Cambridge State Bank

 

 

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Call Us: 763-689-2500
 

For your convenience, here are the forms associated with opening, updating and withdrawing money from your HSA.  Please call if you need assistance with these forms, 763.689.2500.


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Health Savings Account
To apply you must be eligible.

Health Savings Account Checklist

Health Savings Account Application
NOTE: To help fight the funding of terrorism and money laundering activities, Federal law requires all banks to obtain, verify and record information that identifies each person who opens an account.  When you open an account with Cambridge State Bank you will need to provide your name, street address, date of birth, and other information that allows us to identify you.

Health Savings Account Fee Schedule

Health Savings Account Checking Disclosure

Optional forms listed below may not be needed to open an HSA. 

HSA Online Banking

HSA Contribution Form

HSA Designation of Death Beneficiary

HSA Transfer Request

HSA Rollover Certification

HSA Automatic Transfer of Funds

HSA Mistaken Distribution

More Information

Learn about the advantages of a Health Savings Account (HSA).


Do you have questions about Health Savings Accounts?


Know the Eligibility Rules

Open a Health Savings Account


2008 Contribution Limits


What Medical Expenses are Eligible?


What Medical Expenses are Not Eligible?

IRS Publication 969 - For use in preparing 2007 Returns

Health Savings Account Flyer

 

Everybody makes promises. At Cambridge State Bank we make commitments!

Equal Housing Lender

Equal Housing Lender

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127 South Main Street - 127 Opportunity Blvd N
Cambridge, MN  55008
Routing Number: 091911409


Member FDIC