Investors should carefully consider the fund's investment objectives risks, charges and expenses before investing. You may obtain a summary prospectus or prospectus containing this and other information, by clicking on the applicable prospectus link provided on the "HSA Saver Marketplace" located in the "HSA Investment Options" page or to have a copy mailed to you, contact the fund directly.You can submit a withdrawal request form to receive funds (cash) from your HSA. If the cash is used to pay for ineligible purchases, it must be reported when you’re …UMB Savings Accounts. Skip link. 1201 Regency Pkwy. Saint Charles, MO 63303. (636) 925-3700 | Get Directions. Schedule an Appointment Learn More.An HSA is an individually owned, tax-advantaged [1] account that may be used to pay for qualified medical expenses or to save for retirement and long-term care expenses. In 2023, the maximum contribution amount for HSAs is $3,850 for individuals and $7,750 for family coverage. If you are 55 or older, you can also contribute an extra …What is a TFSA. The TFSA program began in 2009. It is a way for individuals who are 18 years of age or older and who have a valid social insurance number (SIN) to set money aside tax-free throughout their lifetime. Contributions to a TFSA are not deductible for income tax purposes.You're nearly ready to start. We need to do a few final checks with you. They'll only take a minute. Our Premium Saver savings account gives you instant access to your money when needed and rewards you with bonus interest when …What is a TFSA. The TFSA program began in 2009. It is a way for individuals who are 18 years of age or older and who have a valid social insurance number (SIN) to set money aside tax-free throughout their lifetime. Contributions to a TFSA are not deductible for income tax purposes.UMB Savings Accounts. Skip link. 444 N Rock Rd. Wichita, KS 67206. (316) 612-7282 | Get Directions. Schedule an Appointment Learn More.The education section provides FAQs for answers to the most commonly-asked questions on HSAs and HSA debit cards. Use our HSA calculators to determine how much to save and compare HDHP with traditional health plans. Get answers to your tax questions about Health Savings Accounts. Understand the rules and regulations that come with having …Invest in your HSA. UMB HSA Saver has been designed to provide a simplified approach to your HSA investments. Get online access to your HSA through UMB Healthcare Services.Features. Minimum opening balance – Nil. Minimum operating balance – Nil. Monthly maintenance fee – Free. Interest calculated daily on credit balances and paid quarterly. Permits only one withdrawal per calendar quarter. Regular statements every 6 months. No ATM or debit card.A money market account can be a great tool to help you achieve your savings goals. UMB personal banking solutions offer convenience and simplicity to meet all your financial needs. From home loans to auto financing and everything in between, see how UMB personal banking can work with you to find the right products for your life and lifestyle.Deposit Insurance Scheme. Singapore dollar deposits of non-bank depositors are insured by the Singapore Deposit Insurance Corporation, for up to S$100,000 in aggregate per depositor per Scheme member by law. A partnership by.For 2021 and 2022, the deductible amount required in order to qualify for an HSA is at least $1,400 for an individual and at least $2,800 for a family. If you contribute to an HSA, consider that that money, while it is in a savings account, is only accessible tax-free if used to purchase eligible health costs.Edit UMB BANK, N A HEALTH SAVINGS ACCOUNT. Effortlessly add and underline text, insert pictures, checkmarks, and symbols, drop new fillable fields, and rearrange or delete pages from your paperwork. Get the UMB BANK, N A HEALTH SAVINGS ACCOUNT accomplished. Download your adjusted document, export it to the cloud, print it from the …We would like to show you a description here but the site won’t allow us.Health savings accounts (HSAs) let you save money to cover the cost of a wide range of qualified medical expenses. HSAs offer a trio of tax advantages, and you can invest money saved in an HSA in ...See this question regarding the relationship between a HDHP (High Deductible Health Plan) and an HSA (Health Savings Account). In brief, to qualify for an HSA you must have a HDHP : HDHPs are plans with a minimum deductible of $1,200 for self-only coverage and $2,400 for self-and-family coverage. Dole Health Savings Account (HSA) Disbursements Funds in an HSA may be withdrawn, without tax penalty, to pay the qualified medical expenses1 for you, your spouse, or your dependent(s). Dependents are not required to be covered under Dole’s Health Savings Account (HSA) PPO. Qualified medical expenses include out-of-pocket medical expenses subject Health savings accounts, or HSAs, have been around since the mid-1990s — but they’re still a new benefit for many workers, though they are rapidly growing in importance as a health