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WWW.DiscoveryBenefits.com 8664513399 8664513245 PO Box 2926 Fargo, ND 581082926 customer service discoverybenefits.com Health Savings Account (HSA) Distribution Request×Account Closure Form Uses
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How to fill out hsa account closure form

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How to fill out an HSA account closure form:

01
Contact your HSA provider: Begin by reaching out to your Health Savings Account (HSA) provider and inform them of your decision to close the account. They will provide you with the necessary forms and instructions for closure.
02
Review the instructions: Carefully read through the instructions provided by your HSA provider. Make sure you understand the requirements and any specific documentation they may require.
03
Gather required information: Collect all the information that may be needed to complete the closure form. This typically includes your personal details, account information, and any outstanding balances or transactions.
04
Fill out the form: Complete all the sections of the closure form as instructed. Fill in your personal information accurately, ensuring that there are no errors or missing fields.
05
Include necessary documentation: Attach any supporting documents that may be required. This could include copies of identification documents, account statements, or transaction history.
06
Review and double-check: Take a moment to review the completed form and attached documents. Make sure all information is correct and accurate before submitting it.
07
Submit the form: Follow the instructions provided by your HSA provider to submit the closure form. This may involve mailing it to the designated address or submitting it online through their portal.

Who needs an HSA account closure form?

01
Individuals closing their HSA account: Anyone who wishes to close their Health Savings Account will need an HSA account closure form. This could be due to various reasons, such as no longer being eligible for the HSA or deciding to switch to a different healthcare plan.
02
Account holders with unused funds: If you have remaining funds in your HSA account that you want to withdraw or transfer, you will need a closure form to initiate the process.
03
Individuals transitioning to a new HSA provider: In some cases, individuals may choose to close their current HSA account and open a new one with a different provider. In such situations, a closure form is necessary to properly terminate the old account.
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The HSA account closure form is a document used to close a Health Savings Account (HSA).
The account holder or authorized individual is required to file the HSA account closure form.
To fill out the HSA account closure form, provide the necessary account information, reason for closure, and any other requested details.
The purpose of the HSA account closure form is to officially close the HSA account and document the closure process.
The HSA account closure form must include account holder information, account details, reason for closure, and signatures of all parties involved.
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