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Open a Health Savings Account

Current Member Check List:  

1.       Request your New Health Savings Account

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Click here to complete a Membership Change Form

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Check “Add new account” and check "Add new service"

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Enter your Member Number and Member Name

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Select “Health Savings Account (74)”  under “New Account”

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Enter deposit amount (if applicable)

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Check “HSA Debit Card” under “New Service”

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Print and sign a Membership Change Form

  1. Complete and sign a HSA Trust Application (required)

  2. Complete and sign an Abbott HSA Pre-Tax Payroll Deduction Form (if desired)

  3.  Mail your completed forms along with your deposit (if desired) to: 

ALEC
 Attn. Member Service Department

401 N Riverside, Suite 1-A
Gurnee, IL 60031-5915 

Or stop by and visit one of our 7 ALEC locations. Locate an ALEC Service Center near you. 

 

You will be notified when your Health Savings Account is set up.

If you have any questions regarding your request, please contact Member Services Monday - Friday from 9:00 AM to 5:00 PM CST at 847-688-8000 or 800-762-9988 toll-free.

Registered Virtual Branch users may also email questions to our Member Service Department using the secure E-Mail option inside Virtual Branch.

 

New Members: Click here to become a member.

New Member Checklist:

  1. Complete and sign a HSA Trust Application (required)

  2. Complete and sign an ALEC Membership Application

  3. Include a copy of your Abbott/Hospira ID Badge or Driver's License (required)

  4. Include a minimum $5 deposit to open a share/savings account (required for membership)

  5. Complete and sign a payroll deduction form if you are electing direct deposit into your new account other than to your Health Savings Account. (Optional)

Abbott Payroll Direct Deposit Initiation / Change 

Hospira Direct Deposit Authorization Form

  1. Complete and sign an Abbott HSA Pre-Tax Payroll Deduction Form (if desired)

  2. Enclose opening deposit for your HSA account (not required)

  3. Mail your completed forms to 

    ALEC

Attn: Member Service Department
401 N. Riverside Drive, Suite 1-A
Gurnee, IL 60031-5915

Or stop by and visit one of our 7 ALEC locations. Locate an ALEC Service Center near you. 

 

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Click here for details!