care option. A recent report by the Employee Benefit Research Institute cites estimates that nearly half of small employers offer an HSA-eligible health plan ...A health savings account is a tax-advantaged savings account combined with a high-deductible health insurance policy to provide an investment and health coverage. Deposits to the HSA are tax-deductible and grow tax-free. Withdrawals are always tax-free if they're used for qualifying medical expenses, although they account …UMB Savings Accounts. Skip link. 707 Walnut Drive. Warsaw, MO 65355. (660) 438-2125 | Get Directions. Schedule an Appointment Learn More.An HSA is an individually owned, tax-advantaged [1] account that may be used to pay for qualified medical expenses or to save for retirement and long-term care expenses. In 2023, the maximum contribution amount for HSAs is $3,850 for individuals and $7,750 for family coverage. If you are 55 or older, you can also contribute an extra …Routing numbers for direct deposits and debit. Transfer hold times and processing periods. 937473.13.0. Fidelity's customer service easily helps you navigate making transfers and moving money around. Learn more here.Withdrawal Form: Use this form if you need to file a manual request to withdraw money from your account. Do not use this form if you used your Benefits Card at the time of service. Administrative Forms Name Change Form: Typically, Mercer Marketplace 365 notifies the custodian of any name changes we receive from your employer. If, however, …TD Ameritrade customers can withdraw money from their accounts by requesting a wire transfer or a paper check, according to Ameritrade. Both services are available online on the ac...Health Savings Accounts (HSAs) See all investment products Resources ... You can withdraw money from those accounts tax free as long as you take the money at least 5 years after January 1 of the year in which you first contributed to that plan, and you are either age 59 ½ or older, or considered disabled. ...Limitations on Withdrawals. UMB limits certain types of withdrawals (including transfers) from savings and money market accounts. You may make no more than six (6) withdrawals and transfers from your UMB Savings account to another of your accounts or to third parties during a monthly service charge cycle.Logging into your account and clicking on “Make a Transfer” to either deposit or withdraw money from your account. 2. Using our mobile app, customers can transfer funds as well as make a mobile check deposit. 3. Customers can set up direct deposit with their employer or for Federal payments using their account and routing numbers.Even if a treatment is covered by your health insurance, it likely comes with a co-pay and deductible. A health saving account (HSA) allows consumers with a high deductible health plan to put away ...Save up to 30% with your HSA-FSA card. Your HSA-FSA card is the fastest and most convenient way to pay for qualified expenses like bandages, braces, chiropractors and more. Plus, you save up to 30% since you’re using pretax dollars.*. Save even more with Optum Store — 7% savings on FSA purchases with code OPTFSA7 and 5% on HSA purchases ... This Health Savings Account (HSA) Savings Calculator is a tool you may use to help estimate how much your HSA could be worth over time. This calculator is provided as an educational tool, and should only be used as a guide. Results provided are estimates only based on the information you provide; actual amounts may vary based on a number of ... TD Ameritrade customers can withdraw money from their accounts by requesting a wire transfer or a paper check, according to Ameritrade. Both services are available online on the ac...HSAs allow much larger contributions with 2024 annual maximums of $4,150 for individuals and $8,300 for families. FSA contributions must be spent each year. If you don’t use the money on ...In today’s digital age, communication has become easier and more affordable than ever before. One of the best ways to save money on your phone bills is by utilizing free calling on...You can also withdraw cash in person at your local bank branch. There are two ways to do this: Write a check out to cash: Filling out a personal check and having "cash" as the payee line can let you access money from your account. Talk to a teller: Money can be withdrawn directly via a bank teller, although you will need to provide a …You start by opening an HSA account and transferring your other HSA funds to the new custodian you’ve chosen. In the process of opening that account, your new custodian will offer you a Direct …How To Withdraw Money From UMB Health Savings Account (How Can I Move Money Out Of My UMB HSA?). In this video tutorial I will show you how to withdraw money...1 Any interest or earnings on the assets in the HSA are tax-free while held in the account. You can receive tax-free distributions from your HSA, including distributions of interest or earnings, to either pay or be reimbursed for qualified medical expenses you incur after you