a new section on actionable best practices for individuals seeking HSAs

CHICAGO, Sept. 27, 2022 /PRNewswire/ -- Morningstar, Inc. (Nasdaq: MORN), a leading provider of independent investment research, today published its sixth annual landscape study on health savings accounts (HSAs) available to individuals. The study finds assets in HSAs have grown at a 31% annualized growth rate over the past 15 years, and while the HSA industry has bettered its offerings in that time, several participants have room for improvement.

The study evaluated 10 of the most prominent HSA providers' offerings on two different use cases: as investment accounts to save for future medical expenses and as spending accounts to cover current medical costs. New this year, the study also provides best practices for individual participants to take full advantage of HSA investment features and flexible spending policies, and advocates for improvements to the onboarding process to help facilitate broader adoption of HSAs.

"HSAs are valuable tools for investors when used properly, but the industry is still young and maturing. Its opaque structure needs improvement," said Tom Nations, lead author of the study and associate director of manager research. "Despite Morningstar's advocacy, there is considerable variance in the quality of HSAs available to individuals as some providers still have high costs and confusing features. As the space continues to grow, we're looking to see more widespread improvement, namely among account investment menus, fees, and fund quality."

Highlights from the study include:

• Just 9% of HSA accounts reviewed have investment assets, according to Morningstar surveys, signifying HSA users are not taking full advantage of the accounts' investment features or triple tax benefit. When used optimally, HSAs have more tax benefits than 401(k)s, 529 education-savings plans, and traditional and Roth IRAs.
• Fidelity offers the most attractive HSA for both spenders and investors, as it was the sole provider with a High overall Investment Account assessment and the sole provider with a High overall Spending Account assessment.
• Generally, HSA providers have improved their offerings since Morningstar's first report in 2017; however, fee schedules remain high and vary across providers, most require individuals to meet spending account minimums before they can invest, and fund lineups still offer redundant and complicated options that can be hard to use.
• As interest rates have risen in the past year, interest paid to HSA holders has become increasingly important to analyst evaluations. The best HSA providers pay interest rates that increase with market shifts, and so far, Fidelity is the only provider that offers higher interest rates than the average national savings account rate of 0.17%.
• Utilizing the Morningstar Analyst Rating™ (Analyst Rating) and Morningstar Quantitative Rating™ for funds (Quantitative Rating), each fund lineup supports an Above Average Quality of Investments assessment for all 10 providers. Morningstar Medalists¹ – a fund with an Analyst Rating or Quantitative Rating of Gold, Silver, or Bronze – made up at least 88% of each lineup, up from 85% last year.
• The four largest HSA providers – HealthEquity, Optum, Fidelity, and HSA Bank – account for nearly two-thirds of the total HSA market with roughly $64 billion in assets combined. HealthEquity overtook Optum at year-end 2021 as the industry's largest provider and widened its lead in 2022's first half.

The overall assessment of each HSA provider is listed below.

HSA Provider	Overall Assessment as Investing Account	Overall Assessment as Spending Account
Associated Bank	Average	Average
Bank of America	Average	Below Average
Fidelity	High	High
First American Bank	Average	Above Average
HealthEquity	Above Average	Above Average
HSA Bank*	Average	Above Average
Lively	Above Average	Above Average
Optum	Average	Average
The HSA Authority	Above Average	Above Average
UMB	Average	Average

*HSA Bank is Morningstar, Inc.'s HSA plan provider.

Additions to the study this year included First American Bank and UMB's HSA offerings. Industry consolidation continued the past year, with previous participants Bend, HealthSavings, and PayFlex all acquired by other companies.

Click here to read the HSA Landscape Report, which includes complete assessments for the 10 providers and methodology. An article on Morningstar.com summarizing the report's findings is available here.

About Morningstar, Inc. 

Morningstar, Inc. is a leading provider of independent investment research in North America, Europe, Australia, and Asia. The Company offers an extensive line of products and services for individual investors, financial advisors, asset managers and owners, retirement plan providers and sponsors, and institutional investors in the debt and private capital markets. Morningstar provides data and research insights on a wide range of investment offerings, including managed investment products, publicly listed companies, private capital markets, debt securities, and real-time global market data. Morningstar also offers investment management services through its investment advisory subsidiaries, with approximately $253 billion in assets under advisement and management as of June 30, 2022. The Company has operations in 29 countries. For more information, visit www.morningstar.com/company. Follow Morningstar on Twitter @MorningstarInc.

Morningstar's Manager Research Group consists of various wholly owned subsidiaries of Morningstar, Inc. including, but not limited to, Morningstar Research Services LLC. Morningstar's Manager Research Group produces various ratings and assessments including the Morningstar Analyst Rating and the Morningstar Quantitative Rating. The Morningstar Analyst Rating is derived from a qualitative assessment process performed by a manager research analyst, whereas the Morningstar Quantitative Rating uses a machine-learning model based on the decision-making processes of Morningstar's analysts, their past ratings decisions, and the data used to support those decisions. In both cases, the ratings are forward-looking assessments and include assumptions of future events, which may or may not occur or may differ significantly from what was assumed. The Morningstar Analyst Ratings and Morningstar Quantitative Ratings are statements of opinions, subject to change, are not to be considered as guarantees, and should not be used as the sole basis for investment decisions. This press release is for informational purposes only; references to securities should not be considered an offer or solicitation to buy or sell the securities.

¹ Morningstar recently announced a merger of its two forward-looking rating systems into one, the Morningstar Medalist Rating, set to take place in the second quarter of 2023.

©2022 Morningstar, Inc. All Rights Reserved.

MORN-R

Morningstar Media Contact:  
Michael Claussen, +1 312 696-6037 or newsroom@morningstar.com

 

 

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SOURCE Morningstar, Inc.

FAQ

What are the main findings of Morningstar's 2022 HSA landscape study?

The study indicates a 31% annual growth in HSA assets and highlights Fidelity as the most attractive provider.

How has the HSA market performed according to the 2022 study?

The HSA market has seen significant growth, but only 9% of accounts are utilized for investments.

Which company is recognized as the leader in HSAs according to Morningstar?

Fidelity is recognized as the leading HSA provider for both spending and investment accounts.

What improvements are needed in the HSA industry based on Morningstar's findings?

The study calls for reduced fees, enhanced investment options, and better onboarding processes.

What is the significance of having investment assets in HSAs?

Investment assets in HSAs provide tax benefits exceeding those of traditional retirement accounts.