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Roetzel & Andress HSA
Welcome! If you will be a new 2021 participant in the Aetna High-Deductible Health Plan (HDHP) and you want to establish a Health Savings Account (HSA) with HealthEquity, complete the information below by December 11, 2020. If you are not already familiar with HSAs and how they work, review the information in the sidebar to learn about the plan.
You may contribute to your HealthEquity HSA through payroll deduction. Enter the amount you would like to contribute to your HealthEquity HSA, if any, on this web form. If you have an HSA with a local bank and want to elect employee contributions to fund your local HSA, complete the attached HSA Salary Redirection Agreement as well as the attached Roetzel & Andress HSA Direct Deposit Authorization Agreement and return them to your HR Department.
If you are a 2020 Aetna HDHP participant and you are remaining in the HDHP for 2021 but want to change your HSA employee contributions, complete the attached Roetzel & Andress HSA Direct Deposit Authorization Agreement and return it to your HR Department.
*** YOU ONLY NEED TO COMPLETE THIS WEB FORM IF YOU WEREN’T A PARTICIPANT IN THE 2020 AETNA HIGH-DEDUCTIBLE HEALTH PLAN (HDHP)***
*** SCROLL DOWN TO ENTER YOUR ELECTION INFORMATION ***
Questions? Contact BASIC at 1-800-372-3539 or admin@BasicNEO.com.
[message_box title="Enrollment is Closed" color="yellow"]The HSA Open Enrollment period for your company has expired. If you are entering the plan mid-year as a newly eligible employee or because of a change in status, contact your benefits manager to make your election.[/message_box]
