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HSA Bank Fees
HSA Bank
Account set-up fee:
(Special CaliforniaChoice® rate—regularly $25.00)
No Charge
Monthly maintenance fee:
(For balances less than $5,000)
Visa Debit Card:
(Account Holder Only)
At account opening: No Charge
Four-year renewal: No Charge
One additional Debit card:
(up to 2)
At Account opening: No Charge
Four-year renewal: No Charge
50 duplicate checks and deposit slips:
(For qualified distributions only)
Withdrawal Form distributions:
(Per occurrence)

The following tiered interest rates and corresponding annual percentage yields (APY) are effective May 13, 2014 and subject to change. For the most up to date information please visit the HSA Bank website at:

Daily Balance  Rate APY
$25,000 or higher 0.50% 0.50%
$15,000 - $24,999.99 0.40% 0.40%
$10,000 - $14,999.99 0.30% 0.30%
$5,000 - $9,999.99 0.20% 0.20%
$2,500 - $4,999.99 0.10% 0.10%
Less than $2,500 0.05% 0.05%

Additional Terms for this Account
Interest will be compounded monthly. Interest will be credited monthly. Interest begins to accrue no later than the business day that we receive credit for the deposit of non-cash items (for example, checks). We use the daily balance method to calculate the interest on your account. The daily balance method applies a daily periodic rate to the principal in the account each day.

How Transactions (checks and debit card) on this Account are Limited
Purchases by check are limited only to the funds in the HSA. At point-of-sale merchants accepting debit cards, you may make no more than three (3) purchases each day and buy no more than $2,000 worth of medical goods or services each day. You may contact HSA Bank to have this limit raised temporarily (above $2,000) for large anticipated medical purchases by faxing or mailing your signed request to HSA Bank. You may not make cash deposits from ATM terminals, but you can use ATMs for withdrawals with your PIN (there is a $2.00 fee) up to $300 per day. Other point-of-sale terminals or terminal operators may have other limits on the amount and frequency of purchases and may impose other fees. Checks and the debit card should be used for "normal distributions" only. Submit withdrawal forms to HSA Bank for death, disability, and prohibited distributions. Submit the Excess Contribution Form for excess contribution removal distributions.

Additional Fees and Terms for this Account
  • Account balances and activity are available via HSA Bank's toll-free Bankline service and via Internet Banking 24 hours per day, seven days per week at no charge. Monthly e-statements and tax documents are also available via HSA Bank's Internet Banking system. For full listing of HSA Bank's rates and fees please visit them at 
  • Other fees that may apply: Account Closing Fee: $25.00. Deposited item returned unpaid to us: $25.00. Overdraft/NSF: $30.00 per item. Wire transfer (sent or received): $25.00. Stop payment requests are $25.00 per item. Request copy of check or statement $4.00. Request copy of merchant debit card receipt $25.00.
FDIC Insured
HSA Bank is a division of Webster Bank, N.A., member FDIC. See your contract documents for the specified terms and conditions of your account. Additional disclosures under state law: Deposit accounts offered at the bank include Savings, Checking, Certificates of Deposit, and IRA's. More detailed information is available on request.
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