800.783.4022
Monday-Friday
8:30 am-4:30 pm CST
Need to establish an Account?
HSA Manager Kit
HSA Kit
Pershing HSA Manager Kit
PER Kit
Need to update an already established Account?
Add additional authorized signer for
debit card
HSA-012
Address Change
HSA-013
Contributions by ACH
HSA-017
Give Third Party Authorization to your
Account
HSA-008
Update Beneficiary designation
HSA-016
Funding Form
HSA-018
Need to make a Distribution or submit
a Transfer to your HSA Account?
HSA Distribution Form
HSA-014
Transfer from another HSAs, MSAs, or IRA
HSA-007
Transfer from FSAs or HRAs
HSA-019
Statements and Agreements
HSA Manager Fee Schedule
HSA-CLT-009
Partial List of IRAs Approved Medical Expenses
List
2009 Instructions for IRS Form 8889
Dir 8889
2009 IRS Form 8889
IRS 8889
Updating your account in
my.hsa-manger.com
Once you log into your account, you can:
Add dependents
Add beneficiaries
Add signatories
Order debit cards
Click on any of the links above for detailed instructions.