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Please review the information, make any necessary additions or corrections, sign it where indicated, and return the form to The Bancorp Bank, the custodian of your HSA, in the provided postage-paid...

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Effective November 30, 2015, The Bancorp Bank will resign as the custodian of your Health Savings Account (HSA).

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AmeriHealth has a preferred relationship with The Bancorp Bank to provide HSA services. Please complete this form to open an Health Savings Account with The Bancorp Bank.

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