Custodial and Deposit Agreement Sample Contracts

Custodial and Deposit Agreement
Custodial and Deposit Agreement • December 22nd, 2015

This Custodial and Deposit Agreement ("Agreement") sets forth the terms and conditions that govern your Health Savings Account ("Account" or "HSA") with Optum Bank, Inc., Member FDIC. Throughout this Agreement, the words "Bank", "we", "us" or "our" means Optum Bank, Inc. its successors and assigns and "you", "your" or "yours" means the owner of the HSA, any spouse beneficiary upon the death of the HSA owner, or any third party authorized or appointed to access and use the HSA, which third party will be considered the agent of the HSA owner.

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HEALTH SAVINGS ACCOUNT (HSA) CUSTODIAL AND DEPOSIT AGREEMENT
Custodial and Deposit Agreement • April 16th, 2013 • Wisconsin

The person whose name appears on the Application is establishing with us a Health Savings Account (HSA) qualified under Section 223 of the IRS Code. Funds on deposit in the Account at Fort Community Credit Union are insured by the NCUA up to the limits specified in the Federal Credit Union Act and applicable regulations adopted by the NCUA from time to time.

CUSTODIAL AND DEPOSIT AGREEMENT
Custodial and Deposit Agreement • November 27th, 2007 • Utah

The person whose name appears on the Application is establishing with us a Health Savings Account (HSA) qualified under Section 223 of the Code. Funds on deposit in the Account at the Bank are insured by the FDIC up to the limits specified in the Federal Deposit Insurance Act and applicable regulations adopted by the FDIC from time to time.

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