| 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. The
Time HSA Application PDF 
below is for all plans and only differs by state. Please select your
state to view the correct application. Simply follow the instructions on
the application: | 
