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Get the free Health Savings Account (HSA) Change of Beneficiary Form

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This form is used to designate or change beneficiaries for a Health Savings Account (HSA). It includes options to replace or add beneficiaries and requires signature from both the account holder and
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How to fill out health savings account hsa

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How to fill out Health Savings Account (HSA) Change of Beneficiary Form

01
Obtain the Health Savings Account (HSA) Change of Beneficiary Form from your HSA provider.
02
Carefully read the instructions provided with the form to understand the requirements.
03
Fill out your personal information, including your name, address, and account number.
04
Identify the current beneficiaries listed on the account and indicate if you wish to remove or change any of them.
05
Add the names and information of the new beneficiaries you wish to designate, including their relationship to you.
06
Sign and date the bottom of the form to confirm your changes.
07
Submit the completed form to your HSA provider as instructed, either by mail or electronically, if applicable.

Who needs Health Savings Account (HSA) Change of Beneficiary Form?

01
Individuals who wish to update or change their designated beneficiaries for their Health Savings Account (HSA).
02
Account holders who have experienced a life event such as marriage, divorce, or the birth of a child.
03
Anyone who wants to ensure that their HSA funds are distributed according to their current wishes upon their passing.
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People Also Ask about

Can the beneficiary be changed? Yes, the authorized person can change the beneficiary by completing the Coverdell ESA Beneficiary Change form.
If you die and are married, your HSA money typically transfers to your spouse. Non-spouse beneficiaries must withdraw all the funds and pay income tax on the money they receive. If you don't name a beneficiary, your HSA funds will go to your estate and be subject to taxes.
If you're the owner of a life insurance policy with a revocable beneficiary, you can change the beneficiary of your policy without consent from the current beneficiary. On the other hand, a policy with an irrevocable beneficiary requires the policyholder to get the current beneficiary's consent before making a change.
How to add or change a beneficiary Speak to a banker and let them know the following: Provide the beneficiary's name, date of birth, address, phone number and SSN*. A form will be created with this information and mailed to you. After you get the form, review it for accuracy.

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The Health Savings Account (HSA) Change of Beneficiary Form is a document used by account holders to designate or change the beneficiaries of their HSA. This ensures that the funds in the account are allocated according to the account holder's wishes upon their death.
The account holders of Health Savings Accounts (HSAs) who wish to update or designate beneficiaries must file the HSA Change of Beneficiary Form.
To fill out the HSA Change of Beneficiary Form, account holders typically need to provide their personal information, such as name and account number, and then list the names and details of the new beneficiaries, including their relationship to the account holder.
The purpose of the HSA Change of Beneficiary Form is to allow account holders to specify who will receive the assets in their HSA account after their death, ensuring proper distribution as per their wishes.
The information that must be reported on the HSA Change of Beneficiary Form includes the account holder's name, account number, and the names, contact details, and relationship of the new beneficiaries.
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