|


| |
Online Application Documents
The following online
documents associate your application with our associated broker's ID number and
produce a small finder's fee or a commission for Ms. Knight (all applications
and links are provided
as a service, not an endorsement or a recommendation):
First Horizon
MSaver documents
Apply for First Horizon MSaver HSA Online
HSA Bank™ documents
Apply for HSA Bank HSA Online
or fill out documents online, print, sign and send in (PDF):
HSA
Bank Application: (PDF online fill-in form) Complete, print, sign, then send to
HSA Bank.
HSA
Bank Designation of Beneficiary Form: (PDF online fill-in form) Complete, print, sign, then send to
HSA Bank.
HSA
Bank HSA/MSA Rollover/Direct Transfer
Form: Print, complete, sign, then send to
HSA Bank.
Web Links and Contact Information for HSA Trustees
Following is a listing of a number
of HSA Trustees. These contacts are provided
as a service, not an endorsement or a recommendation:
1st Pacific Bank of California
4275 Executive Square Ste 650
La Jolla, CA 92037
(858) 875-2000
American Chartered Bank
1199 E. Higgins Rd.
Schaumburg, IL 60173
(847) 517-5400
American Health Value
671 East River Park Lane, Suite 100
Boise, ID 83706
(800) 914-3248
Bancorp Bank
405 Silverside Road
Wilmington, DE 19809
(800) 545-0289
BASIC
9246 Portage Industrial Drive
Portage, MI 49024
(800) 444-1922
Capitol Bank
710 North High Point Road
Madison, WI 53717
(608) 836-1616
Cornerstone Community Bank
2090 Wisconsin Avenue
Grafton, WI 53024
(262) 375-9150
Delaware Charter Guarantee & Trust
P O Box 8963
Wilmington, DE 19899
(800) 209-9010
Discovery Benefits, Inc.
203 10th Street North
Fargo, ND 58102
(701) 451-3010
Entrust Administration Inc. (Nationwide)
555 12th Street, Suite 1250
Oakland, CA 94607
(800) 392-9653
Entrust New Direction IRA
4450 Arapahoe Avenue, #100
Boulder, CO 80303
(877) 742-1270
Equity Trust Company
225 Burns Rd
Elyria, OH 44035
(440) 323-5491
First American Bank
1650 Louis Avenue
Elk Grove Village, IL 6007
(866) 449-1150
First Farmers Bank & Trust
123 N Jefferson
Converse, IN 46919
(765) 395-3316
First HSA
1044 MacArthur Road
Reading, PA 19605
(888) 769-8696
FlexHSA
10275 W. Higgins Road, Suite 500
Rosemont, IL 60018
(888) 353-9472
Fowler State Bank
300 East 5th Street,
PO Box 511
Fowler, IN 47944
(800) 439-3951
Great Western Bank
6015 NW Radial Hwy
Omaha, NE 68104
(402) 551-4310
Gulf Coast Bank and Trust
200 St. Charles Ave
New Orleans, LA 70130
(504) 841-2831
Health Savings Administrators
10800 Midlothian
Turnpike, Suite 240
Richmond, VA 23235
(888) 354-0697
HealthEquity
5151 East Broadway Blvd., Suite 510
Tucson, AZ 85711
(866) 346-5800
Heritage Bank
110 E. 9th Street, PO Box 487
Wood River, NE 68883
(888) 550-5254
Home Federal Bank
500 12th Ave. South
Nampa, ID 83651
(800) 871-9505
HSA Bank
211 N. Wisconsin
Drive
Howards Grove, WI
53083
(800) 357-6246
HSA Investors, LLC
702 Middlecrest Rd, Ste 1, PO Box 35
Lake Oswego, OR 97034
(971) 645-0875
HSA Resources Bank
PO Box 7338
St Cloud, MN 56301
(866) 757-4727
HSA Solutions, LLC
P.O. Box 1690
Warsaw, IN 46581
(866) 858-6472
HSA Trustee Services
3273 Lockwood Blvd
Lake Geneva, WI 53147
(866) 472-2010
HSAtoday
1601 Westpark Dr., Ste. 9
Little Rock, AR 72204
(800) 633-3841
MSAver
PO Box 26106
Shawnee Mission, KS
66225
(888) 367-6727
Oak Brook Bank
1400 Sixteenth St
Oak Brook, IL 60523
(630) 990-2265
Sherman County Bank
734 O St, P O Box 543
Loup City, NE 68853
(888) 538-2616
State Farm Bank
One State Farm Plaza
Bloomington, IL 61710
(877) 734-2265
Sterling HSA
475 14th St. Suite #120
Oakland, CA 94612
(800) 617-4729
Thrivent Financial Bank
2000 E Milestone Dr
Appleton, WI 54919
(866) 226-5225
Tower Bank & Trust Company
116 East Berry Street
Fort Wayne, IN 46802
(260) 427-7000
Town Bank
400 Genesee Street
Delafield, WI 53018
(800) 433-3076
United Community Bank
100 Okoboji Av
Milford Center, Iowa 51351
(888) 338-2781
Westfield Bank, FSB
Two Park Circle, P.O. Box 5002
Westfield Center, OH 44251
(800) 368-8930
|