The Avidia Bank HSA Web Site is comprised of various Web pages operated by Avidia Bank HSA.
The Avidia Bank HSA Web Site is offered to you conditioned on your acceptance without modification of the terms, conditions, and notices contained herein. Your use of the Avidia Bank HSA Web Site constitutes your agreement to all such terms, conditions, and notices.
Avidia Bank HSA reserves the right to change the terms, conditions, and notices under which the Avidia Bank HSA Web Site is offered, including but not limited to the charges associated with the use of the Avidia Bank HSA Web Site.
The Avidia Bank HSA Web Site may contain links to other Web Sites ("Linked Sites"). The Linked Sites are not under the control of Avidia Bank HSA and Avidia Bank HSA is not responsible for the contents of any Linked Site, including without limitation any link contained in a Linked Site, or any changes or updates to a Linked Site. Avidia Bank HSA is not responsible for webcasting or any other form of transmission received from any Linked Site. Avidia Bank HSA is providing these links to you only as a convenience, and the inclusion of any link does not imply endorsement by Avidia Bank HSA of the site or any association with its operators.
As a condition of your use of the Avidia Bank HSA Web Site, you warrant to Avidia Bank HSA that you will not use the Avidia Bank HSA Web Site for any purpose that is unlawful or prohibited by these terms, conditions, and notices. You may not use the Avidia Bank HSA Web Site in any manner which could damage, disable, overburden, or impair the Avidia Bank HSA Web Site or interfere with any other party's use and enjoyment of the Avidia Bank HSA Web Site. You may not obtain or attempt to obtain any materials or information through any means not intentionally made available or provided for through the Avidia Bank HSA Web Sites.
The Avidia Bank HSA Web Site may contain bulletin board services, chat areas, news groups, forums, communities, personal web pages, calendars, and/or other message or communication facilities designed to enable you to communicate with the public at large or with a group (collectively, "Communication Services"), you agree to use the Communication Services only to post, send and receive messages and material that are proper and related to the particular Communication Service. By way of example, and not as a limitation, you agree that when using a Communication Service, you will not:
Avidia Bank HSA has no obligation to monitor the Communication Services. However, Avidia Bank HSA reserves the right to review materials posted to a Communication Service and to remove any materials in its sole discretion. Avidia Bank HSA reserves the right to terminate your access to any or all of the Communication Services at any time without notice for any reason whatsoever.
Avidia Bank HSA reserves the right at all times to disclose any information as necessary to satisfy any applicable law, regulation, legal process or governmental request, or to edit, refuse to post or to remove any information or materials, in whole or in part, in Avidia Bank HSA's sole discretion.
Always use caution when giving out any personally identifying information about yourself or your children in any Communication Service. Avidia Bank HSA does not control or endorse the content, messages or information found in any Communication Service and, therefore, Avidia Bank HSA specifically disclaims any liability with regard to the Communication Services and any actions resulting from your participation in any Communication Service. Managers and hosts are not authorized Avidia Bank HSA spokespersons, and their views do not necessarily reflect those of Avidia Bank HSA.
Materials uploaded to a Communication Service may be subject to posted limitations on usage, reproduction and/or dissemination. You are responsible for adhering to such limitations if you download the materials.
Avidia Bank HSA does not claim ownership of the materials you provide to Avidia Bank HSA (including feedback and suggestions) or post, upload, input or submit to any Avidia Bank HSA Web Site or its associated services (collectively "Submissions"). However, by posting, uploading, inputting, providing or submitting your Submission you are granting Avidia Bank HSA, its affiliated companies and necessary sublicensees permission to use your Submission in connection with the operation of their Internet businesses including, without limitation, the rights to: copy, distribute, transmit, publicly display, publicly perform, reproduce, edit, translate and reformat your Submission; and to publish your name in connection with your Submission.
No compensation will be paid with respect to the use of your Submission, as provided herein. Avidia Bank HSA is under no obligation to post or use any Submission you may provide and may remove any Submission at any time in Avidia Bank HSA's sole discretion.
By posting, uploading, inputting, providing or submitting your Submission you warrant and represent that you own or otherwise control all of the rights to your Submission as described in this section including, without limitation, all the rights necessary for you to provide, post, upload, input or submit the Submissions.
THE INFORMATION, SOFTWARE, PRODUCTS, AND SERVICES INCLUDED IN OR AVAILABLE THROUGH THE Avidia Bank HSA WEB SITE MAY INCLUDE INACCURACIES OR TYPOGRAPHICAL ERRORS. CHANGES ARE PERIODICALLY ADDED TO THE INFORMATION HEREIN. Avidia Bank HSA AND/OR ITS SUPPLIERS MAY MAKE IMPROVEMENTS AND/OR CHANGES IN THE Avidia Bank HSA WEB SITE AT ANY TIME. ADVICE RECEIVED VIA THE Avidia Bank HSA WEB SITE SHOULD NOT BE RELIED UPON FOR PERSONAL, MEDICAL, LEGAL OR FINANCIAL DECISIONS AND YOU SHOULD CONSULT AN APPROPRIATE PROFESSIONAL FOR SPECIFIC ADVICE TAILORED TO YOUR SITUATION.
Avidia Bank HSA AND/OR ITS SUPPLIERS MAKE NO REPRESENTATIONS ABOUT THE SUITABILITY, RELIABILITY, AVAILABILITY, TIMELINESS, AND ACCURACY OF THE INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS CONTAINED ON THE Avidia Bank HSA WEB SITE FOR ANY PURPOSE. TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, ALL SUCH INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS ARE PROVIDED "AS IS" WITHOUT WARRANTY OR CONDITION OF ANY KIND. Avidia Bank HSA AND/OR ITS SUPPLIERS HEREBY DISCLAIM ALL WARRANTIES AND CONDITIONS WITH REGARD TO THIS INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS, INCLUDING ALL IMPLIED WARRANTIES OR CONDITIONS OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE AND NON-INFRINGEMENT.
SERVICE CONTACT : firstname.lastname@example.org
Avidia Bank HSA reserves the right, in its sole discretion, to terminate your access to the Avidia Bank HSA Web Site and the related services or any portion thereof at any time, without notice. GENERAL To the maximum extent permitted by law, this agreement is governed by the laws of the State of Washington, U.S.A. and you hereby consent to the exclusive jurisdiction and venue of courts in King County, Washington, U.S.A. in all disputes arising out of or relating to the use of the Avidia Bank HSA Web Site. Use of the Avidia Bank HSA Web Site is unauthorized in any jurisdiction that does not give effect to all provisions of these terms and conditions, including without limitation this paragraph. You agree that no joint venture, partnership, employment, or agency relationship exists between you and Avidia Bank HSA as a result of this agreement or use of the Avidia Bank HSA Web Site. Avidia Bank HSA's performance of this agreement is subject to existing laws and legal process, and nothing contained in this agreement is in derogation of Avidia Bank HSA's right to comply with governmental, court and law enforcement requests or requirements relating to your use of the Avidia Bank HSA Web Site or information provided to or gathered by Avidia Bank HSA with respect to such use. If any part of this agreement is determined to be invalid or unenforceable pursuant to applicable law including, but not limited to, the warranty disclaimers and liability limitations set forth above, then the invalid or unenforceable provision will be deemed superseded by a valid, enforceable provision that most closely matches the intent of the original provision and the remainder of the agreement shall continue in effect. Unless otherwise specified herein, this agreement constitutes the entire agreement between the user and Avidia Bank HSA with respect to the Avidia Bank HSA Web Site and it supersedes all prior or contemporaneous communications and proposals, whether electronic, oral or written, between the user and Avidia Bank HSA with respect to the Avidia Bank HSA Web Site. A printed version of this agreement and of any notice given in electronic form shall be admissible in judicial or administrative proceedings based upon or relating to this agreement to the same extent an d subject to the same conditions as other business documents and records originally generated and maintained in printed form. It is the express wish to the parties that this agreement and all related documents be drawn up in English.
All contents of the Avidia Bank HSA Web Site are: Copyright 2012 Avidia Bank and/or its suppliers. All rights reserved.
The names of actual companies and products mentioned herein may be the trademarks of their respective owners.
The example companies, organizations, products, people and events depicted herein are fictitious. No association with any real company, organization, product, person, or event is intended or should be inferred.
Any rights not expressly granted herein are reserved.
Pursuant to Title 17, United States Code, Section 512(c)(2), notifications of claimed copyright infringement under United States copyright law should be sent to Service Provider's Designated Agent. ALL INQUIRIES NOT RELEVANT TO THE FOLLOWING PROCEDURE WILL RECEIVE NO RESPONSE. See Notice and Procedure for Making Claims of Copyright Infringement.
Setting up a health savings account is simple. When you need a form to set up transactions or change your personal information, Avidia Health is here to help. Find electronic and printable forms below.
|Account Maintenance||E-Form Mailed Form|
|Authorized Signer Form||E-Form Mailed Form|
|Beneficiary Form||E-Form Mailed Form|
|Check Order Form||E-Form Mailed Form|
|Contribution (Excess) Form||Mailed Form|
|Contribution (Individual) Form||Mailed Form|
|Contribution Correction Form||E-Form Mailed Form|
|Distribution Reversal Form||Mailed Form|
|Eligibility Form||Mailed Form|
|Health Savings Authorization for Payroll Deduction||Mailed Form|
|Individual Enrollment Form||E-Form Mailed Form|
|IRA Transfer Form||Mailed Form|
|Rollover Form||Mailed Form|
|Transfer Form||E-Form Mailed Form|
|Withdrawal Form||Mailed Form|
If you need additional assistance, contact us directly and we’ll be glad to send you the forms: 855.472.9399 or HSAinfo@avidiabank.com.
Please complete the form below and an Avidia representative will contact your shortly.
Thank you for your interest in opening up an Avidia Health HSA account. An Account Representative will be contacting you shortly.