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Withdrawals – Health Savings Account

You may download and submit a Request for Reimbursement form to Health Savings Administrators.

Send to us at this address:
Health Savings Administrators
10800 Midlothian Turnpike
Suite 240
Richmond, VA 23235

Or Fax it to: 804-726-1570

Reimbursements are withdrawn directly from your Mutual Fund and the reimbursement check will be made payable to you.

Click here to see a list of eligible medical expenses.