HSA Application

You can open an Indiana Members Credit Union HSA account anytime or from anywhere that is convenient for you. It's simple and secure to open a new account. It takes just minutes!

Security Note: Applications should not be used in a shared environment, such as a library, for security purposes.

Here's what you will need:

To be 18 years of age or older.
Your Social Security Number / Individual Taxpayer Identification Number.
Government Issued Identification (Driver's License, State ID, or Passport).
If funding your new accounts by electronic transfer from another financial institution, you'll need the routing number and your account number.
If funding with a debit or credit card, you'll need the card number, expiration date, and CVV code (located on the back of your card).

Click here to see what you will need:

To be 18 years of age or older.
Your Social Security Number / Individual Taxpayer Identification Number.
Government Issued Identification (Driver's License, State ID, or Passport).
If funding your new accounts by electronic transfer from another financial institution, you'll need the routing number and your account number.
If funding with a debit or credit card, you'll need the card number, expiration date, and CVV code (located on the back of your card).