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Alliance Benefit Group of Illinois 456 Fulton Street Suite 345 Attn MyHSA Peoria Il 61550 Help Desk at 1-800-576-9472 Monday-Friday 7 30 am to 5 00 pm CT Fax 1-800-688-4329 MyHSA Beneficiary Designation Form Instructions This form is used to add or update your MyHSA account beneficiary ies. Completion of this form will supersede all prior designations. I understand that I may change or add beneficiaries at any time by completing and delivering the proper electronic or paper form to Alliance...
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Open the myhsa beneficiary form 9-23-2016docx document.
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Read the instructions provided in the form to understand the requirements.
03
Fill in your personal information accurately in the designated fields.
04
Provide the necessary details of your chosen beneficiary.
05
Include any additional information required, such as contact details or relationship to the beneficiary.
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Submit the completed beneficiary form as instructed, either by mail or electronically.

Who needs myhsa beneficiary form 9-23-2016docx?

01
Anyone who has a myhsa account and wishes to designate a beneficiary should use the myhsa beneficiary form.
02
Individuals who want to ensure that their HSA funds are transferred to a specific person or entity upon their death can utilize this form.
03
Having a beneficiary form is especially important for those who want to avoid potential complications in the distribution of their HSA funds.
04
If you have any doubts or questions about who should be named as your beneficiary, it is recommended to consult a legal or financial professional.
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The myhsa beneficiary form 9-23-docx is a document used to designate beneficiaries for an HSA account.
HSA accountholders are required to file the myhsa beneficiary form 9-23-docx.
To fill out the myhsa beneficiary form 9-23-docx, you need to provide the beneficiary's name, contact information, and relationship to the account holder.
The purpose of the myhsa beneficiary form 9-23-docx is to ensure that the HSA account assets are distributed according to the account holder's wishes in the event of their death.
The myhsa beneficiary form 9-23-docx must include the beneficiary's full name, address, date of birth, and Social Security number.
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