Request a Disbursement from My Account

You may now request a disbursement directly from your HSA account into your personal or business bank account. Fremont Bank HSA e-Checking service will allow you to schedule bank transfers online with the highest level of security and safety built into our Internet banking site.

All of your disbursements will be reflected on your account summary three days after receipt. If you have any questions about your disbursements, contact us at hsa@fremontbank.com.

Please remember to keep copies of your receipts should you decide to reimburse yourself online. Or you may send the receipts to Fremont Bank HSA for scanning and archiving . . . just in case you need to substantiate qualified medical distributions to the IRS.

All you need is your own banking information. Click below to contribute to your HSA account.

You may also make a disbursement from your HSA account via regular mail. Fill out the form below completely, include receipts, bills, or Explanation of Benefits statements, and send it to us at:

Fremont Bank HSA
P.O. Box 4556
Hayward, CA 94540-4556