Get the free HSA Designation of Beneficiary Form

This form is used to name or change beneficiaries for your Health Savings Account (HSA). It requires personal information and details about primary and contingent beneficiaries. Additionally, spousal

How to fill out hsa designation of beneficiary

How to fill out HSA Designation of Beneficiary Form

1. Obtain the HSA Designation of Beneficiary Form from your HSA provider.
2. Review the instructions provided on the form carefully.
3. Fill in your personal information, including full name, address, and HSA account number.
4. Specify the primary beneficiaries by providing their names, relationships to you, and percentage of the account they will receive.
5. If desired, specify secondary beneficiaries in case primary beneficiaries are unavailable.
6. Sign and date the form to verify the information is accurate.
7. Submit the completed form to your HSA provider as instructed.

Who needs HSA Designation of Beneficiary Form?

1. Anyone who has a Health Savings Account (HSA) and wants to designate beneficiaries for their account.
2. Individuals who want to ensure that their HSA funds are distributed according to their wishes after their death.
3. People who are planning their estate and wish to include their HSA in their overall beneficiary designations.

People Also Ask about

Who is the beneficiary of an HSA?

First, let's talk about what a beneficiary is. It's the person or legal entity who will receive your HSA funds when you pass away.

Who do I put for beneficiary designation?

Your beneficiary can be a person, a charity, a trust, or your estate. Almost any person can be named as a beneficiary, although your state of residence or the provider of your benefits may restrict who you can name as a beneficiary. Make sure you research your state's laws before naming your beneficiary.

What is a beneficiary designation for employee insurance?

Important Things to Remember about Designations Only the insured can sign the designation of beneficiary. Exception: If you assigned your insurance (using an RI 76-10 Assignment form), only the assignee(s) has(have) the right to make a designation. Your employing office must receive the completed form before you die.

What is a beneficiary designation for an HSA?

Write the names of the first beneficiary(ies) you would like to receive your benefit after you die. You may name an individual(s), entity (such as a charity, business, religious organization, funeral home, etc.), trust, or estate. You may name more than one.

How do I know if I am a beneficiary on an account?

To find out whether you are a beneficiary on a deceased person's bank account, you generally will need to present a certified copy of the account owner's death certificate and your government-issued ID to their bank.

What do you write in a beneficiary type?

If you're married and your estate is taxable, then you should name your Revocable Living Trust as the primary beneficiary of your HSA or MSA. This will insure that your separate estate tax exemption can be used to fund the AB Trusts created under the terms of your trust for the benefit of your spouse.

For pdfFiller’s FAQs

What is HSA Designation of Beneficiary Form?

The HSA Designation of Beneficiary Form is a document that allows an account holder of a Health Savings Account (HSA) to designate individuals or entities that will receive the funds in their HSA upon their death.

Who is required to file HSA Designation of Beneficiary Form?

Any individual who holds an HSA and wishes to designate beneficiaries for their account upon their death is required to file the HSA Designation of Beneficiary Form.

How to fill out HSA Designation of Beneficiary Form?

To fill out the HSA Designation of Beneficiary Form, the account holder needs to provide their personal information, list the names and contact details of the beneficiaries, indicate the percentage of the account each beneficiary will receive, and sign and date the form.

What is the purpose of HSA Designation of Beneficiary Form?

The purpose of the HSA Designation of Beneficiary Form is to ensure that the HSA funds are transferred to the intended beneficiaries after the account holder's death, making the transfer process smoother and legally binding.

What information must be reported on HSA Designation of Beneficiary Form?

The HSA Designation of Beneficiary Form must report the account holder's name, contact details, Social Security number, the names and details of the designated beneficiaries, and the percentage of funds each beneficiary will receive.