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Print Reset FIDELITY HEALTH SAVINGS ACCOUNT APPLICATION To complete this application, fill in all relevant sections, sign in ink, and return to Fidelity Investments, P.O. Box 770001, Cincinnati, OH

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What is fidelity health savings account?

A fidelity health savings account (HSA) is a tax-advantaged savings account designed to help individuals and families with high-deductible health plans save for medical expenses.

Who is required to file fidelity health savings account?

Individuals who have a high-deductible health plan and meet the eligibility requirements can open and contribute to a fidelity health savings account.

How to fill out fidelity health savings account?

To fill out a fidelity health savings account, individuals need to provide their personal information, employer information, and details about their high-deductible health plan. Contributions can be made through payroll deductions or manually.

What is the purpose of fidelity health savings account?

The purpose of a fidelity health savings account is to allow individuals to save money tax-free to pay for qualified medical expenses. It also provides a way to save for future healthcare costs and offers potential tax benefits.

What information must be reported on fidelity health savings account?

The fidelity health savings account requires reporting of personal information, including name, Social Security number, and address. Additionally, contributions, distributions, and investment earnings need to be reported.

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