HSA forms
These are downloadable forms and documents relating to your Everence Federal Credit Union health savings account (HSA).

These are downloadable forms and documents relating to your Everence Federal Credit Union health savings account (HSA).
Contact our National Branch for assistance with HSA requests.
Attn: HSA Administration
2160 Lincoln Highway E., Suite 20
Lancaster, PA 17602
Call or text: 800-451-5719
Fax: 717-735-8331
Download the app: App Store | Google Play
1 When applying for an HSA debit card, please read the HSA debit card disclosure.