Brochures, Forms, and Checklists

For Employers

• Small Employer Health Benefits Form

Brochures

• Bancorp HSA Brochure
• Bancorp HSA Enrollment Flow
• Bancorp HSA Schedule of Fees
• Sample Bancorp Signature Card
• Sample Bancorp Welcome Package
• Using Your BlueSaver Visa^® Debit Card
• Using Your High Deductible Health Plan
• Using Your Prescription Drug Program

Forms

HSA Forms
• BlueSaver HSA Member Application

HRA Forms
• ACH Authorization Form
• BlueSaver HRA Fund Access
• BlueSaver HRA Member Application
• Consumerism Group Addendum (Groups 100+)
• HRA Key Questions
• Why Offer a BlueSaver HRA?

FSA Forms
• ACH Authorization Form
• BlueSaver FSA Fund Access
• Consumerism Group Addendum (Groups 100+)

For Members

Brochures

• Bancorp HSA Brochure
• Bancorp HSA Enrollment Flow
• Bancorp HSA Schedule of Fees
• BlueSaver FSA Debit Card Tips
• Sample Bancorp Signature Card
• Sample Bancorp Welcome Package
• Using Your BlueSaver Visa^® Debit Card
• Using Your High Deductible Health Plan
• Using Your Prescription Drug Program

Forms

HSA Forms
• BlueSaver HSA Member Application

HRA Forms
• BlueSaver HRA Q&A
• BlueSaver HRA Claim Form
• BlueSaver HRA Fund Access
• BlueSaver HRA Member Application

FSA Forms
• Bluesaver FSA Q&A
• BlueSaver FSA Claim Form
• BlueSaver FSA Dependent Care Claim Form
• BlueSaver FSA Fund Access
• Calculate Your BlueSaver FSA Contribution