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Health Savings Account (HSA)

A Health Savings Account (HSA) allows your clients to pay for qualified medical

expenses with pre-tax dollars—meaning income-tax free—and save for health care

expenses on a tax-deferred basis. Pre-tax money is deposited each year into an HSA and

can be easily withdrawn at any time with no penalty or taxes if used to pay for qualified

medical expenses.

Shareholders Service Group has created an alliance with HSA Bank to enable you to use

HSA accounts in your investment advisory practice. Clients who open an account with

HSA Bank, or those who have an existing HSA Bank account, can open a HSA

brokerage account with Shareholders Service Group. You can invest the HSA assets as

you would any brokerage account for investment purposes. This kit gives you an

overview of the services, the steps to take to open an account, and the associated fees.

Fees in the program are billed individually, so you and your client can see the complete

costs of the service. Advisory fees may be charged according to your agreement with

your clients and according to your schedule, under the standard authorization on the SSG

application. SSG's standard transaction fee schedule applies for investments in the HSA

brokerage account. A fee schedule from HSA Bank is attached herein.

To get started, follow these steps.

1. Register as an advisor with HSA Bank. (See the details below.)

2. Open an account for your client with HSA Bank.

3. Open an HSA brokerage account with SSG. Use the SSG Account Application,

and check the HSA Bank box on the application. Existing accounts cannot be

used for HSA purposes.

4. Fund the HSA Bank account with a contribution. (See HSA Bank for contribution

limits.)

5. Transfer funds from the HSA Bank account to the SSG brokerage account.

6. After funds have been transferred to SSG, you can manage the HSA brokerage

account, just as you would other brokerage accounts.

9845 Erma Rd. Ste 312 San Diego, CA 92121 Phone (858) 530-1031

(800) 380-7370 Fax (858) 530-1820

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Complete Your Clients’ Retirement Program

Tap into the ever-growing HSA market

Register with HSA Bank

The steps for registering and referring your clients to open a Health Savings Account (HSA) are below:

• Go to www.hsabank.com

• Select the “Agents/Brokers” tab and click on “Agents/Brokers Home”

• Click on “Get Started”

• Complete the Agent Sign-Up Form online

Reminder: please indicate your broker dealer relationship.

Once registered, you will receive a welcome email from HSA Bank with your referral AIN for tracking purposes,

custom website, your client enrollment links, and Relationship Guide.

Begin referring clients by asking them to use your custom online enrollment link or custom HSA paper application.

Open an HSA Bank-linked brokerage account when your client is ready to start investing their HSA funds. Be sure

to register it as “HSA Bank Custodian FBO [Client Name]”. HSA Bank will receive notification of the brokerage

account from Pershing and link it to an individual’s HSA. If an HSA Bank balance falls below the balance waiver,

your client may incur a monthly investment fee.

Already Registered?

Investing HSA Funds

All contributions and distributions must be made through the HSA to ensure proper tax reporting.

• Clients move money from their HSA to the money market account within the linked brokerage account by

logging into Internet Banking and initiating the transfer of funds or by contacting HSA Bank’s Client Assistance

Center.

• The requested funds move to the money market account within the linked brokerage account (may take two

business days).

• Your client will instruct you to begin investing HSA dollars.

To return funds to the HSA to pay for eligible medical expenses:

• Sell your client’s shares from the linked brokerage account.

• Your client will move money from the linked money market account to the HSA by logging into Internet Banking

and initiating the transfer of funds or by contacting HSA Bank’s Client Assistance Center.

• Your client will access HSA funds by using one of HSA Bank’s withdrawal options.

© 2014 HSA Bank. HSA Bank is a division of Webster Bank, N.A., Member FDIC. Brokerage_Advisor_Instructions_BP_SP_R_0414 (800) 357-6246

www.hsabank.com

For assistance, please contact the Client Assistance Center

605 N. 8th Street, Ste. 320, Sheboygan, WI 53081

Monday – Friday, 7 a.m. – 9 p.m., and Saturday 9 a.m. - 1:00 p.m., CT

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It’s easy with

HSA Bank.

What is an HDHP?

