Health Care Spending Accounts

Vendor Info

• csONE
• HealthEquity
• Healthy Dollars
• Confidentiality Agreement for Electronic Claims Exchange
• Group Level HRA/HSA Vendor Change Form

IRS Info

• IRS Publication 969
• IRS Bulletin 2004-45 - HSA & HRA
• HSA Potential Over-Contribution Sample Notice

Model Documents

• 2025 HSA Establishment Letter
• 2025 Certification of HSA Eligibility Sample
• Notice to Medicare Eligible Employees of Impact on HSA Eligibility

Gallagher Benefit Services (GBS) Resources

• Cafeteria Plan FAQs (including use of FSA Forfeitures)
• Designing a Compliant HRA Plan
• HRA FAQs
• HSA Design Guide
• HSA FAQs
• HSA-FSA-HRA Comparison