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Forms & Resources

WebA Health Savings Account (HSA) is a pre-tax benefit used to pay for eligible medical, dental and vision expenses that works in combination with a qualified High-Deductible Health

Actived: 1 days ago

URL: http://iu.nyhart.com/forms.aspx

HSA Transfer Form

WebUse the HSA Contribution form to make a rollover contribution to your HSA. Complete this form and mail it to the custodian or trustee of the HSA that you are transferring from. …

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IRS COVID-19 Updates and Your Health Savings Account

WebIRS COVID-19 Updates and Your Health Savings Account . Legislation enacted in response to the 2019 Novel Coronavirus (COVID-19) expands the utility of your Nyhart HSA …

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HSA POWER OF ATTORNEY FORM

WebHSA POWER OF ATTORNEY FORM. INSTRUCTIONS. 1. Complete Accountholder Information, Power of Attorney Information and Signature sections to designate a

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INDIANUANIVERSITY Health Savings Account (HSA) 2024 …

WebIU’s annual contribution to your HSA The most you can contribute to your HSA in 2024 The most you can contribute to your HSA in 2024 if you’re age 55+

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DIRECT DEPOSIT AUTHORIZATION / TERMINATION

WebDIRECT DEPOSIT AUTHORIZATION / TERMINATION. ACTION TAKEN SEND COMPLETED FORM. By submitting this form, I wish to make the following election for …

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