Get the free Health Savings Account (HSA) Rollover/Transfer Form

This form is used to rollover or transfer funds from another HSA, MSA Administrator, or IRA to a Wells Fargo/Coventry FlexChoice HSA account.

How to fill out health savings account hsa

How to fill out Health Savings Account (HSA) Rollover/Transfer Form

1. Obtain the Health Savings Account (HSA) Rollover/Transfer Form from your HSA provider or their website.
2. Fill in your personal information, including your name, address, and HSA account number.
3. Specify the amount you wish to roll over or transfer from your previous HSA.
4. Include the details of the institution you are transferring from, including their name, address, and account number.
5. Sign and date the form to certify that you authorize the transfer.
6. Submit the completed form to your HSA provider either by mail or online, depending on their process.

Who needs Health Savings Account (HSA) Rollover/Transfer Form?

1. Individuals who want to move funds from one Health Savings Account (HSA) to another.
2. People who are changing HSA providers and need to transfer their savings.
3. Anyone who is eligible for a rollover or transfer of their HSA funds.

People Also Ask about

When should I stop putting money in my HSA?

You don't have to stop HSA contributions upon reaching age 65. You won't lose HSA eligibility until you enroll in Medicare. Just keep in mind that Medicare Part A enrollment will be six months retroactive, so you'll have to account for that issue.

Is it worth rolling over HSA?

You must report distributions from your HSA on IRS Form 8889. You will receive a separate 1099-SA for each type of distribution made during the tax year.

What is the difference between an HSA rollover and transfer?

The advantages of rolling over your HSA from a previous employer: Simplicity: By consolidating your HSAs into one account, you don't have to keep track of balances in multiple accounts, and you won't have multiple sets of tax documents after the rollover year.

Should I roll over my HSA?

However, a rollover may make sense for you if you have a substantial amount of money in your HSA and can reduce your maintenance fees or gain access to better investment options.

How do I transfer my HSA account to another?

How to perform an HSA rollover Find a new HSA provider. Make sure to evaluate investment options, minimums, and any fees at new HSA providers. Request that your old HSA provider rolls over the cash to your new provider. Keep contributing to and investing through your HSA.

What is the downside of an HSA?

If you have a severe illness or medical emergency, you could drain what you added to your HSA and still pay high excess out-of-pocket costs if you haven't met your deductible.

For pdfFiller’s FAQs

What is Health Savings Account (HSA) Rollover/Transfer Form?

The Health Savings Account (HSA) Rollover/Transfer Form is a document used to facilitate the movement of funds from one HSA to another, ensuring that the transfer is compliant with IRS regulations.

Who is required to file Health Savings Account (HSA) Rollover/Transfer Form?

Individuals who wish to transfer or rollover funds from their current HSA to a different HSA provider are required to file this form.

How to fill out Health Savings Account (HSA) Rollover/Transfer Form?

To fill out the HSA Rollover/Transfer Form, provide personal information such as your name, address, and HSA account number, along with the information of the new HSA provider. Sign and date the form before submission.

What is the purpose of Health Savings Account (HSA) Rollover/Transfer Form?

The purpose of the HSA Rollover/Transfer Form is to document and authorize the transfer of funds between HSAs, allowing for a smooth transition while maintaining the tax-advantaged status of the funds.

What information must be reported on Health Savings Account (HSA) Rollover/Transfer Form?

The form typically requires reporting of personal details, HSA account numbers, amounts being transferred, and the receiving institution's information.