Your HSA Debit Card/Authorized Card Holders

You may use your HSA debit card to pay merchants or service providers that accept VISA, so there is no need to pay cash up front, then wait for reimbursement. Your HSA works just like a regular savings or checking account, but with special tax advantages.

If you need a new debit card, click here.

If you need to add an authorized cardholder to your account, complete the form below.

HSA Authorized Cardholder

Submit this form to add an authorized cardholder to your Health Savings Account. The new authorized cardholder must be at least 13 years of age. Once your form has been submitted, you should receive a document for signature within 1-2 business days.

Please enter a number from 99 to 999.
Your Name(Required)
Name of New Authorized Cardholder(Required)
Address of New Authorized Cardholder(Required)
Max. file size: 256 MB.
For individuals under 18 a school ID is acceptable. All individuals over 18 must have a government issued photo ID.