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PayFlex® Health Savings Account (HSA)

WebSaving money now and in the future PayFlex® Health Savings Account (HSA) 69.03.617.1 A (10/15) *The maximum contribution limits are subject to change annually.

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The PayFlex Card

Web*If you choose to fax or mail documentation, include a copy of your Request for Documentation letter. Aetna Consumer Financial Solutions products are administered by …

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The PayFlex Card®, your account debit card

Web69.03.620.1 (7/15) Swipe your way to smart savings The PayFlex Card®, your account debit card Instant access to your money The PayFlex Card helps make it easier for you to spend

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Health Savings Account (HSA)

WebAccount Application Instructions. To open an HSA, you will need to provide the Social Security Number and date of birth for the account owner and each beneficiary. A variety …

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Quick Reference Guide

WebThe Consolidated Omnibus Budget Reconciliation Act (COBRA) is a federal law that provides you, your spouse and/or your tax dependents with the right to continue

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Quick Reference Guide

Web©2013 PayFlex Systems USA, Inc. 69.03.319.1 (2/13) Manage Your Investment Account Use the options at the top navigation bar to help you manage your account.

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Health Savings Account (HSA)

WebHealth Savings Account (HSA) Transfer Form Instructions. As the owner of your HSA, you are required to complete Sections 1, 2, and 4 of the enclosed form. Below are a few …

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Health Savings Account (HSA)

WebHealth Savings Account (HSA) Transfer Request Form Instructions. As the owner of your HSA, you must complete Sections 1, 2, and 3 of the enclosed form. Below are a few …

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Health Savings Account (HSA)

WebPF-15 (6-15) Health Savings Account (HSA) Instructions for Request for Return of Excess Contributions or Request to Close an HSA Opened in Error

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Health Savings Account (HSA)

WebHealth Savings Account Transfer to HSA at PayFlex Request Form. Instructions: Complete sections 1, 2 and 3 on this form to transfer an HSA from your current Trustee or …

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Health Savings Account (HSA)

WebHealth Savings Account (HSA) Instructions for Account Closure Form. To close your HSA, complete all of the required sections of the enclosed form. If you have an HSA …

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