Signing up for our Health Savings Account program is as easy as downloading the forms, printing them out, and sending them in following the check list and instructions.
Keep the New Account Information Sheet and Custodian Agreement for your records.
Please contact us with any questions you may have.
hsainfo@hsaTrusteeServices.com
866-HSA-2010
New HSA Application
Print and fill out this application to open your Health Savings Account today!
Privacy Policy
Rollover Form/Trustee to Trustee
Print and fill out this form if you have an existing HSA that you would like to rollover to our company.
IRA to HSA Rollover Form
Print and fill out this form if you would like to rollover funds in your existing IRA to an HSA.
A one-time tax-free trustee-to-trustee transfer of IRA funds to an HSA is permitted. (However, this rollover privilege is not available for SEP IRAs or SIMPLE IRAs.) The amount transferred may not exceed your maximum allowable annual HSA contribution (for example, $5,800 for those with family coverage in 2008). Any money transferred from your IRA counts toward your maximum HSA contribution for that tax year. You may not transfer a "Catch-Up" contribution. You must maintain your HSA-qualified health plan coverage for the entire calendar year for which you are making the transfer or your HSA contribution (including IRA rollovers) will be limited further. You may not take the usual tax deduction for HSA contributions for any funds transferred from your IRA and contributed to your HSA. However, once the IRA funds are deposited in the HSA, they may be used tax-free for qualified medical expenses. Had the funds remained in the IRA, the amount withdrawn would be subject to income tax (and a 10% penalty if withdrawn before age 59-1/2)
If you can't open the files download Acrobat Reader
IMPORTANT CHANGES TO HSA CONTRIBUTIONS
FOR 2008
- Contributions are no longer limited to the lesser of the deductible or the Treasury Cap. Now everyone can contribute the Treasury Cap Limit. This applies to both new and existing accounts.
- 2008 Treasury Cap: $2900 indivduals/$5800 family. (indexed annually)
- Catch-up contribution: If you are turning 55 anytime in 2008 is $900.
- NO MORE PRO-RATING OF CONTRIBUTIONS! From now on, no matter when you get the qualified insurance during the year, you are eligible to contribute the full Treasury Cap amount listed above.
- NO MORE PRO-RATING OF CATCH-UP CONTRIBUTIONS. Same rules as above.
HSA Tip: With these new HSA contribution limits for 2007 and beyond, we highly recommend you fully fund your HSA. If you are currently funding an IRA or 401K you should consider funding your HSA first, as you can always get access to these funds for you and your dependants for qualified health care expenses, while still receiving the tax benefits.
PLEASE REMEMBER TO SEND A COPY OF THE DRIVER'S LICENSE OF EACH PERSON WHO WILL BE SIGNING ON THE ACCOUNT. FAILURE TO DO SO WILL RESULT IN A DELAY IN OPENING YOUR ACCOUNT.
Here are some tips to making a readable copy of the drivers license
1. Put a blank piece of paper behind the driver's license
2. Choose Enlarge at least 200 percent
3. Choose Lighten and lighten up as needed. This may vary depending on the copier, but probably as light as possible is best
4. If the copier has the photo option, use that feature as well
5. Print the driver's license, and look to see that it copied and that it is readable
If you have any questions, please email us at hsainfo@hsaTrusteeServices.com or call toll free 1-866-hsa-2010
