We receive many requests for the high deductible insurance policies that are required to be combined with the tax-deferred bank or savings account to form the HSA. We have established a nationwide insurance agent network. When we receive an inquiry or Request A Quote form, we refer the client to an agent in our network.  We pay a commission for each new account set up with First HSA.

If you are interested in becoming a part of the First HSA network, please fill out the form below and submit it to First HSA. There is no cost to you. Our only request is that you use our organization as the HSA administrator when you set up the health savings account.

Sign up to become a part of our national network:

Agent's Name:

Agency Name:

Address:

City:

State:       Zip Code:

Phone:

E-mail:

FAX:

States Licensed In:

Insurance Companies Licensed With:

Check one:
Independent Agent Insurance Agency MGA

Thank you for your interest in the First HSA agent network!