alerus-health-savings-account-transfer-request-form

Edit, Download, and Sign the Alerus Health Savings Account Transfer Request Form

Form

eSign

Email

Add Annotation

Share Form

How do I fill this out?

To fill out this form, first gather all necessary personal and employer information. Next, complete the rollover or transfer section accurately. Lastly, ensure your signature is provided to authorize the transfer of funds.

imageSign

How to fill out the Alerus Health Savings Account Transfer Request Form?

  1. 1

    Collect all required personal and employer information.

  2. 2

    Fill out the rollover or transfer section as needed.

  3. 3

    Indicate whether you are closing your HSA account or not.

  4. 4

    Sign the form to authorize the transaction.

  5. 5

    Submit the completed form to your current trustee for processing.

Who needs the Alerus Health Savings Account Transfer Request Form?

  1. 1

    Employees changing jobs and needing to transfer their HSA funds.

  2. 2

    Individuals who want to consolidate their HSA accounts.

  3. 3

    Account holders seeking to close an HSA with another custodian.

  4. 4

    Anyone wanting to initiate a rollover into an Alerus HSA.

  5. 5

    Financial advisors assisting clients with tax-advantaged transfers.

How PrintFriendly Works

At PrintFriendly.com, you can edit, sign, share, and download the Alerus Health Savings Account Transfer Request Form along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

thumbnail

Edit your Alerus Health Savings Account Transfer Request Form online.

Editing this PDF on PrintFriendly is simple and intuitive. Access the file through our editor, where you can make necessary changes easily. Save your modified version to ensure your updates are retained.

signature

Add your legally-binding signature.

To sign the PDF on PrintFriendly, utilize the built-in signing tool that allows for easy digital signatures. Simply navigate to the signature section and follow prompts for a quick signature process. Your signed document can then be downloaded conveniently.

InviteSigness

Share your form instantly.

Sharing your PDF using PrintFriendly is streamlined for your convenience. Once your document is ready, utilize the share function to send it via email or social media. Easily distribute important documents with just a few clicks.

How do I edit the Alerus Health Savings Account Transfer Request Form online?

Editing this PDF on PrintFriendly is simple and intuitive. Access the file through our editor, where you can make necessary changes easily. Save your modified version to ensure your updates are retained.

  1. 1

    Open your PDF in the PrintFriendly editor.

  2. 2

    Select the text or elements you want to modify.

  3. 3

    Make the necessary changes or updates.

  4. 4

    Review your edits for accuracy and completeness.

  5. 5

    Download the edited PDF to your device.

What are the instructions for submitting this form?

Submit your completed HSA Transfer Request Form to your current trustee/custodian for processing. If you choose to send it via mail, the address should be directly to their office for HSA transactions. For electronic submissions, inquire about the online portal or email options provided by your existing trustee.

What are the important dates for this form in 2024 and 2025?

For 2024, note that the typical HSA rollover deadlines remain consistent, with annual contribution limits to be announced. It's crucial to keep track of your rollover transactions, as IRS regulations limit one rollover per year. Contact your tax advisor for specific tax-related dates.

importantDates

What is the purpose of this form?

The purpose of this form is to facilitate the transfer of Health Savings Account (HSA) funds from an existing account to an HSA with Alerus Retirement and Benefits. This process is essential for individuals looking to consolidate their HSA accounts or move their funds for better investment options. By completing this form, account holders ensure that their funds are transferred securely and efficiently, adhering to IRS regulations regarding rollovers and transfers.

formPurpose

Tell me about this form and its components and fields line-by-line.

The form contains several fields for essential information to process your transfer request.
fields
  • 1. Last Name: The account holder's last name.
  • 2. First Name: The account holder's first name.
  • 3. Address: The account holder's mailing address.
  • 4. City: The city of residence.
  • 5. Social Security Number: The account holder's Social Security Number.
  • 6. Date of Birth: The account holder's date of birth.
  • 7. Telephone Number: The account holder's contact number.
  • 8. Email Address: The account holder's email address.
  • 9. Middle Initial: The account holder's middle initial.
  • 10. State: The state of residence.
  • 11. ZIP: The ZIP code for the address.
  • 12. Employer: The name of the account holder's employer.
  • 13. Trustee Name: The name of the current trustee.
  • 14. Check Payable To: The name for the check to be made payable to.
  • 15. Mailing Address: The address where the check should be sent.

What happens if I fail to submit this form?

If the form is not submitted, the transfer request will not be processed. Accounts may remain inactive or funds may not be accessible as required. It is important to complete and submit the form to avoid complications with your HSA.

  • Delay in Fund Transfer: Not submitting may postpone the movement of your HSA funds.
  • Possible Account Fees: Failure to act may lead to continued fees associated with an unused account.
  • Lost Opportunity for Investment: Funds may remain idle rather than being invested appropriately.

How do I know when to use this form?

You should use this form when you wish to transfer your HSA funds to Alerus. It is applicable if you are changing employers and want to bring over your HSA. Additionally, this form is essential for anyone wishing to consolidate multiple HSAs into a single account.
fields
  • 1. Changing Employers: When switching jobs and needing to move your HSA.
  • 2. Consolidating Accounts: For individuals combining multiple HSAs into one.
  • 3. Closing an Old HSA: If you are moving your funds completely to a new HSA.

Frequently Asked Question

How can I initiate the transfer of my HSA funds?

To initiate the transfer, complete the HSA Transfer Request Form and submit it to your current trustee.

What should I do if I have questions about this form?

If you have questions regarding the form, please contact Alerus customer service at 877.661.4727.

Do I need to close my HSA account to transfer funds?

You can choose to close your account or keep it open; both options are available on the form.

How long does it take to process the transfer?

