Alerus Health Savings Account Transfer Request Form
This form is necessary for initiating a direct transfer of funds from your existing HSA to an Alerus HSA. It includes important employer and account holder information to ensure transparency during the transfer process. For questions regarding the rollover or transfer process, reach out to Alerus customer service.
Edit, Download, and Sign the Alerus Health Savings Account Transfer Request Form
Form
eSign
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.
How to fill out the Alerus Health Savings Account Transfer Request Form?
1
Collect all required personal and employer information.
2
Fill out the rollover or transfer section as needed.
3
Indicate whether you are closing your HSA account or not.
4
Sign the form to authorize the transaction.
5
Submit the completed form to your current trustee for processing.
Who needs the Alerus Health Savings Account Transfer Request Form?
1
Employees changing jobs and needing to transfer their HSA funds.
2
Individuals who want to consolidate their HSA accounts.
3
Account holders seeking to close an HSA with another custodian.
4
Anyone wanting to initiate a rollover into an Alerus HSA.
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.
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.
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.
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
Open your PDF in the PrintFriendly editor.
2
Select the text or elements you want to modify.
3
Make the necessary changes or updates.
4
Review your edits for accuracy and completeness.
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.
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.
Tell me about this form and its components and fields line-by-line.
- 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?
- 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 Questions
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
Authorization to Change Direct Deposit Form
This form is for notifying organizations of changes to your direct deposit account. Complete and sign this form and send it to the companies handling your direct deposits. The form includes sections for personal information and new account details.
Sprouts Farmers Market 2023 Annual Meeting Proxy Statement
This document contains details about the 2023 Annual Meeting of Stockholders for Sprouts Farmers Market, Inc. It includes information on the meeting date, items of business, and instructions for proxy voting. Access to proxy materials and voting instructions are also provided.
Application for Approval of Details Reserved by Condition Planning
This file is an application for approval of details reserved by condition following the grant of planning permission or listed building consent. It provides information on how to submit the necessary details for approval by the Local Planning Authority. The file includes instructions for both online and offline submission.
Implementation of Thrift Savings Plan Roth Contributions
This file provides information and requirements for uniformed services to modify their payroll systems to accommodate the Thrift Savings Plan (TSP) Roth contributions. It outlines definitions, rules, and procedures for TSP Roth contributions, including catch-up contributions for those aged 50 and older. The document also includes target implementation dates and contacts for inquiries.
Canara Bank API Banking Application Form
This file is an application form for Canara Bank's API Banking services for corporate entities. The form includes sections to provide company details, technical specifications and authorized personnel. It requires the applicant to declare understanding and acceptance of terms and conditions related to the service.
Odyssey Plan Assignment Guide: Create Your Future in 3 Steps
This file provides the guidelines and templates for creating three distinct 5-year Odyssey Plans. It encourages creative visual representations and exploration of multiple life possibilities. It is designed to help users test assumptions and gain new insights about potential life paths.
BMW Financial Services Business Application Form
This form is used to apply for various financing options through BMW Financial Services, including lease, retail, pre-pay lease, and OwnersChoice. It collects detailed information about finance, vehicle, business, banking, and personal guarantor information. Instructions and certifications required for business entities and personal guarantors are included.
Savings Account Application Form - The Co-operative Bank
This application form is needed to apply for a savings account with The Co-operative Bank. It requires personal information, tax status, and account preferences. Follow the instructions carefully for successful submission.
Union Bank of India Simplifies Form 15G & H Submission via WhatsApp
Union Bank of India has simplified the annual submission of Form 15G & H by enabling online submission via its WhatsApp channel Union Virtual Connect in association with RBIH. This initiative aims to make the submission process easier for senior citizens and tech-savvy customers. It provides banking services in 7 different languages through WhatsApp.
SBI Account Opening Form for Resident Individuals
This file is an account opening form for resident individuals of SBI. It includes detailed sections that need to be filled for creating a Customer Information File. The form must be accompanied by terms and conditions and is suitable for various types of accounts including saving bank, current account, and term deposits.
MISD PowerSchool - Progress Report Template
This file provides a detailed example of a Progress Report Template for the MISD PowerSchool system. It includes instructions on how to set up and customize the report. Users can learn how to fill in the template with student information and schedule data.
Wells Fargo Auto Dealer Profile Form
This document contains information and instructions for Wells Fargo Auto Dealers on completing the Dealer Information Sheet, ACH Profile Authorization Form, and Franchise Dealer Profile. Dealer's details, bank account information, and dealership legal details are required.
