HSA Closure Request Form Mail or fax completed forms to: Address: HealthEquity, Attn: Client Services 15 W Scenic Pointe Dr, Ste 400, Draper, UT 84020 Fax: 520.844.7090 Authorization for Account Closure.
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How to fill out the HSA Closure Request Form Mail Or Fax Completed Forms To: Address: HealthEquity, Attn: Client online
The HSA Closure Request Form is a crucial document for users looking to close their health savings account with HealthEquity. This guide provides clear instructions on how to effectively complete the form, ensuring a smooth closure process.
Follow the steps to successfully complete the HSA Closure Request Form.
- Click ‘Get Form’ button to obtain the HSA Closure Request Form and open it in the editor.
- Begin by filling out the 'Primary Account Holder Information' section. Ensure to include your last name, first name, street address, city, state, ZIP code, and email address. It is important to provide a valid daytime phone number for any follow-up communications.
- In the 'SSN or HealthEquity ID Number' field, enter your Social Security Number or HealthEquity ID number, which consists of 6 or 7 digits.
- Indicate the 'Reason for Account Closure' by selecting an option that best reflects your situation.
- For the 'Authorization to Close' section, confirm your request to close the account by checking the appropriate box. You may choose to receive the remaining balance via electronic funds transfer (EFT) or a check to the verified address on file.
- If selecting EFT transfer, include your financial institution details, routing number, and account number. Remember that a voided check or an actual check must be attached to this form.
- Sign and print your name in the designated area and include the date to authorize the closure.
- If you are transferring to another HSA custodian, fill out that section by providing the institution name, address, and signing as in Step 7. Note that EFT transfer is not supported for this option.
- Review all completed sections for accuracy, ensuring no fields are left blank. Save your changes, then download, print, or share the completed form as needed.
Complete your HSA Closure Request Form online to ensure a seamless account closure process.
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HSA Closure request form. Mail or fax completed forms to: Address: HealthEquity, Attn:...
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What is HealthEquity closure fee?
To authorize HealthEquity to close your health savings account (HSA), complete this form. A closure fee of up to $25.00 may apply. Please contact HealthEquity at 866.346. 5800 to determine the exact fee.
Is there a penalty for closing HSA?
Keep in mind, if you withdraw the remainder of your account when you close your HSA and don't roll over to another HSA or use the dollars for eligible medical expenses, you must report the withdrawals as income on your income tax return and you will owe a 20% additional tax penalty before age 65.
Can I transfer money from my HSA to my bank account?
Online Transfer – On HSA Bank's Member Website, you can transfer funds from your HSA to an external bank account, such as a personal checking or savings account. There is a daily transfer limit of $2,500 to safeguard against fraudulent activity.
How do I close my HealthEquity account HSA?
Account closure process Complete the account closure form by clicking the 'Complete Online' button above or download the form below. We will process your form within 3-4 weeks. We will initiate a blackout period of five business days to allow outstanding transactions to process.
How much does it cost to close an HSA account?
HSA Closure Fee $25.00 To avoid this fee, keep your account open with HSA Bank and continue to use your HSA funds for eligible expenses.
How do I transfer money from my HealthEquity to my bank account?
Add an EFT account Complete Online You can add your bank account details in the HealthEquity member portal to make it easier to send and receive money via electronic funds transfer (EFT).
How long does it take to close an HSA?
Please note that processing takes 5 to 7 days plus mail delivery time. Additional time is necessary if an investment account needs to be liquidated, in order to close the account completely. *The rollover must be completed within 60 days of receiving the funds.
How much is HealthEquity account closure fee?
Excess Contribution Correction $20.00 per request. Account Closure $25.00 (waived through February 28, 2022) Electronic Statement No fee. Paper Statement4 $1.00 per monthly statement.
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