1![HSA PAYROLL DEDUCTION FORM Completion of this form authorizes the State of South Dakota to make a payroll deduction and transfer the funds into your Health Savings Account at Discovery Benefits. Your deposit will be sent HSA PAYROLL DEDUCTION FORM Completion of this form authorizes the State of South Dakota to make a payroll deduction and transfer the funds into your Health Savings Account at Discovery Benefits. Your deposit will be sent](https://www.pdfsearch.io/img/2d70ad25df882bd94f3a77b9b366f2a7.jpg) | Add to Reading ListSource URL: benefits.sd.govLanguage: English - Date: 2018-04-10 17:23:39
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2![High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventive Therapy Drug ListANTICOAGULANTS/ ANTIPLATELETS High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventive Therapy Drug ListANTICOAGULANTS/ ANTIPLATELETS](https://www.pdfsearch.io/img/4d70cbf5be6e6e9239f3bc0545c030f8.jpg) | Add to Reading ListSource URL: media.mcclatchy.comLanguage: English - Date: 2017-10-23 11:41:47
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3![High Deductible Health Plan ($1,800 single coverage / $3,600 family coverage) High Deductible Health Plan with Health Savings Account (HSA) • All eligible health plan expenses, including prescription drugs, apply towa High Deductible Health Plan ($1,800 single coverage / $3,600 family coverage) High Deductible Health Plan with Health Savings Account (HSA) • All eligible health plan expenses, including prescription drugs, apply towa](https://www.pdfsearch.io/img/ee996750de130408de3c73f8ae3ea6de.jpg) | Add to Reading ListSource URL: benefits.sd.govLanguage: English - Date: 2017-06-01 17:24:10
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4![HSA PAYROLL DEDUCTION FORM Completion of this form authorizes the State of South Dakota to make a payroll deduction and transfer the funds into your Health Savings Account at Discovery Benefits. Your deposit will be sent HSA PAYROLL DEDUCTION FORM Completion of this form authorizes the State of South Dakota to make a payroll deduction and transfer the funds into your Health Savings Account at Discovery Benefits. Your deposit will be sent](https://www.pdfsearch.io/img/f1ab567611e1f3b9dd0d0eb57194ce7d.jpg) | Add to Reading ListSource URL: benefits.sd.gov- Date: 2016-06-23 12:21:46
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5![How to Submit a Claim for Health Savings Accounts We offer three easy ways for you to access your Health Savings Account (HSA) funds. For fastest results, we encourage you to use your healthcare payment card (if applicab How to Submit a Claim for Health Savings Accounts We offer three easy ways for you to access your Health Savings Account (HSA) funds. For fastest results, we encourage you to use your healthcare payment card (if applicab](https://www.pdfsearch.io/img/0aa04c6aab0c47c16ef2ce5dd1b9edd4.jpg) | Add to Reading ListSource URL: cityofsitka.com- Date: 2015-12-29 13:51:59
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6![1
2 3 Corporate Information 1
2 3 Corporate Information](https://www.pdfsearch.io/img/d2b6eae739d75190f7cbe5ac0368ab7a.jpg) | Add to Reading ListSource URL: www.firstmutualholdings.comLanguage: English - Date: 2016-02-04 09:35:30
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7![HealthTrust: LUMENOS $2500 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: – Coverage for: Individual/Family | Plan Type: CDHP HealthTrust: LUMENOS $2500 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: – Coverage for: Individual/Family | Plan Type: CDHP](https://www.pdfsearch.io/img/f2768605c3b9cd43f44852852a5f2e28.jpg) | Add to Reading ListSource URL: sau50.orgLanguage: English - Date: 2016-05-12 10:59:32
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8![2016 All plans from Blue Cross and Blue Shield of Texas (BCBSTX), a Division of Health Care Service Corporation, provide coverage for preventive services and maternity care. Please see your Summary of Benefits or visit b 2016 All plans from Blue Cross and Blue Shield of Texas (BCBSTX), a Division of Health Care Service Corporation, provide coverage for preventive services and maternity care. Please see your Summary of Benefits or visit b](https://www.pdfsearch.io/img/acea11dfa0f84154a49a59a54b6231c8.jpg) | Add to Reading ListSource URL: www.bcbstx.comLanguage: English |
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9![2016_SHOP_RateSheet_8.5x11_04252016 2016_SHOP_RateSheet_8.5x11_04252016](https://www.pdfsearch.io/img/53b040e16d145a825a8d4e0b7c6251d1.jpg) | Add to Reading ListSource URL: healthsourceri.comLanguage: English - Date: 2016-07-22 16:00:09
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10![2016 All plans from Blue Cross and Blue Shield of Texas (BCBSTX), a Division of Health Care Service Corporation, provide coverage for preventive services and maternity care. Please see your Summary of Benefits or visit b 2016 All plans from Blue Cross and Blue Shield of Texas (BCBSTX), a Division of Health Care Service Corporation, provide coverage for preventive services and maternity care. Please see your Summary of Benefits or visit b](https://www.pdfsearch.io/img/139fa94cd1f10da48ebf83e06cb88724.jpg) | Add to Reading ListSource URL: www.bcbstx.comLanguage: English |
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