Enroll in a Health Savings Account

Note: You will need Adobe Reader to download and complete our PDF forms. If you don't have the reader installed on your computer, you can download it for free by clicking here.

ENROLL ONLINE | DOWNLOAD APPLICATION KIT

Online Demonstration
HSA Bank has created an online demonstration that will walk you through the online enrollment process. To view the presentation you must have Macromedia Flash Player 6 or higher installed on your computer. If you do not have the player, you can download it for free by clicking here.

Click here to view the online enrollment demo 

In addition to the above application, please complete the below transfer form.

Click here to download the transfer form

Click here to download the IRA to HSA Transfer Form 

* To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, street address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.