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Get the free Health Savings Investment Account Transfer Form

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This form is used for making ongoing transfers between a Health Savings Checking Account and a Health Savings Investment Account. It cannot be used to set up a new Health Savings Investment Account.
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How to fill out health savings investment account

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How to fill out Health Savings Investment Account Transfer Form

01
Obtain the Health Savings Investment Account Transfer Form from your HSA provider or their website.
02
Fill in your personal information, including your name, address, and HSA account number.
03
Provide the details of the existing HSA account from which funds are being transferred, including the account number and the provider's name.
04
Specify the amount you wish to transfer or indicate that you want to transfer the entire balance.
05
Sign and date the form to authorize the transfer.
06
Submit the completed form to both your current HSA provider and the new provider where you want to transfer the funds.

Who needs Health Savings Investment Account Transfer Form?

01
Individuals who want to transfer their Health Savings Account (HSA) funds to a different financial institution.
02
People who are changing HSA providers for better interest rates or investment options.
03
Account holders who wish to consolidate multiple HSAs into one account.
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An HSA rollover is when you transfer your HSA from one provider to another. This could be an HSA that you open on your own at a financial institution or one that you get access to through a new employer.
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.
From your account Support page, complete the HSA Partial Transfer Out Request. Include the new custodian's name and mailing address on the form. EFTs are not available for transfers. HealthEquity will mail a check for the elected transfer balance to your new custodian within three weeks.
To complete the transfer in-kind process, please follow these steps: Sign Up for a Health Savings Account with HSA Bank. Enroll in HSA Invest in your online account. Fill out the Investment Account Transfer Form. Send the Investment Account Transfer Form to HSA Bank along with a copy of previous investment statements.
What's the difference between an HSA transfer and a rollover? An HSA transfer occurs when your HSA trustee directly moves your money into your new HSA for you. With an HSA rollover, the trustee sends you the money, and you must deposit it into your new HSA within 60 days to avoid penalties.

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The Health Savings Investment Account Transfer Form is a document used to facilitate the transfer of funds from one Health Savings Account (HSA) to another, ensuring that the transaction is compliant with IRS regulations.
Individuals who wish to move funds between HSAs or from another account type into an HSA are required to file the Health Savings Investment Account Transfer Form.
To fill out the form, provide personal information such as your name, address, and Social Security number, details of both the sending and receiving accounts, and any documentation required by the financial institution managing your HSA.
The purpose of the form is to authorize and document the transfer of funds between HSAs or from other qualified accounts, ensuring that the transaction adheres to legal and tax requirements.
Information that must be reported includes the account holder's personal details, the account numbers of both the transferring and receiving HSAs, and any specific instructions regarding the transfer.
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