Follow these easy steps to creating your
Health Savings Account online!
Select either
Individual or Family
Auto-Fill Application with ATM/Debit Card Information
Auto-Fill Application with Deposit Account Information
Auto-Fill Application with Loan Account Information
Personal Account Verification Information
Please have your ID ready to enter in the DL#, State of Issue and Expiration Date.
Employment information is helpful in verifying additional account information.
These are questions to verify your identity.
Beneficiaries Continued
Choose Payroll Deduct
Leave at $0
Complete payroll deduct form. If you would like to add an additional authorized signer, you can do so on this form.
Your new account number will appear here.
Please print account number of payroll
deduct form.