Existing Member	Non Member

EXISTING MEMBER

Already a member? To open a Health Savings Account follow these simple steps:

1. Click here to access all Health Savings Forms:


Custodial Application Packet
Rollover and Transfer Contribution Form
Contribution Direction Form
Direct Transfer Form
Beneficiary Change Form
Withdrawal Form


2. Click here for a direct deposit form if you would like funds automatically sent from your paycheck. Be sure to check with your Human Resource department for any additional forms your employer may need. If they do not request an additional direct deposit form, UECU will provide your employer a copy of the direct deposit form you submit to us.
3. Make sure all appropriate forms are signed and send them to:

Need more information? Please contact Kelly Shubert at kshubert@uecu.org or call 610-927-4021. To find out if you are eligible for an HSA, please contact your employer.

NON MEMBER

Not a member yet? Open a Health Savings Account by following these simple steps:

1. Click here to find out if you are eligible for membership
2. Join- Click here to print and complete our membership application form or Click here to complete our online membership application and print
3. Click here to access all Health Savings forms:


Custodial Application Packet
Rollover and Transfer Contribution Form
Contribution Direction Form
Direct Transfer Form
Beneficiary Change Form
Withdrawal Form


4. Click here for a direct deposit form if you would like funds automatically sent from your paycheck. Be sure to check with your Human Resource department for any additional forms your employer may need. If they do not request an additional direct deposit form, UECU will provide your employer a copy of the direct deposit form you submit to us.
5. Make sure to sign all forms
6. Send all forms with any deposits to:

Need more information? Please contact Kelly Shubert at kshubert@uecu.org or call 610-927-4021. To find out if you are eligible for an HSA, please contact your employer.