Enroll

Thank you for your interest in becoming a Health Savings Advantage member! Please complete the following two steps to activate your membership.

Contact Information

First Name
Last Name
Address
Apt/Suite Number
City
State
Zip
Phone
Email
How did you hear about us?
   
Payment Information
How would you like to make your payments?



Credit Card Number
Expiration /
or
  
Bank Name
Account Type


Routing Number
Account Number
Agreement
I understand the fees for participation in the Health Savings Advantage program include $25.00 one time, non reoccurring set up fee and a monthly amount of $39.95 for ALL coverage and bonus coverage listed. Monthly payment covers my spouse, my dependents / family members and myself as defined in the terms and conditions. Coverage is month to month and I may elect to discontinue it at any time. I AM AWARE THAT HEALTH SAVINGS ADVANTAGE IS A DIVISION OF THE SMALL BUSINESS BENEFIT ASSOCIATION. The billing notation on my credit card or bank statement will indicate SBBA (for the Small Business Benefit Association).
I have read and agree to the Terms and Conditions.
Your satisfaction is guaranteed.
 

 


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Health Savings Advantage is a division of Small Business Benefit Association
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