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HSA CHANGE OF BENEFICIARY FORM This HSA Change of Beneficiary Form is used to change the beneficiaries for Has. If you have any questions regarding this form, please call Shareholder Services at 18002530412.
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How to fill out hsa change of beneficiary

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How to fill out HSA change of beneficiary:

01
Gather necessary information: Start by collecting all relevant information, including the current beneficiary's name and contact information, as well as the new beneficiary's details. Make sure to have their full legal names, Social Security numbers, and current addresses.
02
Obtain the appropriate form: Contact your Health Savings Account (HSA) provider or visit their website to obtain the HSA change of beneficiary form. Most providers have this form readily available for download or can mail it to you upon request.
03
Fill out the form accurately: Carefully complete the form, ensuring that all details are entered correctly. Double-check the spelling of all names, verify accuracy in Social Security numbers, and provide the required contact information. Be sure to read the instructions or any requirements indicated on the form to avoid any mistakes.
04
Specify the new beneficiary: Clearly state the full name and contact information of the new beneficiary in the appropriate section of the form. Indicate their relationship to you, such as spouse, child, or another designated individual. If there are multiple new beneficiaries, clarify the specific percentage or share each individual should receive.
05
Review and sign the form: Once you have completed the form, carefully review all the information provided to ensure accuracy. Sign and date the form in the designated areas. Some providers may require additional witness signatures or notarization, so make sure to follow any specific instructions provided by your HSA provider.
06
Submit the form: Send the completed and signed form to your HSA provider following their preferred submission method. Some providers may allow you to submit forms electronically, while others may require mailing or faxing. Make a copy of the form for your records before submitting it.

Who needs HSA change of beneficiary:

01
Individuals with an existing HSA: If you already have a Health Savings Account, you may need to update the beneficiary if your circumstances have changed. This could include events like marriage, divorce, birth of a child, or a change in your personal relationships.
02
People who want to designate a new beneficiary: If you currently have no designated beneficiary or wish to change the beneficiary for any reason, you will need to complete an HSA change of beneficiary form.
03
HSA owners concerned about financial planning: Some individuals may want to review and update their beneficiaries periodically to ensure their HSA funds are distributed according to their wishes. Life events and changes in relationships can impact these decisions, so it is important to periodically assess and update your HSA beneficiary designation as needed.
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An HSA change of beneficiary allows the account holder to designate a new individual to inherit the funds in their Health Savings Account upon their death.
The account holder of the Health Savings Account is required to file a change of beneficiary form.
To fill out an HSA change of beneficiary form, the account holder must provide the new beneficiary's name, date of birth, and relationship to the account holder.
The purpose of an HSA change of beneficiary is to ensure that the funds in the account are passed on to the designated individual upon the account holder's death.
The HSA change of beneficiary form must include the new beneficiary's name, date of birth, and relationship to the account holder.
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