14-B6 - HSABankAgrmt 2021.pdf

This is a Health Savings Account (HSA) Bank Agreement document for the State of Texas, outlining the terms and conditions for HSA administration services related to the broader Ancillary Insurance Benefits contract opportunity. The agreement establishes the relationship between the state and a designated HSA bank provider responsible for maintaining and administering HSA accounts for eligible employees and their dependents. The document specifies the operational framework for account creation, management, fund custodianship, and reporting requirements necessary to support the state's health savings account program as part of its comprehensive ancillary insurance benefits offering. The agreement addresses account holder eligibility, contribution limits in accordance with IRS regulations, investment options, and the bank's fiduciary responsibilities in managing account assets and ensuring compliance with federal tax code requirements.

The agreement establishes pricing and fee structures for HSA administration services, including per-account maintenance fees and transaction-based charges, with terms governing how costs are allocated between the state, plan administrators, and account holders. The document outlines the incumbent provider's current operational responsibilities, service level expectations, and performance standards required to maintain the HSA program's integrity and accessibility for state employees. Key provisions address the bank's obligations regarding account reconciliation, tax reporting (Form 5498-SA), customer service support, online portal access, and integration with the broader flexible spending account and health reimbursement arrangement programs. The agreement includes provisions for contract duration and renewal options, contingent upon satisfactory performance and continued operational compliance with state and federal regulatory requirements governing health savings accounts.