Processing times can vary; please consult your current trustee for specific timelines.

Can I make multiple rollovers in a year?

IRS regulations limit you to one distribution rollover per HSA per 12 months.

What if I don't complete the transfer within 60 days?

Funds received from HSA distributions must be re-deposited into another HSA within 60 days to avoid tax penalties.

Is there a fee for closing my HSA account?

There may be a closing fee; review your current account terms or contact your trustee.

What is the role of a financial advisor in this process?

A financial advisor can assist you in understanding the tax implications and managing your HSA funds.

How do I ensure my information is correct on the form?

Double-check all entered details before submission to prevent any errors.

What happens if I fail to submit this form?

Failure to submit may result in delays or inability to transfer your HSA funds.

Related Documents - HSA Transfer Request Form

https://storage.googleapis.com/pf-next-static-files-dev/thumbnails/c5ac964c-1fc4-4462-887b-be76a5f8b256-400.webp

Transfer of Assets Online Form Instructions

This document provides detailed instructions for transferring assets into a Fidelity HSA. It outlines the steps involved in the online form submission. Follow the provided instructions to ensure a smooth transfer process.

https://storage.googleapis.com/pf-next-static-files-dev/thumbnails/ecc11dfe-ee72-4736-89ce-aace1fa64fb1-400.webp

HSA Contributions Guide - Rules and Instructions

This guide provides comprehensive details about Health Savings Account contributions, including limits and types. It explains how to fill out forms and offers resources from the IRS. Ideal for participants looking to manage their HSA contributions effectively.

https://storage.googleapis.com/pf-next-static-files-dev/thumbnails/49973f50-f80d-4790-a3b0-85da3c56d25a-400.webp

Health Savings Account HSA Distribution Request Form

This form is designed for accountholders to request funds distribution or to close their Health Savings Account (HSA). It's essential for users to follow the provided instructions for a seamless experience with their HSA transactions. Ensure you have all necessary details ready before submitting the form.

https://storage.googleapis.com/pf-next-static-files-dev/thumbnails/9e556b29-1cf2-40c5-ac7b-84e3eca4521d-400.webp

HSA Health Savings Account Application Form

This file is a comprehensive Health Savings Account (HSA) application form that allows individuals to apply for an HSA. It includes sections for personal information, contribution details, investment options, and beneficiary designations. Perfect for anyone looking to open an HSA to save for medical expenses.

https://storage.googleapis.com/pf-next-static-files-dev/thumbnails/d9232465-eb70-453a-97d8-94a46c957d41-400.webp

Health Savings Account Distribution Request Form

This Health Savings Account (HSA) Distribution Request Form allows users to request distributions from their HSA. It provides clear instructions for filling out the form and guides users through the necessary steps. Perfect for individuals looking to manage their medical expenses effectively.

https://storage.googleapis.com/pf-next-static-files-dev/thumbnails/f58be638-ed6d-47ef-971b-7352a7a5f836-400.webp

Health Savings Account Distribution Request Form

This Health Savings Account Distribution Request Form allows HSA accountholders to manage account distributions and closures. It provides necessary steps for completing the request and ensures compliance with tax requirements. Use this form to initiate a distribution or close your HSA responsibly.

https://storage.googleapis.com/pf-next-static-files-dev/thumbnails/6f00b396-612b-45f7-98e2-4b4b18a1930f-400.webp

National Savings Scheme Account Transfer Form

This form is used to request the transfer of an account under the National Savings Scheme. It requires details about the account holder and the accounts involved in the transfer. Properly completing this form ensures a smooth transfer process.

https://storage.googleapis.com/pf-next-static-files-dev/thumbnails/6ee85e8a-080d-469a-ac62-10d7dbe0dc41-400.webp

Rocky Mountain Reserve Health Savings Account Guide

This guide provides essential information on managing your Rocky Mountain Reserve Health Savings Account. It includes instructions for accessing your account, contributing funds, and making use of your HSA efficiently. Whether you're looking to save for medical expenses or invest your funds wisely, this resource is designed to help you navigate your HSA.

https://storage.googleapis.com/pf-next-static-files-dev/thumbnails/863afb66-8c92-477a-a726-7b6063d0d1a4-400.webp

Tax Form Checklist for HSA Account Holders

This file provides a detailed checklist for HSA account holders on what tax forms to expect and how to fill them out. It includes essential information on IRS forms and tax obligations for HSA users. Ensure you are prepared for tax season with this straightforward guide.

https://storage.googleapis.com/pf-next-static-files-dev/thumbnails/b811e411-bd56-42be-a1fc-71e74d8bfd9e-400.webp

Understanding HSA Contributions Reporting and Forms

This document provides essential information about Health Savings Account (HSA) contributions and tax reporting. It explains how to complete income tax returns using Form 5498-SA. Designed for account holders to effectively manage their HSA accounts.

https://storage.googleapis.com/pf-next-static-files-dev/thumbnails/bcc63721-446b-42c7-a26e-b5f26f479ac6-400.webp

Form 8889 Health Savings Account IRS Instructions

Form 8889 is used to report Health Savings Account (HSA) contributions, deductions, and distributions. This form is crucial for individuals with HSAs to ensure compliance with IRS regulations. It provides necessary information for calculating tax benefits related to HSAs.

https://storage.googleapis.com/pf-next-static-files-dev/thumbnails/16601833-920c-49cb-9751-bf1a56c13129-400.webp

HSA Distribution Request and Account Closure Form

This form is used to request a distribution of funds from or to close an HSA. It can also be used for specific distribution types such as excess contributions, rollovers, and more. Ensure all sections are completed to avoid processing delays.

Alerus Health Savings Account Transfer Request Form

Edit, Download, and Share this printable form, document, or template now

image