Create A Custom CorporateHCSA Proposal. Fill in the form below and click Create Proposal.
Company Information:


HCSA Admin Amount: %


Employee Information:
Create the Job Classifications for your company below, and enter the annual HCSA limits for Single Employees and Employees with Families for each Job Classification. You can enter any amount.
Job Description HCSA Limits # of Employees
Single: $/yr

Family: $/yr


Single: $/yr

Family: $/yr


Single: $/yr

Family: $/yr


Typical Usage
% HSA Used 70% 85% 100%
HSA $ Spent - Single $0 $0 $0
HSA $ Spent - Family $0 $0 $0
HSA Admin Fee $0 $0 $0
Total Cost to You $0 $0 $0