Marshall Fire: We know that many of our students, faculty and staff have been affected by the Marshall Fire, and the University of Colorado will do everything we can to provide support. Please visit your campus page for immediate resources.
Health Savings Account (HSA) Authorization
If you are already enrolled in a HSA-qualified health plan, this form allows you to enroll, change or terminate your HSA deductions.
If the form is submitted by the 10th of the month, it will be effective for that month's pay cycle. Otherwise, it will take effect the following month.
Last updated: 3/16/2018