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Health Savings Account Closure Form! Use this form to close your EMPOWER Health Savings Account (HSA) and return the funds directly to you. If you would like EMPOWER to send the funds to your new
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How to fill out health savings account closure

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How to fill out health savings account closure

01
Contact your Health Savings Account (HSA) provider either by phone or in person to request closure of the account.
02
Fill out any forms provided by the HSA provider to officially request closure of the account.
03
Ensure all funds in the HSA account are used for qualified medical expenses before closure.
04
Provide any necessary identification or verification documents requested by the HSA provider.
05
Follow up with the HSA provider to confirm the closure of the account and any next steps.
06
Keep documentation of the closure for your records.

Who needs health savings account closure?

01
Individuals who no longer wish to use their Health Savings Account (HSA) may need to request closure of the account.
02
Individuals who are no longer eligible to contribute to an HSA due to changes in their health insurance coverage may also need to close their account.
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Health savings account closure refers to the process of formally terminating an HSA and withdrawing the remaining assets, which may occur when the account holder no longer qualifies for an HSA or decides to no longer contribute to it.
Individuals who have maintained a health savings account and have decided to close it, including those who no longer qualify for contributions or wish to terminate the account for any other reason, are required to file for health savings account closure.
To fill out health savings account closure, you typically need to obtain the appropriate closure form from your HSA provider, provide personal information, account details, indicate the request for closure, and submit any required documentation regarding fund distribution.
The purpose of health savings account closure is to formally end the account management when it is no longer needed, ensuring any remaining funds are properly distributed according to IRS regulations and the account holder's wishes.
Information that must be reported includes the account holder's personal details, account number, dates of closure, the balance at the time of closure, and how the remaining funds will be distributed.
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