Enrollment Resources for Health Savings Accounts (HSA)
This page shows enrollment resources for your HSA. If you wish to view all resources for your Plan, please click below.
Enrollment is Easy with EMPOWER's Four-step Process!
Send Pre-enrollment educational materials to employees
2
Use EMPOWER’s enrollment forms or use your own.
Send Enrollment to EMPOWER through our enrollment spreadsheet or EMPOWERConnect.
Send Welcome materials to employees to help them use their new benefits.
Table of Contents
Pre-enrollment Employee Education
Use the following resources to educate Employees on HSAs before enrollment.
Flyers
English
Spanish
Webpages
Videos
Email Campaigns
Enrollment Forms
EMPOWER accepts enrollment via our enrollment spreadsheet or EMPOWERConnect. We have provided the following enrollment forms if you would like to distribute and collect from your Employees.
English
Spanish
HSA Enrollment Form (PDF)
This is an enrollment form that you may distribute to your employees.
Enrollment Spreadsheet
EMPOWER accepts enrollment through EMPOWERConnect or the below enrollment spreadsheet. Please click the link below for instructions on how to submit the enrollment spreadsheet. Note that this enrollment spreadsheet will work for all EMPOWER benefits.
Enrollment Spreadsheet
This link contains instructions on how to submit enrollments to EMPOWER. The instructions include a link to download the spreadsheet template.
Post-enrollment Employee Education
The following resources provide information to new participants regarding how to use their HSAs.
Flyers
English
Spanish
Welcome Guide (PDF)
PDF guide that details the HSA Plan for new participants.
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