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Table 1: Comparison of after-tax cumulative returns from investing $1,000 for ten years
            Table 1: Comparison of after-tax cumulative returns from investing $1,000 for 10 years
                               in an investment that produces annual ordinary income realizations
            in an investment that produces annual ordinary income realizations
                                              $1,000 reimbursed 1/1/22 from   $1,000 paid personally on
                                             the HSA, then invested outside the   1/1/22, leaving $1,000 invested
                                                         HSA                      within the HSA

              Pretax annual earnings rate       2%       6%       12%        2%       6%       12%

              Panel A: 20% marginal tax rate

              After-tax return rate             1.6%     4.8%      9.6%        2%       6%      12%

                                                         ####  $   2,500.95
                                              $ 1,172.03
              After-tax investment at 12/31/31  $ 1,172.03 $ 1,598.13  $ 2,500.95 $ 1,218.99  ########  ########
                                                                            ######## $ 1,790.85 $ 3,105.85
              Cumulative after-tax 10-year return  17.2%  59.8%   150.1%    21.9%    79.1%   210.6%

              Additional after-tax return by delaying
              HSA reimbursement                                              4.7%    19.3%    60.5%


              Panel B: 40% marginal tax rate

              After-tax return rate             1.2%     3.6%      7.2%        2%       6%      12%

                                                                            ########
                                                                                     ########
                                                                                              ########
              After-tax investment at 12/31/31  $ 1,126.69  ######## $    2,004.23 $ 1,218.99 $ 1,790.85 $ 3,105.85
                                              ######## $ 1,424.29
                                                                $ 2,004.23
              Cumulative after-tax 10-year return  12.7%  42.4%  100.4%     21.9%    79.1%   210.6%
              Additional after-tax return by delaying
              HSA reimbursement                                              9.2%    36.7%   110.2%




         Medicare Part A, B, C, or D coverage   the 10-year after-tax effects of two ways   outside the HSA) are assumed to pro-
         and long-term health care costs.4  of using the HSA: (1) paying the $1,000   duce interest or short-term capital gain
                                           medical bill personally, requesting reim-  income that is reinvested annually and,
         Quantified benefits of the        bursement of the $1,000 from her HSA,   if invested outside the HSA, are subject
         strategy                          and investing the $1,000 reimbursement   to two possible marginal tax rates (20%

         Let us assume that in December 2021   check outside the HSA, and (2) paying   and 40%).
         a taxpayer receives a $1,000 medical bill   the $1,000 medical bill using existing   Table 1, Panel A, shows that, facing a
         for a recent outpatient procedure. She   after-tax investment funds that do not   20% marginal tax rate, after 10 years, the
         maintains an HDHP and possesses both   require gain recognition to access, and   investment outside the HSA increases
         a $5,000 balance in her HSA and suf-  leaving $1,000 invested within the HSA   in value by 17.2%, 59.8%, and 150.1%
         ficient after-tax investment funds with   with annual earnings realizations.  with respective annual pretax returns of
         which to pay the bill. She expects the   Table 1 shows the results of this   2%, 6%, and 12%. However, if the funds
         same risk and return from the HSA in-  comparison across three possible pretax   are invested within the HSA, the 20%
         vestment that she would obtain from the   rates of return (2%, 6%, and 12%). In the   annual tax does not apply. Thus, the
         non-HSA investment. Let us compare   table, the investments (either inside or   annual pretax returns of 2%, 6%, and

         4.  Details of the B and G computations can be viewed here.



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