establish the HSA. If you receive distributions for other reasons ...Health Savings Accounts (HSAs) with no monthly fee and 1% cash back on your first transfer*. Unifimoney has partnered with UMB Healthcare Services a Top 5 HSA Custodian and a Healthcare Payments leader since 1996 to provide exception value for money for our customers***** (always read the small print. See below for important terms and conditions).An HSA is a unique tax-advantaged account that can be used for current or future healthcare expenses. To pay for a service or make a purchase, you need to have the available funds in your account. Use Your Health Benefits Card – Your HSA Bank Health Benefits Debit Card provides access to your HSA funds at point-of-sale with signature or PIN ...UMB Savings Accounts. Skip link. 301 NW Hwy 7. Blue Springs, MO 64014. (816) 220-5510 | Get Directions. Schedule an Appointment Learn More.CIT Bank's high-yield savings account customer satisfaction skews negative. CIT Bank’s Better Business Bureau (BBB) listing shows an A- rating, but the company scores only 1.19 stars out of a possible 5 for customer satisfaction. On another third-party review site, CIT Bank has a rating of 2.2 out of five stars.Dole Health Savings Account (HSA) Disbursements Funds in an HSA may be withdrawn, without tax penalty, to pay the qualified medical expenses1 for you, your spouse, or your dependent(s). Dependents are not required to be covered under Dole’s Health Savings Account (HSA) PPO. Qualified medical expenses include out-of-pocket medical expenses subjectIndividuals can contribute up to $4,150 in 2024, up $300 from 2023. The family contribution amount for 2024 rose to $8,300, a $550 increase compared with 2023. Per the IRS, a high-deductible ...For 2021 and 2022, the deductible amount required in order to qualify for an HSA is at least $1,400 for an individual and at least $2,800 for a family. If you contribute to an HSA, consider that that money, while it is in a savings account, is only accessible tax-free if used to purchase eligible health costs.UMB Savings Accounts. Skip link. 128 W. Washington Avenue. Kirkwood, MO 63122. (314) 822-5070 | Get Directions. Schedule an Appointment Learn More.Money withdrawn for qualified medical expenses is also tax-free. 1. 5. What are HSA eligible items? You can use your balance to pay for qualified medical expenses …In addition, employers can expect lower monthly rates because of the higher annual plan deductibles. We make it easy to enroll in and to manage both the health plan and the savings account. An HSA plan helps members save in 3 major ways. Contributions are 100% tax deductible; Tax-free withdrawals for eligible healthcare expensesUMB Healthcare Services, a division of UMB Bank, n.a., delivers healthcare payment solutions including custodial services for health savings accounts (HSAs) and private label, multipurpose debit cards to insurance carriers, third-party administrators, software companies, employers and financial institutions.Investors should carefully consider the fund's investment objectives risks, charges and expenses before investing. You may obtain a summary prospectus or prospectus containing this and other information, by clicking on the applicable prospectus link provided on the "HSA Saver Marketplace" located in the "HSA Investment Options" page or to have a copy mailed to you, contact the fund directly.ATM withdrawals are a convenient way to access cash from your HSA. Simply find an ATM that accepts your Fidelity HSA Debit Card, insert the card, enter your PIN, and select the desired withdrawal amount. For point-of-sale transactions, you can use your debit card at participating merchants to make purchases directly from your HSA balance.Tip 3: Help employees build financial security. Helping your employees take a proactive, holistic approach toward financial wellness by examining healthcare savings, savings accounts and retirement funding can provide a roadmap to make their hard-earned funds work more for them in times of crisis. Building an emergency fund for unexpected costs ...taxed, as long as the funds remain in your HSA account. If you withdraw funds for non-qualified expenses, you will pay a 20% penalty plus taxes on the amount withdrawn before age 65. After 65 there is no penalty for withdrawing for non-qualified expenses, but you still have to pay income tax on the money withdrawn. 2.If your HSA money is invested, you may be able to do an in-kind transfer into a self-directed HSA, which allows your HSA provider to transfer both your cash balance and your investments to Fidelity. ... Health Savings Accounts and Other Tax-Favored Health Plans, and IRS Publication 502, Medical and Dental Expenses, online, or you can call the ...UMB Healthcare Services, a division of UMB Bank, n.a., delivers healthcare payment solutions including custodial services for health savings accounts (HSAs) and private label, multipurpose debit cards to insurance carriers, third-party administrators, software companies, employers and financial institutions.The investment platform provides access to a best in class mutual funds portfolio. Click here to learn more. Real-time Account Updates : Sign up for BRI ALERTS through BRIWEB or BRIMOBILE to receive real-time alerts by text* or email. Support : Contact Participant Services Monday – Friday, 8am – 8pm (Eastern Time) via phone, email, and live ...Health Savings Account (HSA) or Medical Savings Account (MSA) Withdrawal Form. 9. 8. Withdrawal Request — Excess Contribution Refund (UMB Code 6364) (UMB Code 6532 for interest earned) I am requesting to withdraw funds due to contributions made to my account that placed me in excess contribution status. Excess Contribution Amount $ …Q3: HOW DO HSA’S WORK? You choose how much you’d like to save in your HSA each year and contributions are automatically made from your paycheck to your account. See Question 8 for additional contribution methods. You can choose to pay for current eligible medical expenses with your HSA.Found. The document has moved here.Are you in the market for a new bed but looking to save some money? With the rise of online shopping, finding great deals on beds has never been easier. By taking advantage of onli...You're nearly ready to start. We need to do a few final checks with you. They'll only take a minute. Our Premium Saver savings account gives you instant access to your money when needed and rewards you with bonus interest when …An HSA distribution is a withdrawal of money from your health savings account. This could take the form of a debit card transaction, a check, or a direct transfer of funds from your HSA into ... Save up to 30% with your HSA-FSA card. Your HSA-FSA card is the fastest and most convenient way to pay for qualified expenses like bandages, braces, chiropractors and more. Plus, you save up to 30% since you’re using pretax dollars.*. Save even more with Optum Store — 7% savings on FSA purchases with code OPTFSA7 and 5% on HSA purchases ... from the IRA account presently maintained with such trustee or custodian, and to transfer the dollars, after deduction of any necessary fees and expenses, to UMB Bank, n.a. at the address set forth below. Transfers to UMB must be in cash equivalents; UMB does not accept “in-kind” transfers of mutual funds and/or other securities. WEX makes it easy for businesses of all sizes to increase HSA participation. An individual is eligible for an HSA if they are: Covered by an HSA-eligible health plan, otherwise known as a high-deductible health plan. Not covered by any other health plan that would disqualify them from an HSA.In addition, employers can expect lower monthly rates because of the higher annual plan deductibles. We make it easy to enroll in and to manage both the health plan and the savings account. An HSA plan helps members save in 3 major ways. Contributions are 100% tax deductible; Tax-free withdrawals for eligible healthcare expensesAfter age 65 you can withdraw money from an HSA for any reason without incurring a penalty. However, if you spend the money on non-medical expenses you will have to pay taxes on your withdrawals in the same manner that you would with an IRA or a 401(k) plan.This structure has made health savings accounts potentially popular as a … Use ReceiptVault to securely store and organize HSA receipts for qualified medica
About the Plan. The Health Care Savings Plan (HCSP), administered by Minnesota State Retirement System (MSRS), is an employer-sponsored program authorized by Minnesota State Statute, 352.98. Employees invest in a tax-free medical savings account while employed by a Minnesota public employer (including a city, state, county, school district, …UMB Healthcare Services, a division of UMB Bank, n.a., delivers healthcare payment solutions including custodial services for health savings accounts (HSAs) and private …Summary of Money's Discover high-yield savings account review. The best high-yield savings accounts will offer you competitive APYs and fees that are on the lower side. With Discover, you will pay no account-associated fees. As an added bonus, its basic online savings account requires no minimum deposit, which means you can start …An HSA is a unique tax-advantaged account that can be used for current or future healthcare expenses. To pay for a service or make a purchase, you need to have the available funds in your account. Use Your Health Benefits Card – Your HSA Bank Health Benefits Debit Card provides access to your HSA funds at point-of-sale with signature or PIN ...12 Feb 2021 ... Depending on your account provider, you can invest your money in stocks, ETFs or mutual funds to build more reserves to cover future costs. And ...Here are the maximum amounts you can contribute to an HSA in 2024: If you have self-only coverage, you can contribute up to $4,150 ($3,850 for 2023). If you have family coverage, you can ...Shopping locally is a great way to save money and support your local economy. With the rise of online shopping, it can be difficult to find great deals on items you need. Fortunate...10 Jan 2023 ... You may need to open the HSA with Fidelity; then ask UMB to liquidate any investments in your HSA; and then complete the transfer request on the ...UMB Savings Accounts. Skip link. 707 Walnut Drive. Warsaw, MO 65355. (660) 438-2125 | Get Directions. Schedule an Appointment Learn More.This person may withdraw $4,000 tax-free from a 529 plan: $10,000 (qualified expenses) – $4,000 (used to generate AOTC) – $2,000 (scholarship) = $4,000 tax-free 529 plan distribution. In this example, if the 529 plan account owner withdraws more than $4,000, the excess distribution will be considered non-qualified.