Thank you for applying for a Health Savings Account (HSA) at Hometown Bank. To make your application quick and easy, please have the following information available for both the employee and, if applicable, the Power of Attorney:
If you have any questions or concerns while completing the application, please feel free to contact the Bank’s HSA Administrator at (920) 922-1790 between the hours of 8:00am and 5:00pm Monday – Friday.
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.
What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.
No minimum balance requirement.
No monthly account maintenance or activity fees. (ATM withdrawals at non-Hometown Bank ATMs may be subject to surcharges.)
Free Check Card available.
Free Online Banking with Bill Payment and Check Images.
Free E-Statement (Paper Statement available for $5.00 per month fee)
Tiered Interest Rate. The Current HSA interest rates can be obtained by visiting our web site at www.htbwi.com.
Account Set Up Fee of $25.00
Account Closing Fee of $25.00
I have read and agree to the above terms and conditions