Common Contracts

1 similar Health Savings Account Contribution Agreement contracts

HEALTH SAVINGS ACCOUNT IMPORTANT INFORMATION – PLEASE READ CAREFULLY
Health Savings Account Contribution Agreement • October 6th, 2022

If you wish to make pre-tax contributions to your Health Savings Account (HSA), you will need to complete and sign this HSA Salary Reduction Agreement and return it to Finance no later than the last day of the month preceding the month in which you wish to begin your contributions.

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