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[[I did a legal/tax analysis of MSA's about a year ago for a client but have since heard little about
them. As we close this first year, have any fools had any experiences with MSA's they would be
willing to share?]]

The biggest problem is, as I understand it, is the definition of "high deductible" insurance policies. Remember that insurance laws are generally state specific. So many of the state insurance laws didn't conform to the federal definitions...and there was to effort to do so. That being the case, a whole state could be wiped out of participating in MSA, simply because there was no "high deductible" insurance to be had anywhere.

The second problem has to do with the administration. Since the money goes in and out in (generally) a single year, the trustee/administrator of the plan (bank or broker) doesn't have any real chance to make any money on those deposits. So many of them are charging hefty fees to administer the MSAs.

Simply another government committee designing a horse, which turned out to be a zebra.

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