Get the free HEALTH SAVINGS ACCOUNT CHANGE FORM

This form is for Progress Energy retirees to change or stop their monthly contributions to a Health Savings Account if they are receiving a pension check.

How to fill out health savings account change

How to fill out HEALTH SAVINGS ACCOUNT CHANGE FORM

1. Obtain the HEALTH SAVINGS ACCOUNT CHANGE FORM from your HSA provider's website or customer service.
2. Fill in your personal information, including your name, address, and account number at the top of the form.
3. Indicate the type of change you are requesting, such as adding a beneficiary, changing contribution amounts, or updating personal details.
4. Provide any necessary supporting documentation, such as proof of a qualifying event if applicable.
5. Review the form for accuracy and completeness to ensure all required sections are filled out.
6. Sign and date the form at the designated areas to authenticate your request.
7. Submit the completed form to your HSA provider according to their submission guidelines, which may include mailing or electronically submitting the form.

Who needs HEALTH SAVINGS ACCOUNT CHANGE FORM?

1. Individuals who want to change their contribution amounts to their Health Savings Account.
2. Account holders who need to add or update beneficiaries on their HSA.
3. People who are changing their personal information related to the HSA, such as address or name changes.
4. Individuals who are responding to a qualifying event that affects their HSA.

People Also Ask about

Can you change your HSA account?

Yes. Most benefit plans allow midyear changes only if you have a qualifying life event, but HSAs are different. If you need to change your HSA contribution amount at any point during the year, you can do so by submitting an HSA Contribution Change event in Workday.

Can you make changes to your HSA at any time?

You can adjust your HSA contributions anytime to match current financial and health needs. But before finalizing changes, compare plan year contributions and limits. Exceeding annual contribution limits could result in IRS penalties.

Do I need a form for my HSA?

If you contribute to an HSA, or take a distribution, you need to complete and file IRS Form 8889 with your tax return. You have until April 15, 2026, to make contributions to your HSA for 2025, up to the applicable annual limit.

Where can I find my HSA form?

There are two sets of tax forms: Your annual tax Form 1099 will be mailed to the address on file by January 31 each year. Your annual tax Form 5498 will be mailed to the address on file by May 31 each year.

Can HSA be adjusted?

Can I change my HSA after open enrollment? Yes, you can change your HSA contributions after open enrollment. Unlike other benefits, HSAs allow adjustments at any time during the year.

Can you have multiple HSA accounts?

This is a very common question from our customers, so let's lead with the short answer: Yes, you can have more than one health savings account (HSA). But it's important to understand the pros and cons of having multiple accounts, to make sure that you stay in compliance with IRS rules.

Do you lose your HSA if you switch plans?

However, the annual limit you can contribute to the HSA may not exceed the maximum contribution amount set by the IRS , plus "catch up" contributions for those ages 55 to 65. You own your account, so you keep your HSA, even if you change health plans or leave Federal Government.

For pdfFiller’s FAQs

What is HEALTH SAVINGS ACCOUNT CHANGE FORM?

The HEALTH SAVINGS ACCOUNT CHANGE FORM is a document used to update or modify information related to an individual's Health Savings Account (HSA), such as changes to personal information, contributions, beneficiaries, or investment choices.

Who is required to file HEALTH SAVINGS ACCOUNT CHANGE FORM?

Individuals who have a Health Savings Account (HSA) and need to make changes to their account information are required to file the HEALTH SAVINGS ACCOUNT CHANGE FORM.

How to fill out HEALTH SAVINGS ACCOUNT CHANGE FORM?

To fill out the HEALTH SAVINGS ACCOUNT CHANGE FORM, an individual must provide their personal information, specify the changes they wish to make, sign the form, and submit it to their HSA provider or financial institution.

What is the purpose of HEALTH SAVINGS ACCOUNT CHANGE FORM?

The purpose of the HEALTH SAVINGS ACCOUNT CHANGE FORM is to ensure that the HSA provider has up-to-date and accurate information regarding the account holder's preferences and account details, enabling proper management of funds.

What information must be reported on HEALTH SAVINGS ACCOUNT CHANGE FORM?

The information that must be reported on the HEALTH SAVINGS ACCOUNT CHANGE FORM typically includes the account holder's name, address, Social Security number, account number, details of the changes being requested, and the account holder's signature.