If you are enrolled in a 2025 Health Savings Account (H.S.A.) and would like to transfer any previous HSA account balances to your new account with BBP Admin, you may do so using the below Transfer of Assets Form.
A few tips for completing the Transfer Form:
Section 1: Complete section 1 with your personal information and your new H.S.A. account number. This is where your H.S.A. funds will be transferred to.
Section 2: Complete section 2 with your other H.S.A. account information, for example, your Inspira H.S.A. Your H.S.A. funds will be transferred out of this account.
Section 3: Select the account type (H.S.A.), sign, and date.
Section 4: Sign and date.
Section 5: Indicate if you wish to transfer your entire balance or only a specific dollar amount to your new BBP account. Also, choose whether you would like your old account to remain open or close. Please note that Inspira assesses a $5 per month fee for account administration beginning 1/1/2025.
After you have completed the Transfer of Assets form, provide all pages to your previous H.S.A. administrator. For most Bedford City Schools employees, this will be Inspira (formerly PayFlex).
Download the Transfer of Assets Form below.