Common Contracts
1 similar Health Savings Account Custodial Agreement contracts
HEALTH SAVINGS ACCOUNT CUSTODIAL AGREEMENTHealth Savings Account Custodial Agreement • November 5th, 2007
The account owner named on the application is establishing this health savings account (HSA) exclusively for the purpose of paying or reimbursing qualified medical expenses of the account owner, his or her spouse, and dependents. The account owner represents that, unless this account is used solely to make rollover contributions, he or she is eligible to contribute to this HSA; specifically, that he or she:
