Dallas Health Savings Account
1) Choose your Insurance Carrier
2) Print and fill out the form as best you can
3) Fax it back to us at 877.718.8056 (or scan/email to info@selectedbenefits.com)
4) We'll call as soon as the application comes in
Aetna Application No application fee.
Assurant Health Application $20 Application fee does apply
Blue Cross Blue Shield Application (Select Blue Advantage, Select Choice, Select Saver plans) No Application Fee
Blue Cross Blue Shield Application (HSA-Health Savings Account plans only) No Application Fee
CIGNA Healthcare Application No application fee.
Humana One Application No application fee.
United Health No application fee.