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Rollover Request Form Mail or fax completed forms to Address HealthEquity Attn Member Services 15 W Scenic Pointe Dr Ste 100 Draper UT 84020 Fax 520. Healthequity. com/Forms/Agreements/HealthEquityCustodialAgreement. pdf. I understand that in compliance with the USA Patriot Act HealthEquity must verify the identity of all individuals who seek to open an HSA. HealthEquity. com Get double interest on your HealthEquity HSA. Just transfer or roll over 250 or more from another HSA to HealthEquity...
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