Benefits and Requirements
Eligibility for an HSA simply requires four things:
- An HSA compatible High Deductible Health Plan (HDHP) must be chosen by the account holder.
- Account holders must be under age 65, or if over age 65, they must waive Medicare benefits.
- Account holders may not be enrolled in Medicare Plans A, B or D.
- Account holders cannot be a dependent on another person’s tax return.
There are no employment requirements or income limits.
The contribution maximum is limited by the IRS maximums.
The IRS allows account holders and employers to contribute to an HSA at their convenience. Money may
be deposited at any time and in any increment up to the maximum allowed per calendar year. Contributions
for any taxable year must be received by April 15 of the following year for filing your federal income
tax return in order to qualify for a deduction.
The funds in an HSA rollover each year, are 100% vested for the employee on day one and can grow
substantially over the years, due to the tax advantaged laws governing HSAs.
The individual enrollment packet is available in the Documents & Forms
section of this site and can simply be completed, a check attached and mailed to:
Fremont Bank HSA
PO Box 4556
Hayward, CA 94540-4556
An original, non-electronic signature on the enrollment form is required by law, so we are unable to
accept a faxed transmission at this time. Enrollment forms must be signed and sent to Fremont Bank at
the above address. For those wishing to enroll online you will need to print and sign an account
confirmation form accepting the key elements of the application form. This form will be attached to
your confirmation email that you will be sent upon enrollment.
To get further information about Fremont Bank's HSA please contact us at:
Email: hsa@fremontbank.com
Call: (800) 554-6145
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