The percentage of plan sponsors offering a health-care spending account to their workforces is down significantly this year, at 29 per cent, compared to 40 per cent in 2025 and 47 per cent in 2024, according to the 2026 Benefits Canada Healthcare Survey.

Among plan sponsors that offer an HCSA, the average annual balance provided was $1,665, though the report specified that many HCSAs allow unused funds to roll over for one year.

Plan members who have a HCSA used an average of 62.3 per cent of their annual account balance, down from 66.1 per cent last year. For those who made at least one claim against their HCSA, usage was slightly higher........

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