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HEALTH SAVINGS ACCOUNT TRANSFER/ROLLOVER REQUEST FORM To request an HSA transfer or rollover, complete this request form and submit it to: The Ban corp Bank HSA Attn: Health Savings Account Department.

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The process of rolling over an HSA is simple: Step 1: Contact your plan administrator to initiate a rollover. ... Step 2: Receive a check from your HSA provider. Step 3: Deposit the check into an HSA with your new provider within 60 days.

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.

You contact your current HSA provider and request it send you a check or direct deposit of your funds, so you can set up an HSA rollover. Then you have 60 days to deposit those funds into your new HSA account. If you fail to do so, the IRS will levy income tax on the amount you rolled over, plus a 20% penalty.

Both move your HSA funds between one account to another. However, a trustee-to-trustee transfer is a direct transfer from one HSA to another and can happen as often as necessary. During a rollover, your original HSA provider sends you a check, which you have 60 days to deposit in your new HSA or face tax penalities.

If you want to change your HSA custodian, you can do an “HSA account rollover.” A rollover involves closing your health savings account and moving the unused funds to another account. In a rollover, the custodian of the account will either send you a check for the funds or an ACH transfer.

HSA Bank does not charge any fees for transfer or rollover of your HSA accounts, your existing provider may charge an account closing fee.

Your HSA transfer and rollover amounts are not included in the current tax-year IRS contribution limits; however, if you made current tax-year contributions to your previous HSA, those contribution amounts will be included in your annual IRS contribution limit and reported to the IRS.

These fees can really add up, but they can also often be avoided: Sign up for online statements. Use your debit card instead of ordering checks, or transfer money online to your checking account and use it to pay your provider. Keep track of your HSA balance and don't overdraw your account.

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© Copyright 1997-2025
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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