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.


NOTE: You will need Acrobat Reader, a free and freely distributed software, to view and print the applications listed above. Click here to download your FREE copy.

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

Quick Links

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


2010 Contribution Limits


What Medical Expenses are Eligible?


What Medical Expenses are Not Eligible?

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

 

Transaction Account Guarantee Program
Cambridge State Bank is participating in the FDIC's Transaction Account Guarantee Program. Under that program, through December 31, 2009, all non-interest bearing accounts are fully guaranteed by the FDIC for the entire amount in the account. Coverage under the Transaction Account Guarantee Program is in addition to and separate from the coverage available under the FDIC's general deposit insurance rules.
Transaction Account Guarantee Program Expiration
After December 31, 2009, funds held in noninterest-bearing transaction accounts will no longer be guaranteed in full under the Transaction Account Guarantee Program, but will be insured up to $250,000 under the FDIC's general deposit insurance rules.
FDIC Depository Insurance
On October 3, 2008, FDIC deposit insurance temporarily increased from $100,000 to $250,000 per depositor through December 31, 2013.