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Employee Personal Page (EPP)

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Start a Health Savings Account

  1. Select the Health Savings Account component. The Health Savings Account page is displayed. The user’s existing Health Savings Account data (if any) that is stored in the Payroll/Personnel System as of the last effective pay period is displayed.

    Health Savings Account

  2. Select Self-Service. The Health Savings Account (HSA) Allotment Self-Service Request page is displayed.

    Health Savings Account (HSA) Allotment Self-Service Request Page

  3. Check the acknowledgment box at the bottom of the page to acknowledge that eligibility is valid. The Start New HSA Allotment button appears.

    Health Savings Account (HSA) Allotment Self-Service Request Start New HSA Allotment Page

  4. Select Start New HSA Allotment to start a new allotment for the Health Savings Account. The Enter Health Savings Account (HSA) Self-Service Request page is displayed.

    Enter Health Savings Account (HSA) Self-Service Request Page

  5. Complete the fields as follows:

    Type of Request

    Bank Routing Nbr/Name

    Account Nbr

    Confirm Account Nbr

    Allotment Amount

    Effective Pay Period, Year

  6. Select Continue. The Submit Health Savings Account (HSA) Self-Service Request page is displayed.

    OR

    Select Back to return to the Health Savings Account (HSA) Allotment Self-Service Request page.

    Submit Health Savings Account (HSA) Self Service Request Page

    The fields are as follows:

    Type of Request

    Bank Routing Nbr/Name

    Account Nbr

    Allotment Amount

    Effective Pay Period, Year

  7. Select Submit. The Health Savings Account (HSA) Self-Service Request Confirmation page is displayed.

    OR

    Select Back to return to the Enter Health Savings Account (HSA) Self-Service Request page.

    Health Savings Account (HSA) Self Service Request Confirmation Page

  8. Select Exit. The Health Savings Account (HSA) Allotment Change Request page is displayed.

See Also

Health Savings Account

Modify a Health Savings Account

Cancel a Health Savings Account