Admin Application

HSA Administrator Application

HSA for America is one of the most trusted names when it comes to information and services related to health savings accounts. We are always interested in directing our clients to other companies and services that provide good service and value, and that can help them maximize their HSA, and minimize their medical and insurance expenses. If you would like to be considered for listing, please fill out the application below, and we will contact you.

To submit your HSA Administrator site for consideration, please enter the information below:

Contact Information (* Required)

First Name *

Last Name *

Company *

Email *

Work Phone *

Street Address1 *

Street Address2

City *

State *

Postal Code *

Fax Number

Other Information: Please enter as much as possible

Company
Description:

Setup Fee:

Closing Fee:

Monthly Fee:

Yearly Fee:

Min Opening
Balance:

Access Fee:

Trading Fee:

Investment
Options
(include rates):

Perks:

Website URL:

Contact Phone #:

Reciprocal
Link URL:

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