|
A Health Savings Account (HSA) is a tax-exempt trust or custodial account established exclusively for the purpose of paying or reimbursing qualified medical expenses of you, your spouse and your dependents. If the account is not in overdraft, there are no service charges associated with this account.* Effective January 1, 2011 over the counter medicine can not be reimbursed. Penalty for non medical distributions as of January 1st, 2011 will be 20%. (That is the penalty also for early withdrawal).
*There is a $5.00 fee for every day that the account is in overdraft.
Free Internet Banking and Delta Trust HSA Debit Cards are also available. Call 1-800-714-0165 or 501-907-0331 or Email us for more information.
You are eligible for a regular HSA contribution if, with respect to any month, you:
- Are covered under a high-deductible health plan (HDHP)
- Are not also covered by any other health plan that is not an HDHP*
- Are not enrolled in Medicare
- Cannot be claimed as a dependent on another person's tax return
- Have a minimum opening balance of $100
- Paper statements are available at a $2.00 monthly fee. You can register for online banking and sign up for our e-statement services to receive an electronic statement at no charge.
*With certain exceptions for plans providing preventative care and limited types of permitted insurance and permitted coverage.
| BALANCE |
INTEREST RATE |
ANNUAL PERCENTAGE YIELD |
| Less than $3,000 |
0.65% |
0.65% |
| $3,001 -$9,999 |
0.95% |
0.95% |
| $10,000+ |
1.60% |
1.61% |
*Account fees may reduce earnings
PLEASE MAIL YOUR HSA CONTRIBUTIONS AND DEPOSITS TO:
DELTA TRUST & BANK
ATTN: HSA REPRESENTATIVE
16600 CHENAL PARKWAY
LITTLE ROCK, AR 72223
2011 CONTRIBUTION AMOUNTS:
Self - $3,050.00
Family - $6,150.00
Note: Prior year contributions must be made by 4/15/2012.
2012 CONTRIBUTION AMOUNTS:
Self - $3,100.00
Family - $6,250.00
THE CATCH-UP CONTRIBUTION (55 OR OLDER)* FOR 2010 - 2011
Self - $1,000
Family - $1,000
*If a spouse is also 55 or older, a second HSA must be established and a second contribution of $1,000 could be made to that account.
Printable HSA Forms
To obtain a Health Savings Account, please fill out all of the necessary forms below and fax to: HSA REPRESENTATIVE at 501-975-4009 or mail to P.O. Box 241084, Little Rock, AR 72223.
Health Savings Account Application & Eligibility Form
(Please include a state issued driver's license or ID card when you fax your application. If you are designating a signer on the account then please include the signer's state issued driver's license or ID card.)
HSA Transfer Request
From the U.S. Treasury
HSA Basics (tri-fold brochure)
Interest rates subject to change. Any and all applicable fees may reduce earnings.
Annual Percentage Yield effective 10/01/2011.
Click here to learn more about Delta Trust Net Savings, another great product offered exclusively to Delta Trust Health Savings Account holders.
Delta Trust Savings Account
Delta Trust Money Market Account
Delta Trust Health Savings Account
Delta Trust Net Savings Account
Individual Retirement Accounts (IRA) |
