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Toll Free: (800) 6621113 Fax: (844) 5606754 Website: americanfidelity.com Email: HSASupport@americanfidelity.comHEALTH SAVINGS ACCOUNT Request for Additional/Replacement Debit Card Enter the information
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A health savings account (HSA) is a tax-advantaged savings account that is used in conjunction with a high-deductible health plan (HDHP) to pay for qualified medical expenses.
Individuals who are covered by a high-deductible health plan and meet other eligibility requirements are allowed to open and contribute to an HSA.
To fill out a health savings account form, you will need to provide personal information, such as your name, address, and Social Security number, as well as information about your high-deductible health plan.
The purpose of a health savings account is to help individuals save money for medical expenses not covered by their health insurance plan and to provide tax advantages for those savings.
Information such as contributions, distributions, and withdrawals from the HSA must be reported on the health savings account form.
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