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HSA DUAL ENROLLMENT FORM OFFICE FOR INTERNATIONAL STUDENTS AND SCHOLARS Phone: 517.353.1720 Fax: 517.355.4657 Email: kiss MSU.edu Web: www.oiss.msu.eduInternational students attending Michigan State

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How to fill out hsa dual enrollment form

01

Obtain a copy of the HSA dual enrollment form from the relevant institution or organization.

02

Fill out your personal information, including your name, address, and contact information.

03

Provide details about your current enrollment status, such as the name of the school you are attending and your grade level.

04

Indicate your desired dual enrollment courses by listing their names and the corresponding course codes.

05

If required, include any supporting documents or signatures that are necessary for the enrollment process.

06

Double-check your form for accuracy and completeness.

07

Submit the completed form to the designated office or department as instructed.

08

Follow up with the institution or organization to ensure that your enrollment is processed successfully.

Who needs hsa dual enrollment form?

01

The HSA dual enrollment form is typically needed by students who wish to enroll in dual credit or dual enrollment courses offered by their high school or college. It is also required by educational institutions and organizations that facilitate dual enrollment programs.

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What is hsa dual enrollment form?

The HSA dual enrollment form is a document that allows individuals to enroll in both an HSA-qualified high deductible health plan and a separate health care coverage plan.

Who is required to file hsa dual enrollment form?

Individuals who wish to contribute to an HSA and have dual health care coverage plans are required to file the HSA dual enrollment form.

How to fill out hsa dual enrollment form?

To fill out the HSA dual enrollment form, individuals need to provide information about their HSA-qualified health plan, as well as details about their separate health care coverage plan.

What is the purpose of hsa dual enrollment form?

The purpose of the HSA dual enrollment form is to ensure that individuals who are enrolled in both an HSA-qualified health plan and a separate health care coverage plan are eligible to contribute to an HSA.

What information must be reported on hsa dual enrollment form?

The HSA dual enrollment form requires information about the individual's HSA-qualified health plan, details about their separate health care coverage plan, and confirmation of eligibility to contribute to an HSA.

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