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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: 2018-04-10 17:23:39
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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