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Get the free 2015 HSA Enrollment Form 2 Tier - DeKalbCounty.org - dekalbcounty

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DEKALB COUNTY GOVERNMENT AUTHORIZATION FOR DIRECT DEPOSIT 2015 HEALTH SAVINGS ACCOUNT TWO TIER Name: Department: 1. I understand that I must be enrolled in the High Deductible Health Plan in order
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HSA enrollment form 2 is a document used to enroll in a Health Savings Account (HSA) and make contributions to the account.
Any individual who wants to open an HSA and start making contributions is required to file HSA enrollment form 2.
To fill out HSA enrollment form 2, individuals need to provide personal information, choose a plan, and decide how much they want to contribute to their HSA.
The purpose of HSA enrollment form 2 is to establish an HSA account and start saving for medical expenses while enjoying tax advantages.
On HSA enrollment form 2, individuals must report their personal information, choose a qualified high deductible health plan, and decide on HSA contribution amounts.
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