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Get Individual Request For A Health Savings Account (HSA)

Der establishing a Health Savings Account (HSA) to maximize the benefits of your high deductible health plan. While you may open a HSA with any institution of your choice, we have arranged for you to establish your BCBSNE health plan and initiate the process of opening a HSA with BenefitWallet , formally known as ACS HR Solutions LLC (ACS), using Mellon Trust of New England as the custodian of the HSA Account, all in one easy step. Please complete this form to let us know if you intend to use.

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