Follow these easy steps to creating your

Health Savings Account online!

Start

Here

Click

Here

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

11/09/2015

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.