Under COBRA (CFP Board / IRS / SEC), health Insurance & Medicare: A CFP® Pro's Guide to Client Protection establishes the authoritative rules tested on the CFP® Certification. A comprehensive guide to health insurance, tax-advantaged savings accounts (HSA, FSA, HRA), and Medicare. VoraPrep verifies every threshold, worked table, and practice question below against the current CFP® Certification blueprint.
| Feature | Health Savings Account (HSA) | Flexible Spending Arrangement (FSA) | Health Reimbursement Arrangement (HRA) |
|---|---|---|---|
| Eligibility | Must be enrolled in a High-Deductible Health Plan (HDHP). | Offered by an employer. Cannot have an HSA (unless it's a limited-purpose FSA). | Offered by an employer. Can sometimes be paired with other plans. |
| Ownership | Owned by the individual. Portable (goes with you if you change jobs). | Owned by the employer. Not portable. | Owned by the employer. Not portable. |
| Contributions | Employee and/or employer. Subject to annual limits. | Employee (via payroll deduction) and/or employer. | Employer-funded ONLY. |
| Rollover | Funds roll over year after year. No 'use-it-or-lose-it' rule. | Generally, 'use-it-or-lose-it,' though employers may offer a grace period or small carryover. | Employer determines if funds roll over. |
| Tax Treatment | Triple-Tax-Advantaged: Contributions are pre-tax, growth is tax-deferred, and qualified withdrawals are tax-free. | Double-Tax-Advantaged: Contributions are pre-tax and qualified withdrawals are tax-free. | Reimbursements are tax-free to the employee. |
Kenji, age 48 and single, is covered by a qualifying High-Deductible Health Plan (HDHP) with self-only coverage for all of 2026. His employer also offers a general-purpose Health Flexible Spending Account (FSA). Kenji was enrolled in the FSA from January 1, 2026, through April 30, 2026. He disenrolled from the FSA effective May 1, 2026, and had no other disqualifying health coverage for the remainder of the year. What is the maximum amount Kenji can contribute to his Health Savings Account (HSA) for 2026?
Scenario: Amelia, age 58, and her husband, Ben, age 61, are covered under a family High-Deductible Health Plan (HDHP) that meets the 2026 statutory requirements. They want to contribute the maximum possible amount to their HSAs for the year.
Under COBRA (CFP Board / IRS / SEC), health Insurance & Medicare: A CFP® Pro's Guide to Client Protection establishes the authoritative rules tested on the CFP® Certification. A comprehensive guide to health insurance, tax-advantaged savings accounts (HSA, FSA, HRA), and Medicare. VoraPrep verifies every threshold, worked table, and practice question below against the current CFP® Certification blueprint.
To keep the parts of Medicare straight on exam day, use this simple mnemonic: A is for Admission (hospital stays).
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