HSA Bank: No set-up fees
 

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Employer Forms

Employer Sign-up Form
The first step to access the Employer Administration Area, set up enrollments for your employees or contribute to your employees' HSAs.

Group Online Contribution Set-up Form
To set-up access to HSA Bank’s Group Online Contribution capabilities for contributing to employee HSAs online. The ACH Origination Agreement (included in the Group Online Contribution Form) must be submitted with the Group Online Contribution Form.

Employer Contribution Form  
To use when making contributions for employees (including individual, employee pre-tax and employer contributions).

Employee Add/Remove Form
To add or remove an employee from your company list.

Accountholder Forms
Documents and forms your employees may need to manage their HSA at HSA Bank.  

 

 


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Resources to Assist You 

Employer Manual
Comprehensive guide to working with HSA Bank, including enrollment, contribution and withdrawal options.

Employer Administration Area Guide
Step-by-step instructions on how to use the tools and resources available through the Employer Administration Area.

Employer Communication Kit
Comprehensive education resource to assist employers through pre-enrollment, enrollment and ongoing education. Available for download in the Employer Administration Area and on CD by request.

ACH Instructions
Instructions on sending an ACH through your payroll vendor to contribute to employee accounts.