Can we return a check drawn on a Health Savings Account (HSA)?

Yes, and we would recommend returning checks that would result in an overdraft to the HSA account. The IRS rules for HSAs prohibit accountholders from overdrawing an HSA — overdrafts are treated as loans, which are prohibited transactions.

(It is possible to link a savings account to an HSA to cover overdrafts as a workaround, but this approach may increase your bank’s monitoring responsibilities due to the added risk of excess contributions. See our IBA Q&A on this issue.)

For resources related to our guidance, please see:

  • IRS Notice 2008-59, Guidance on Health Savings Accounts (July 21, 2008) (“Q-34. If an account beneficiary borrows funds from his or her HSA, is this a prohibited transaction under § 4975? A-34. Yes. An HSA is a plan as defined in § 4975(e)(1)(E). An HSA account beneficiary is a disqualified person under § 4975(e)(2). A loan or extension of credit between a plan and a disqualified person is a prohibited transaction. Section 4975(c)(1)(B). Thus, any direct or indirect extension of credit between the account beneficiary and his or her HSA is a prohibited transaction.”)