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When you decide on an HSA plan you like, click "apply" and you can sign up right online.
From our clients...
"Your company is very personable, pleasant to deal with and patient with all my questions. I was new to Health Savings Accounts and wanted to make sure I had a good understanding of what they were."
Linda Nelson - Lenexa, TX
"I would certainly recommend your company to others and feel you are offering a valuable service to all of us who are frustrated with the current health care system."
Diane Rumsey - Edmond, OK
"We were really impressed with the service and the straightforward answers."
Cory Shain - Patskala, OH
Apply Online or Print Out and Mail or Fax Your Application
Please note that all applications will be submitted in the name of Wiley Long, the president of HSA for America. If you have already been working directly with one of our advisors, then that person will be noted in our system as your personal contact.
To Apply Online
The fastest and easiest way to get your coverage in force is to Apply Online, using the link below. Gather the following information before you start the application in order to speed the process:
- Your doctors’ names, addresses, and phone numbers
- Medications you currently take or recently took, including dosage and frequency
- Dates of hospitalization
- The name of the plan for which you are applying
- Your requested effective date
- Your credit card information to cover the initial premium
For security, Cigna uses 128-bit Secure Socket Layer (SSL) encryption, the highest encryption available to most browsers, with a public key length of 1,024 bits.
To Print Out Your Application
Simply run an instant quote, then click "Apply" next to the plan you are interested in and select "download an application." When the Adobe Acrobat reader opens with the application, use the menu bar at the top to save the application to a file or simply print it out right from the reader. Follow the instructions on the first page and complete the entire application.
Please fill out the application completely and include all pages. Any unanswered questions will delay the processing. If you have any questions about filling out the application, call application processing department at 866-749-2039, or email us at info@HSAforAmerica.com, leave your name and phone number, and someone from our office will call you back and answer any application questions you have.
Fax your application toll-free to 1-888-771-0010. Or Mail it to:
HSA for America
Application Processing Department
194 Treasure Lake
DuBois, PA 15801
Initial Premium
Note: All policies come with a money-back guarantee. After receiving your policy, you have 10 days to review it. If for any reason you decide not to keep the policy, you will receive a full refund of your initial premium. Remember that you also have access to the guaranteed lowest life insurance rates available, with easy online quotes and applications.
