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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Date: 2018-04-10 17:23:39		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 Add to Reading List Source URL: benefits.sd.gov Download Document from Source Website File Size: 193,23 KB Share Document on Facebook