UPDATE: IRS Provides Transition Relief for Health Savings Account Plans in Maryland
Under Maryland law, effective January 1, 2018, 100% of the cost of male sterilization was to be provided by insurance companies without a deductible, which put health plans with high deductibles (HDHPs) at risk for disqualification under federal law. This conflict between state and federal law had the unforeseen consequence of invalidating Health Savings Accounts (HSAs) in Maryland. The IRS is aware of Maryland’s law, and the resulting complications.
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Maryland Law Jeopardizes the Benefits of Health Savings Account Plans in Maryland
Maryland law, effective January 1, 2018, requires Maryland health plans to cover 100% of the cost of male sterilization, which is in direct conflict with high deductible health plans (HDHPs). HDHPs have a higher annual deductible than typical health plans.
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Maryland Healthy Working Families Act
As of February 11, 2018, employers are required to accrue “sick and safe leave” for all covered employees. Covered employees are defined as those who regularly work 12 or more hours per week. Employers with 15 or more employees must provide paid leave, while employers with 14 or fewer employees must provide unpaid leave. Sick and safe leave accrues at a rate of at least one hour for every 30 hours worked, with a cap of 40 hours of earned leave in a year. Employers that have an existing PTO policy that provides leave in an amount equal to or greater than the amount that is provided for under the law do not have to provide additional leave.
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