©2018 Alight. All rights reserved. SITE MAPFirst year strategies: Spending or minimally saving. Review your annual medical spending needs. Look at co-pays and out-of-pocket costs, and use your HSA to save in order to cover these. Plan for expected medical costs – and again, use your HSA to cover these. Try to contribute any excess savings you have so you can reach the maximum ...UMB Healthcare Services is a leading provider of healthcare payment solutions including health savings accounts (HSAs), healthcare spending accounts and payments technology. The UMB health savings account (HSA) helps you better manage healthcare costs today and in the future with easy access to funds, dedicated customer service, and the tools ...A money market account is a unique account that allows you to save funds at a competitive interest rate with multiple ways to access your funds. Discover if this account is the right savings vehicle for you. Money market features. Most money market accounts include the following features and benefits: HSA vs. 401 (k) Both accounts let you make pre-tax contributions and grow tax-free earnings. But only an HSA lets you take tax-free distributions for qualified medical expenses. After age 65 you can use your health savings account for any expense, you’ll simply pay ordinary income taxes—just like a 401 (k). An HSA is an individually owned, tax-advantaged [1] account that may be used to pay for qualified medical expenses or to save for retirement and long-term care expenses. In 2023, the maximum contribution amount for HSAs is $3,850 for individuals and $7,750 for family coverage. If you are 55 or older, you can also contribute an extra …A health savings account (HSA) is one of the most powerful savings accounts, but you may not be maximizing its full potential. In fact, 1 in 3 eligible people haven’t opened an HSA, and most people with an HSA didn’t contribute money to the account within the last year, according to a study published in 2020 in JAMA Network …The rising cost of healthcare has made it difficult for many Americans to afford the medical attention they need. Fortunately, the Affordable Care Act (ACA) established a health in... ©2018 Alight. All rights reserved. SITE MAP HSA vs. 401 (k) Both accounts let you make pre-tax contributions and grow tax-free earnings. But only an HSA lets you take tax-free distributions for qualified medical expenses. After age 65 you can use your health savings account for any expense, you’ll simply pay ordinary income taxes—just like a 401 (k). ©2018 Alight. All rights reserved. SITE MAPFirst year strategies: Spending or minimally saving. Review your annual medical spending needs. Look at co-pays and out-of-pocket costs, and use your HSA to save in order to cover these. Plan for expected medical costs – and again, use your HSA to cover these. Try to contribute any excess savings you have so you can reach the maximum ...UMB Savings Accounts. Skip link. 2 S Broadway. St. Louis, MO 63102. (314) 612-8173 | Get Directions. Schedule an Appointment Learn More.5 Apr 2017 ... When an HSA account sits for too long with no activity, the bank holding it has several options, one of which is to turn the money over to the ... UMB Savings Accounts. Skip link. 2 S Broadway. St. Louis, MO 63102. (314) 612-8173 | Get Directions. Schedule an Appointment Learn More. Q3: HOW DO HSA’S WORK? You choose how much you’d like to save in your HSA each year and contributions are automatically made from your paycheck to your account. See Question 8 for additional contribution methods. You can choose to pay for current eligible medical expenses with your HSA.Managing your Health Savings Account (HSA) Learn how to make the most of your HSA. An HSA helps you plan for qualified medical expenses you’ll have this year and in the future. Here are some important things to know. Watch HSA video. Save on taxes: deposit, grow and spend money tax-free. Learn more about how save on taxes with your HSA.View your balance and transactions, print a statement, transfer funds and much more with free online banking. Pay qualified medical expenses online or reimburse yourself. Set up recurring contributions and reimbursements to your HSA. Manage HSA investments. Track and manage your eligible medical receipts using ReceiptVault.Features. Minimum opening balance – Nil. Minimum operating balance – Nil. Monthly maintenance fee – Free. Interest calculated daily on credit balances and