HSA forms and documents

Use the tabs below to find forms and documentation related to your Everence HSA.

Open a Health Savings Account

Contact our National Branch for assistance with HSA requests.

HSA application Learn more about HSAs

Everence Federal Credit Union

Attn: HSA Administration
2160 Lincoln Highway E., Suite 20
Lancaster, PA 17602
Call or text: 800-451-5719
Fax: 717-735-8331

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Find an Everence Federal Credit Union near you.


1 When applying for an HSA debit card, please read the HSA debit card disclosure.