Consumer Health Solutions
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Consumer Health Solutions
  • Home
  • About
  • Employers
  • Brokers
  • Participants
  • Help
    • FAQ
    • Add Direct Deposit
    • Forms + Handouts

Client Feedback Form

Let us know how your experience with us is going!
Click Here

Health Accounts Forms

Universal Claim Form (docx)Download
HSA Transfer Form (pdf)Download
HSA Distribution Request Account & Closure Form (pdf)Download
HSA Information for Terminating Employees (pdf)Download
Letter of Medical Necessity Form (pdf)Download

Plan Handouts

If you are enrolled in an HRA plan, please contact CHS or your employer for your specific handout.

HSA Handout 2026 (pdf)

Download

FSA - OE Handout 2026 (Rollover) (pdf)

Download

Employer & Broker Forms

1. CHS Intake Form - All Plans (pdf)Download
FSA Enrollment Form (pdf)Download
FSA-LPFSA Enrollment Form (pdf)Download
CHS Health Savings Account Enrollment Form - Fillable (pdf)Download

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