paid quarterly. Permits only one withdrawal per calendar quarter. Regular statements every 6 months. No ATM or debit card. ©2018 Alight. All rights reserved. SITE MAP An HSA is designed to work with a qualifying high-deductible health plan (HDHP). The money goes in tax-free, grows income tax-free and comes out income tax-free when you use it for qualified medical expenses. You can carry over unused funds from year to year and the account is yours to keep even if you change jobs, change health plans or retire.Thank you for opening a Health Savings Account (HSA) with UMB Healthcare Services. We are here to help you and your family understand how to take full advantage of your HSA. Our goal is to provide you with an affordable, convenient and “Worry Free” approach to begin saving for your medical expenses. Our WealthCare portal providesCheck to make sure there is money in the account. The HSA debit card should work at any merchant. If you have further questions, you can contact client services by phone at 888-722-1223 or by email at [email protected]. For further information, please refer to the following article: HSA Benefits Card FAQ; Mistaken Funds WithdrawalTypically, a brick-and-mortar (or traditional) bank's money market account has higher monthly service fees but offers a better interest rate compared to its savings account. But online savings and ...Aug 4, 2022 · First, you get hit with the income tax penalty. Second, you have to pay a 20% tax penalty for removing the money before age 65. Ouch. Example: You took out $2,000 from your HSA to make a down payment on a new apartment because things went south with your roommate. Sounds like it was an extreme situation and you didn’t really have a choice. UMB Savings Accounts. Skip link. 4228 N Central Expy Ste 30. Dallas, TX 75206. (214) 987-7406 | Get Directions. Schedule an Appointment Learn More.- If you would like to wire money from Morgan Stanley to another bank, we will need the following information from your other bank account. o Bank Name and ABA/Routing # o Account Name & Address at the Bank o Account Number Method 3: Check Deposit - For check deposit, there are two ways to deposit money into your account 1.If you use your HSA to pay for expenses that are not qualified you will have to pay income tax and a 20 percent penalty on the non-qualified purchase amount. Below are some examples of non-qualified expenses: Childcare for normal, healthy baby. Controlled substances that violate federal law. Cosmetic dentistry.What is a TFSA. The TFSA program began in 2009. It is a way for individuals who are 18 years of age or older and who have a valid social insurance number (SIN) to set money aside tax-free throughout their lifetime. Contributions to a TFSA are not deductible for income tax purposes.HSA Saver.® 1 Go to HSA.UMB.com for more details on current interest rates and how investment options work. 1, 2 See reverse side for important disclosure information. Making the most of your health savings account (HSA) means finding the right balance of saving and spending that works for you and your family right now and when life changes.A health savings account (HSA) is one of the most powerful savings accounts, but you may not be maximizing its full potential. In fact, 1 in 3 eligible people haven’t opened an HSA, and most people with an HSA didn’t contribute money to the account within the last year, according to a study published in 2020 in JAMA Network …HSA vs. 401 (k) Both accounts let you make pre-tax contributions and grow tax-free earnings. But only an HSA lets you take tax-free distributions for qualified medical expenses. After age 65 you can use your health savings account for any expense, you’ll simply pay ordinary income taxes—just like a 401 (k).What is a TFSA. The TFSA program began in 2009. It is a way for individuals who are 18 years of age or older and who have a valid social insurance number (SIN) to set money aside tax-free throughout their lifetime. Contributions to a TFSA are not deductible for income tax purposes.WEX makes it easy for businesses of all sizes to increase HSA participation. An individual is eligible for an HSA if they are: Covered by an HSA-eligible health plan, otherwise known as a high-deductible health plan. Not covered by any other health plan that would disqualify them from an HSA. A money market account is a unique account that allows you to save funds at a competitive interest rate with multiple ways to access your funds. Discover if this account is the right savings vehicle for you. Money market features. Most money market accounts include the following features and benefits: A money market account is a unique account that allows you to save funds at a competitive interest rate with multiple ways to access your funds. Discover if this account is the right savings vehicle for you. Money market features. Most money market accounts include the following features and benefits: Health Savings Account (HSA) or Medical Savings Account (MSA) Withdrawal Form. 9. 8. Withdrawal Request — Excess