An HDHP, or high-deductible health plan, is a major-medical health insurance plan that has a lower premium than traditional health plans. Your HDHP:

• Is a major-medical health plan that is HSA-compatible. That means it can be used with a health savings account from HSA Bank

• Has a higher annual deductible with lower monthly premiums, which means you’ll have less taken out of your paycheck and more to add to your HSA

• Covers 100% of preventive care, including annual physicals, immunizations, well-woman and well-child exams, and more – all without having to meet your deductible

• Provides coverage for health screenings, such as blood pressure, cholesterol, diabetes, vision, hearing and more

What is an HSA?

An HSA, or health savings account, is a unique tax-advantaged account that you can use to pay for current or future healthcare expenses. With an HSA, you’ll have:

A tax-advantaged savings account that you use to pay for eligible medical expenses as well as deductibles, co-insurance, prescriptions, vision and dental care

• Unused funds that will roll over year to year. There’s no “use or lose it” penalty

• Potential to build more savings through investing. You can choose from a variety of HSA self-directed investment options with no minimum balance required

• Additional retirement savings. After age 65, funds can be withdrawn for any purpose without penalty

Start saving more

on healthcare.

HSA Bank has teamed up with

your employer to create an

affordable health coverage option

that helps you save on healthcare

expenses while protecting your

health and finances.

It combines a high-deductible

health plan (HDHP) from your

insurance provider with a

tax-advantaged health savings

account (HSA) from HSA Bank.

Together, they offer you health,

savings and tax advantages

that a traditional health plan

can’t duplicate.

Investment accounts are not FDIC insured, may lose value and are not a deposit or other obligation of, or guarantee by the bank. Investment losses which are replaced are subject to the annual contribution limits of the HSA.

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How do an HDHP and an HSA work together for you?

• While paying lower premiums for your HDHP, you can put those savings into your HSA

• You can use your HSA funds to pay for eligible healthcare expenses until you meet your annual deductible

How can you benefit from tax savings?

An HSA provides triple tax savings by reducing your Federal, State* and FICA taxes. Here’s how:

• Contributions to your HSA can be made with pre-tax dollars, which reduces your taxable income

• Any after-tax contributions that you make to your HSA are tax deductible

• HSA funds earn interest tax free and when used for eligible healthcare expenses are also free from tax

* HSA contributions are taxed in AL, CA, NJ. HSA Bank does not provide tax advice. Consult your tax professional for tax-related questions.

You can use the savings to fund your HSA account

Compare and see the HSA Advantage!

Annually, this typical family of four will face these medical expenses:

MediCAl exPenses HdHP witH HsA PlAn

$4,000 Annual Deductible trAditionAl PlAn

$1,500 Annual Deductible

8 Doctor Visits $568 $200

4 Preventive Care Visits $0 $0

2 Urgent Care Visits $254 $150

1 Outpatient Surgery (Ear Tube Placement) $903 $903

Total Medical Expenses (this is also the annual

amount the employee contributes to their HSA) $1,725 $1,253

Cost CoMPArison

Employee’s Annual Premium $3,076 $4,072

Total Medical Expenses $1,725 $1,253

Federal Tax Savings -$259 $0

Social Security and Medicare (FICA) Tax Savings -$132 $0

State Tax Savings -$69 $0

Out-of-Pocket Expenses $4,341 $5,325

sAvings witH An HdHP/HsA PlAn $984

This comparison is for illustrative purposes only. Medical services charges were obtained from www.healthcarebluebook.com. Employee’s Annual Premium obtained from Kaiser Family Foundation AND Health Research & Educational Trust Employer Health Benefits 2011 Annual Survey. Actual medical costs may vary. Assumes a 15% Federal income tax rate, 7.65% FICA tax rate, 4% State income tax rate. HSA Bank does not provide tax advice. Please consult your tax advisor.

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Health Savings Account Fee and Interest Schedule

Effective as of September 1, 2013

Fees_STD250_S1_070313

_GOE.docx

HSA Bank wants you to understand the fees associated with your Health Savings Account (HSA). For details regarding the general terms and conditions that apply to your HSA, see the Deposit Account Agreement and Disclosures for Health Saving Accounts.

