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  • Alerusrb Com

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HEALTH SAVINGS ACCOUNT TRANSFER REQUEST FORM INSTRUCTIONS Use this form to initiate a direct transfer of funds from your HSA with another trustee/custodian to an HSA with Alerus Retirement and Benefits.

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How to fill out the Alerusrb Com online

Completing the Alerusrb Com form is essential for transferring funds to your health savings account. This guide will provide you with clear instructions to successfully fill out the form, ensuring a smooth and efficient process.

Follow the steps to accurately complete the transfer request form.

  1. Press the ‘Get Form’ button to obtain the form and open it in the designated editor.
  2. Begin by filling in the employer information if applicable. Enter the previous employer's name accurately in the designated field.
  3. Provide your account holder information. Fill in your last name, first name, middle initial, address, city, state, ZIP code, social security number, date of birth, employer, telephone number, and email address.
  4. Indicate your preference for rollover or transfer. Specify whether the check should be made payable to you as the HSA accountholder or to the new receiving administrator/trustee/custodian. Choose if you would like to liquidate your entire account balance or a specific amount.
  5. Decide if the transfer will close your HSA account or if it will remain active after the transaction.
  6. Review the IRS guidelines provided regarding rollovers and transfers. Make sure you understand the limitations and conditions related to your requests.
  7. Sign the form to certify that you are the HSA accountholder, or that you are authorized to complete this transaction. Ensure to include the date of the signature.
  8. Submit the completed form directly to your current trustee/custodian for processing.

Take the next step towards managing your health savings account by filling out the necessary documents online.

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Alerus has an overall rating of 3.9 out of 5, based on over 82 reviews left anonymously by employees.

You are allowed to make withdrawals from your account under certain circumstances. The fees indicated will be deducted from your account to process each distribution you request. An outstanding loan balance may lower the amount of your requested distribution.

We offer a number of ways to get in touch with us, or you may call our client service center at 800.279. 3200.

You can submit claims online, through the Alerus Benefits mobile app, or by completing a Reimbursement Request Form. Always include documentation to support the expenses you are claiming. Claims cannot be paid until itemized documentation is submitted to and approved by Alerus.

Alerus is a diversified financial services company headquartered in Grand Forks, North Dakota. It operates full-service banks and wealth management offices in Greater Grand Forks, Northwood, and Fargo-Moorhead, North Dakota, the Minneapolis-St.

At Alerus, we specialize in the design and administration of retirement and employee benefits plans. We are dedicated to setting the standard for professional, accurate and timely service, and to equipping our clients with access to the most advanced technologies available.

The fee for the Managed Account Program is 0.45 percent prorated over 365 days and applied to the average daily balance of your managed account. The fee is accrued daily and collected monthly. On an annual basis, the fee equals approximately $4.50 for each $1,000 invested.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232