Welcome to the Fifth Third Bank HSA Employer Resource Center
From this page, you can download forms for company use in administering the Health Savings Account (HSA) program, as well as educational resources for your employees to better understand and manage their accounts.
If you have questions or technical issues, the HSA Employer Support Center can be reached toll-free at 866-379-3630, and is available to all of our Employers 8:00 a.m. - 6:30 p.m. Eastern Time.
- HSA Employer Portal
Link to the HSA Employer Portal where you can upload contributions, view employee enrollments, obtain reports, access HSA forms, and much more.
- Profile Change Form
To make changes to your company profile: name, TIN, address, contacts, authorized portal users, bank account information
- Division Request Form
To create divisions within your company profile, such as full time vs. part time, family coverage vs. single coverage, etc.
- Employer Reversal Form
To reverse a contribution processed that posted to an Employee account in error
- Employer Mail-in Contribution Form
To submit a manual Employer contribution
- Fee Responsibility Form
To change who is responsible for paying the one-time enrollment fee and/or the monthly maintenance fee (Employer or Employee)
- HSA Employer Resource Guide
Easy-to-follow reference manual to help navigate the HSA Employer portal
Employee Collateral (pre-enrollment)
- HSA Brochure
Provides features and benefits of the Fifth Third Bank HSA solution
- HSA Start Up Sheet
Everything your employees need to know to open their HSA and start saving for healthcare expenses
- HSA Consumer Prospect Brochure
Use this brochure for Employees that have not yet decided to enroll in the HDHP/HSA solution and need basic information on how it works
- HSA Consumer New Account Brochure
Use this brochure for Employees that have made the decision to switch to the HDHP/HSA solution to help answer inital questions
Employee Resources (post-enrollment)
- HSA Transfer/Rollover form
To transfer an existing HSA, FSA, HRA or IRA to a Fifth Third Bank HSA