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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
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Document Date: 2016-06-23 12:21:46
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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