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E 4 to 6 weeks depending on your previous Custodian/Trustee s processing time. PART 1: ACCOUNTHOLDER INFORMATION (Note You must open an HSA with HSA Bank by submitting an application prior to completing this form). First Name: MI: Last Name: Street Address: City: Social Security Number: State: Zip Code: Daytime Phone: PART 2: REQUEST TYPE Trustee to Trustee Transfer: I currently have HSA funds with another Trustee/Custodian and want to transfer the funds directly to HSA Bank (Pro.

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If you open an HSA on your own, you can choose the custodian. Your choice of HSA custodian is important because the interest you earn, the fees you pay, and the investment options available can have a significant impact on your HSA balance over time.

How long will an HSA transfer take? It may take 2–5 weeks or, in some cases, more, depending on how quickly your current HSA provider responds. If any of your HSA money is invested, your current HSA may be held in 2 separate accounts which are both eligible to be transferred.

If you've opened one through your employer, the benefits department should tell you exactly whom to get in touch with. From there, instruct your HSA provider to establish a “trustee-to-trustee transfer” of your funds into a new account with a different HSA provider. Most allow you to do this online.

Your new HSA provider works with your current HSA provider to transfer the money from your current account(s) to your new account. This is considered a trustee-to-trustee transfer. You never have to touch the money, but because the transfer is made in cash, you must sell any securities before the transfer.

Please call the number on the back of your HSA Bank debit card or visit us at .hsabank.com Processing can take up to 7-10 business days2 after HSA Bank receives the completed transfer form. HSA Bank will send a check to the new custodian as requested. Your HSA will be closed and a closing fee may apply.

HSA Rollover** Sign Up for a Health Savings Account with HSA Bank. Funds sent via check to you from your previous custodian. Fill out and mail the Rollover Request Form to HSA Bank along with the check. Form is reviewed and processed by HSA Bank team. HSA Bank deposits funds into account.

Your new HSA provider works with your current HSA provider to transfer the money from your current account(s) to your new account. This is considered a trustee-to-trustee transfer. You never have to touch the money, but because the transfer is made in cash, you must sell any securities before the transfer.

A rollover is another way to consolidate your HSAs. It differs from transfers in that your HSA provider sends your current HSA funds to you and not directly to your new HSA provider.

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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