The first step in setting up the BASIC HSA is for you to contact BASIC by phone or e-mail. Our toll-free number, (800) 444-1922 ext.3, is available from 9:00am- 5:00pm EST; we can also be contacted at sales@basiconline.com .

The next step is to consult your BASIC sales representative or Insurance Agent to develop a plan design that is right for your company. Once that is determined, it is time to choose an enrollment method; on-line via the Sign Up link or download and print all forms. Complete and fax or mail the "Employer Information", the "Bank Account Funding Form" and the "BASIC HSA Administration Agreement" to BASIC at Fax: 1-866-HSA-7572 or BASIC HSA, 9246 Portage Industrial Drive, Portage, MI 49024.

Once all employees complete the enrollment forms please mail or fax to BASIC. You also need to e-mail the contribution spreadsheet to HSA@basiconline.com . Once this is completed, the HSAs are set up and administrative fees and contributions will be collected through two separate ACH transactions from the provided checking account. Your employees will receive their debit cards in seven to ten business days. At this point, monies will be deducted from your employees' paychecks through your payroll system and put into their HSAs. Your employees can now use their debit card for qualifying medical and dental expenses.

Sign Up
Contribution Verification Spreadsheet

Contact BASIC
BASIC HSA
9246 Portage Industrial Drive
Portage, MI 49024
P: (800) 444-1922 ext.888
F: 1-866-HSA-7572
E: hsa@basiconline.com