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Bank, N.A. By completing and signing the attached Enrollment Form and Adoption Agreement, you are selecting JPMorgan Chase Bank, N.A. ( Chase ) as your Health Savings Account ( HSA ) custodian and are requesting Chase to open an HSA on your behalf. As the custodian of your HSA, Chase will manage your account and safeguard your HSA funds. Instructions To expedite the enrollment process, please follow these steps: 1. Use black ink only. Do not use pencil. If you make an error, strike thro.

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