HSA Service Center



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	HSA Planner

Service an Existing HSA

General Information

To use this feature, you must have an HSA established with Bellco Credit Union. If not, simply select the Open an HSA option and then proceed to open an HSA.

First, please complete the following information about the HSA owner.

Note: All fields marked with an * are required.

Salutation
* First Name	MI	* Last Name
* Address

* City	* State
* Zip Code
* Social Security Number		* Date of Birth	(mm/dd/yyyy)
* Phone
Email Address
HSA Account Identification

*What would you like to do?

Make a contribution to an HSA for tax year

Use a qualified HSA funding distribution from a Traditional IRA or a Roth IRA.

Transfer assets to an HSA.

Roll over assets to an HSA.

Make a withdrawal.

Change beneficiaries.