Page 15 - 2017 Benefits Enrollment Busey Pulaski
P. 15
2017 BENEFITS ENROLLMENT
To open an HSA, you’ll need the following items.
Your Social Security Number
Your email address
Your identiication number from another form of ID (e.g., driver’s
license, passport, etc.)
Once you have opened your account, you will receive your HSA debit card
within 7–10 days.
What if I want to roll my HSA over to Busey from a
different bank?
You do not have to roll over your HSA. However, if you would like to move
your funds to Busey, please see a Personal/Universal Banker to complete the
appropriate paperwork. Busey does not charge rollover fees when moving
your account. The IRS limits rollovers to once every 12 months.
Busey HSA Fees
Item Fee
Account set-up fee None
Monthly account fee First Busey Corporation is covering
this cost for associates
Paper statements $0
Debit card issuance $0
Replace lost or stolen debit card $10
$17.50
Initial check order (check fee cannot be deducted
from HSA)
Check reorder $17.50
Overdraft/NSF per item $35
ATM distributions Not allowed but can check balance
Where can I find more information on HSAs?
This document is meant to serve as a high level summary of HSAs. We
encourage you to familiarize yourself with all of the rules and regulations
pertaining to HSAs. To view statute, technical guidance and other consumer
friendly information released by the U.S. Department of Treasury, visit
www.treasury.gov.
FIRST BUSEY CORPORATION 15
To open an HSA, you’ll need the following items.
Your Social Security Number
Your email address
Your identiication number from another form of ID (e.g., driver’s
license, passport, etc.)
Once you have opened your account, you will receive your HSA debit card
within 7–10 days.
What if I want to roll my HSA over to Busey from a
different bank?
You do not have to roll over your HSA. However, if you would like to move
your funds to Busey, please see a Personal/Universal Banker to complete the
appropriate paperwork. Busey does not charge rollover fees when moving
your account. The IRS limits rollovers to once every 12 months.
Busey HSA Fees
Item Fee
Account set-up fee None
Monthly account fee First Busey Corporation is covering
this cost for associates
Paper statements $0
Debit card issuance $0
Replace lost or stolen debit card $10
$17.50
Initial check order (check fee cannot be deducted
from HSA)
Check reorder $17.50
Overdraft/NSF per item $35
ATM distributions Not allowed but can check balance
Where can I find more information on HSAs?
This document is meant to serve as a high level summary of HSAs. We
encourage you to familiarize yourself with all of the rules and regulations
pertaining to HSAs. To view statute, technical guidance and other consumer
friendly information released by the U.S. Department of Treasury, visit
www.treasury.gov.
FIRST BUSEY CORPORATION 15