Standard Fee

Description Amount How to Avoid Fee

Monthly Account Maintenance $2.50 Maintain a bank account balance at or above the Balance Waiver Amount each day of the month.*

Service Fees

Description Amount How to Avoid Fee

Monthly Paper Account Statement $1.50 Elect to receive free e-statements through Internet Banking. Duplicate Copy of Monthly Paper Account

Statement $4.00 View and print prior 18 months of statements through Internet Banking.

Monthly Investment** $3.00 Maintain a bank account balance at or above the Balance Waiver Amount each day of the month.*

ATM Withdrawal*** $2.00 Access funds through online transfers in Internet Banking. Point-of-Sale Purchase with PIN $2.00 Use your HSA debit card at the point of sale with your signature. Copy of Debit Card Merchant Receipt $25.00 Save your receipts when using your HSA debit card.

Termination of Debit Card Access $12.00 You will only incur this fee if you request HSA Bank to terminate your card. Check Order (50 checks) $7.95 Use your HSA debit card or online transfers to access your funds.

Copy of Check $4.00 Keep records of the checks written from your HSA.

Returned Deposited Check $25.00 Verify funds are available to cover the amount you deposit into your HSA.

Stop Payment $25.00 You will only incur this fee if you request HSA Bank to stop payment on a check or an electronic payment.

Non-Sufficient Funds (NSF) $30.00 Check your available account balance online before you withdraw funds. Manual Withdrawal $10.00 Use online transfers, through Internet Banking, to access your funds. Excess Contribution $25.00 Contribute no more than the annual IRS limits.

Wire Transfer (sent and received) $25.00 Use online transfers, through Internet Banking, to access and contribute HSA funds. Replace Lost or Stolen Debit Card $12.00 Protect your debit card as you would cash and credit cards.

Duplicate Copy of Tax Document $4.00 View or print copies of your tax documents through Internet Banking.

Transaction Correction $25.00

You will incur this fee if you request a change to the contribution type (Pretax or Post tax or Employer). You will incur this fee if you request a correction to the tax year of a contribution and/or distribution. You will incur this fee if you request a change in the dollar amount of a processed contribution or distribution. Any related amendments to an IRS filing as a result of this change will be included in this fee charge.

Account Closing $25.00 If you lose your HDHP coverage, you can continue to use your HSA funds for eligible expenses.

*The Balance Waiver Amount reflects the minimum amount of funds that must be maintained in the account each day of the month to prevent the monthly fee from being charged. The Balance Waiver Amount is calculated annually as the average between the self-only and family plan maximum contribution limits. On an annual basis the Internal Revenue Service calculates inflation adjusted maximum contribution limits, and by November 1st of each year, the recalculated Balance Waiver Amount will be made available. Adjustments to the Balance Waiver Amount will be effective on January 1st of each year.

2013 Balance Waiver Amount is $4,850 Effective September 1, 2013 2014 Balance Waiver Amount is $4,925 Effective January 1, 2014

** Investment accounts are not FDIC insured and they are not bank guaranteed. Investment accounts are not a deposit account, or an obligation of HSA Bank, and they may lose value. They are not guaranteed by any federal government agency.

*** The bank/ATM you use may charge you their own fee. HSA Bank customers using a Webster Bank ATM will not be charged an additional fee.

Minimum Account Balance and How We Determine the Interest Rate

There is no minimum account balance required to open a health savings account or to obtain the annual percentage yield disclosed. We use the daily balance method to calculate the interest on your account. The daily balance method applies a daily periodic rate to the principal in the account each day. Interest is compounded monthly and credited monthly. Interest begins to accrue no later than the business day that we receive credit for the deposit of non-cash items (for example, checks). The interest rate and annual percentage yield (APY) is based on the balance in your account. The interest rate and annual percentage yield available on your account is as follows, effective as of

July 1, 2013.

Daily Balance Interest Rate APY

$25,000 or more 0.64% 0.65%

$15,000.00 - $24,999.99 0.54% 0.55%

$10,000.00 - $14,999.99 0.39% 0.40%

$5,000.00 - $9,999.99 0.29% 0.30%

$2,500.00 - $4,999.99 0.14% 0.15%

Less Than $2,500 0.09% 0.10%

This interest rate is subject to change at our discretion at any time. Fees may reduce your earnings.

References

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