BenefitWallet - Participant Portal

HSA Contribution

Important Notes

Electronic deposits will always be coded as regular contributions and should not be used for trustee to trustee transfers, rollovers or return of incorrect distributions.

Contributions submitted on the member portal are after-tax contributions and apply against the annual contribution limit.

Contributions submitted on the member portal are independent of any pretax contributions that may be available to you via payroll.

1 Contribution
2 Verify

Bank Name

Account Number

Direct Deposit Information

Account Holder's Name

Routing Number

Confirm Routing Number

Account Number

Confirm Account Number

Frequency

One Time Recurring

Amount

Pay On

Monthly on:

Weekly on:

Every 1st and 15th of the month

Bi-Weekly On:

Issue Date

The Issue Date is the date we begin processing your payment. Please allow 5 to 7 business days for your payment to reach your payee. It typically takes a few days more for your payee to deposit your payment. Not until then will your payment actually decrease your account balance.

End Date

No End Date

Issue Date

The Issue Date is the date we begin processing your contribution. Please allow 5 to 7 business days for your contribution to reach your account.

Prior Year Selection

Cancel

Amount

$10.00

Frequency

One Time

Issue Date

01/23/2017

Bank

Chase

Account Holder's

Terry Smith

Routing Number

0123456789

Account Number

0123453204

Note: Please make sure that there are sufficient funds in the payment account, otherwise you may incur an insufficient fund fee.

Once you click Submit, you may edit or delete any individual payment from the Home screen up until 5pm Eastern Time on the issue Date for that payment. Payments become final after the issue Date. Allow 5-7 business days after issue date for your transaction to post to your account.

Your HSA Accout balance is increased or decreased when electronic deposit transfers post to your account or when payments are received and deposited by your payee.

Cancel