Pre-Sale Material Employer OptumHealth Financial Services Fact Sheet OptumHealth BankHSA Employer Information Sheet OptumHealth Bank HSA Employer Resource Guide IRS Contribution Deductible Guidelines Employee OptumHealth Financial Services Fact Sheet HSA Consumer Guide Consumer HSA Presentation with HSA Calculators IRS Trifold Brochure

Enrollment Material Employer HSA Employer Demo Employer Notification Form ENF Employer Contribution Form Employee HSA Application Contribution/Deposit Form Custodial and Deposit Agreement Privacy Notice HSA Consumer Guide Rollover Transfer Request Form

Empower Your Customers with a Health Savings Account from OptumHealth Bank

Welcome to the Broker Resource Center.  In this section, you’ll find the materials you’ll need to offer OptumHealth Bank Health Savings Accounts (HSAs).

An OptumHealth Bank HSA provides employees with the flexibility and freedom to maximize their health care dollars and take control of their health care spending.  At the same time, they may:

• Enjoy tax benefits since contributions, interest earned and
   eligible withdrawals may be tax-free.

• Own the funds in their account and be able to use the account
   with another employer should they wish.

• Carry over their unused funds from year to year since there is no
   “use-it-or-lose-it” provision.

To get you started, we have included the forms/materials you’ll need below.  If you have any questions, please call us at
1-800-717-5360.  We have a dedicated team available to answer your questions.

Pre-Sale Material

Employer

OptumHealth Financial Services Fact Sheet

Provides an introduction to OptumHealth Financial Services and its capabilities.

   OptumHealth_Financial_Services_Fact_Sheet (85 KB)

Provides employers with an overview of Health Savings Accounts.

   HSA Employer Info (151 KB)

OptumHealth Bank HSA Employer Resource Guide

Provides FAQs regarding Health Savings Accounts as well as a comparison of HSAs, FSAs and HRAs.

   HSA Employer Resource Guide (1.4 MB)

IRS Contribution/Deductible Guidelines

Details contribution and deductible amounts as they apply to the HSA per the IRS. Companion piece for Account Holder Brochure and FAQs.

  IRS Contribution/Deductible Guidelines (69 KB)

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Employee

Provides an introduction to OptumHealth Financial Services and its capabilities.

   OptumHealth_Financial_Services_Fact_Sheet (85 KB)

HSA Consumer Guide

Explains what an HSA is and how it works, along with examples of eligible/ineligible expenses and frequently asked questions.

   HSA_Consumer_Guide (407 KB)

Consumer HSA Presentation with HSA Calculators

Learn more about the benefits of opening your very own HSA.  The consumer guide, with built in HSA Calculator, is designed to help you figure out if an HSA with OptumHealth Bank is right for you.

View A Consumer’s Introduction to HSAs

IRS Tri-fold Brochure

An IRS publication that provides an overview of HSAs and describes the advantages associated with having an HSA.

  HSA_IRS_Trifold_Brochure_2008 (67 KB)

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Enrollment Material

Employer

HSA Employer Demo

Employers – Learn more about who we are, what you need to get started with your HSA program, and what you can expect from OptumHealth Bank.

View HSA Employer Demo

Employer Notification Form (ENF)

Used during implementation to gather information from the employer about their requirements for a Health Savings Account (HSA). Brokers/Employers must submit ENF prior to Employee enrollment.  This form can also be submitted to advise OptumHealth Financial Services of a change to the group (e.g., contact information, etc.). Broker information is also captured on the ENF so that brokers eligible to receive commissions are paid correctly.

   Employer Notification Form (ENF)  (320 KB)

Used to inform OptumHealth Financial Services of the amount employer will contribute to their employee(s).

   Employer Contribution Form (48 KB)

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Employee

HSA Application

Application must be completed, signed and returned to OptumHealth Bank to enroll in an HSA. Starred fields (*) are required.

  HSA  Application (513 KB)

Contribution/Deposit Form

Allows employees to make contributions to their Health Savings Accounts.

   Contribution/Deposit Form (36 KB)

Custodial and Deposit Agreement

Describes the terms and conditions between the account holder and the account custodian, OptumHealth Bank.

  Custodial_Deposit Agreement (289 KB)

Privacy Notice

Outlines OptumHealth Bank’s privacy policy and gives an account holder the opportunity to limit disclosures of personal information via an opt-out reply form.

  Privacy Notice (64 KB)

HSA Consumer Guide

Explains what an HSA is and how it works, along with lists of eligible/ineligible expenses and frequently asked questions.

  HSA Consumer Guide (768 KB)

Rollover/Transfer Request Form

Allows OptumHealth Financial Services to transfer any funds you wish from any previous MSA or HSA you may have funded in the past.

   Rollover_Transfer Form (46 KB)

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