Enroll in your Health Savings Account now:
Only medical expenses incurred after the opening of your HSA can be reimbursed tax-free from your HSA.
Step 1
Complete and print the Online HSA Enrollment Form
OR
Download and complete the Application Form: click here for HSA form
(*HSA does not qualify Health Savings Account holders – please make sure that you meet the requirements)
If you are transferring a balance from your current HSA, download and complete the Combined Enrollment/Transfer Form. (The setup fee is waived when transferring all, or part, of the balance of your current HSA.)
Step 2
Choose the Health Savings Account investment option that best fits your financial goals
(*HSA does not provide investment advice)
Step 3
Mail the application, along with your initial contribution to:
Health Savings Administrators
10800 Midlothian Turnpike, Suite 240
Richmond, Virginia 23235

