Finally, many proponents feel that MSAs will restore the traditional doctor-patient relationship. First, you should try to determine the cost of a plan relative to what you have in place. Your accountant or the potential plan administrator can help you with the calculation. This may be as much a matter of goodwill as of cost. An insurance company or a financial institution must administer the plan.
Many people prefer banks or brokerage houses to invest the funds held in the accounts.
The employer must then obtain a qualifying health care policy, probably from the financial institution's list of insurers. Many insurance companies also have financial programs and will offer turnkey plans that include both the insurance and investment services. At that point you will have all of the pieces in place. Circumstances exist where simply no savings will accrue to the employer. Chronic illness may also destroy the benefits expected by the employee.