Contributions

2021
HSA Contribution LimitsSingle: $3,600 Family: $7,200

2020
HSA Contribution LimitsSingle: $3,550 Family: $7,100

2019 & 2020
Catch Up Contribution LimitsSingle: $1,000 Family: $1,000

Participants age 55 or older may make additional contributions above the set HSA maximum. Participants that don’t have a QHDHP the entire year or enroll in Medicare must pro-rate the catch up contribution.

piggy bank Contributions to the HSA may be made by the employer and/or employee. The preferred tax treatment, however, will only be recognized by the employee.

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Additional Forms

Setting up a health savings account is simple. When you need a form to set up transactions or change your personal information, Avidia Health is here to help. Find electronic and printable forms below.

Forms	Downloads
Account Maintenance	Mailed Form
Authorized Signer Form	Mailed Form
Beneficiary Form	Mailed Form
Check Order Form	Mailed Form
Contribution (Individual) Form	Mailed Form
Contribution Correction Form	Mailed Form
Distribution Reversal Form	Mailed Form
Account Closure Form	Mailed Form
Internal Transfer	Mailed Form
Rollover Form	Mailed Form
Custodial Transfer Form	Mailed Form

If you need additional assistance, contact us directly and we’ll be glad to send you the forms: 855.248.6311 or HSADeposits@avidiabank.com.

Contributions

2021 HSA Contribution LimitsSingle: $3,600 Family: $7,200

2020 HSA Contribution LimitsSingle: $3,550 Family: $7,100

2019 & 2020 Catch Up Contribution LimitsSingle: $1,000 Family: $1,000

Additional Forms

Do you have a Group ID number?

2021
HSA Contribution LimitsSingle: $3,600 Family: $7,200

2020
HSA Contribution LimitsSingle: $3,550 Family: $7,100

2019 & 2020
Catch Up Contribution LimitsSingle: $1,000 Family: $1,000