Open a Health Savings Account

Thrivent Financial Bank offers 2 easy ways to apply for a Health Savings Account. You choose the application process that you prefer and we look forward to working with you to meet your financial goals.

Two Ways to Apply

• Call Thrivent Financial Bank
• Print and complete all of the following forms:
  • Health Savings Account Application (PDF, 94K)
  • HSA Eligibility and Information (PDF, 99K)
  • Health Savings Account Supplement (PDF, 755K)
  • Security Question Form (PDF, 37K)

  Send completed forms to:

  Fax Thrivent Financial Bank Deposit Operations 920-628-3220

  Mail Thrivent Financial Bank ATTN: Deposit Operations 122 E. College Avenue, Suite 1E Appleton, WI 54911

Transfer an Existing HSA Account

Transfer of HSA dollars from another account:

• HSA Transfer Request (PDF, 83K)

Eligible Contributions to an Existing HSA:

• HSA Contribution/Investment Form (PDF, 77K)

	Download Adobe Acrobat Reader (needed to view .pdf files)