Coordinating Your Health Savings Accounts

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1 Coordinating Your Health Savings Accounts To: Former employees with both an Optum Bank and Fidelity HSA During Annual Enrollment last year, you opened a Health Savings Account (HSA) with Fidelity Investments, the new financial institution receiving HSA payroll deductions. If you previously contributed to an HSA through payroll deductions, you may have an HSA balance with Optum Bank, and have some questions about how to coordinate the two accounts. You have three choices in managing your Optum Bank HSA: 1. Keep your balance in your Optum Bank HSA. Any funds remaining in your Optum Bank HSA may continue to be used for qualified health care expenses. You should be aware Optum Bank will begin applying standard account maintenance fees against your HSA balance beginning in Transfer it to your Fidelity HSA. Fidelity HSA account maintenance fees are covered by AT&T. For details on how to transfer your account to your Fidelity HSA, review the Transition Guide. Employees can now take advantage of the Paperless Transfer process which is outlined in the guide. Contact Fidelity at or netbenefits.com/att for questions about managing your Fidelity HSA or transferring your HSA balance from Optum Bank. 3. Transfer it to any other HSA provider. Since the HSA is your personal account, you have the option of transferring it to the HSA provider of your choice. Still not sure what to do? You may also contact Optum Bank at or optumbank.com for more information on managing your Optum Bank HSA. NIN:

2 Health Savings Account: Transition Guide Fidelity Investments is now the financial institution receiving AT&T active employee Health Savings Account (HSA) payroll deductions in If you have previously contributed to an HSA through payroll deductions, you may have an HSA balance with Optum Bank. If so, you may want to consider consolidating your HSAs. While there are many ways to transfer your HSA funds from Optum Bank to Fidelity, below are three options that offer convenience with no transfer fees. 1. Paperless Transfer NEW! Optum Bank has launched a website allowing a seamless transfer of your Optum Bank HSA balance to Fidelity. This option requires you log into Optum Bank and follow these steps outlined in the Paperless Transfer Guide. This option will be available for a three-month period starting on March 10, Refer to the Paperless Transfer Guide to assist you in completing the process. Note: There may be as much as 30 days where your Optum Bank HSA funds are unavailable due to the transfer from one institution to another. 2. Do-it-yourself rollover This option requires you to contact Optum Bank to close your HSA. If your Optum Bank HSA balance is partially invested in the brokerage account, you must liquidate those holdings and move the funds to the cash position within your Optum Bank HSA. When you close your Optum Bank HSA, Optum Bank will mail you a check. Once you receive the check from Optum Bank, you need to complete the Fidelity paper deposit form, endorse the check you received from Optum Bank, and mail the form with the check to Fidelity Brokerage Services LLC. Per IRS guidelines, you must roll over the amount within 60 days of receipt to avoid taxes and penalties. Note: There may be as much as 30 days where your Optum Bank HSA funds are unavailable due to the transfer from one institution to another. 3. Spend down or Maintain your Optum Bank HSA You may choose to keep your HSA balance at Optum Bank and continue to use it to pay for qualified health care expenses. Once you have depleted your Optum Bank HSA, simply close your account. Beginning in 2015, Optum Bank will begin applying standard account maintenance fees against your Optum HSA. This option may be ideal if you expect to spend down your HSA balance by the end of You may want to consider spending your Optum Bank HSA funds first before using your Fidelity HSA funds.

3 FAQs Will my HSA be charged any fees? Beginning in 2015, Optum Bank will begin applying standard account maintenance fees against your HSA balance. Fidelity HSA account maintenance fees are covered by AT&T. Optum Bank also has standard fees that apply when requesting a check, transfer or ACH. Note that Optum Bank has agreed to waive those fees if you utilize the paperless transfer or do-it-yourself rollover provided for on the previous page. I have invested a portion of my HSA balance in mutual funds. What do I need to do? If you wish to transfer your HSA balance from Optum Bank to Fidelity using the paperless transfer, simply follow these instructions. If you wish to conduct the transfer using the do-it-yourself rollover, you must first liquidate any investments held in the brokerage account and move the funds to the cash position in your Optum Bank HSA before initiating a transfer. Once your Optum Bank HSA assets are transferred to your Fidelity HSA, you will have the ability to move funds into a Fidelity brokerage account. How can I obtain a Fidelity HSA debit card for my spouse? Once you have established your Fidelity HSA, you can request an additional card by logging into Fidelity NetBenefits. From the NetBenefits homepage, select HSA Overview link under Visit the Library. In the Featured Tools and Topic section, select Request a supplemental debit card and complete the online form. You will automatically receive an initial debit card approximately 10 business days after opening your Fidelity HSA. Where to Go with Additional Questions If you have questions about Then contact By calling Or logging on to Opening and managing your Fidelity HSA HSA account status Using your Fidelity HSA Optum Bank HSA standard account maintenance fees Managing your Optum Bank HSA Utilizing the paperless transfer method Fidelity netbenefits.com/att Optum Bank optumbank.com

4 Health Savings Account: Paperless Transfer Once your Health Savings Account (HSA) has been established with Fidelity Investments, you may transfer funds from your Optum Bank HSA to your Fidelity account. To complete this process, it s important you have your Fidelity HSA 9-digit brokerage account number available. The steps below will guide you to your Fidelity account number and then through the rest of the transfer process. Step 1: Step 2: Step 3: Verify your account and record your Fidelity 9-digit brokerage account number. Log onto Fidelity s NetBenefits website at netbenefits.com/att Verify you have established your Fidelity HSA Record your Fidelity HSA 9-digit brokerage account number and keep it handy as you complete the rest of the steps IMPORTANT: Optum Bank cannot transfer your assets without your Fidelity HSA 9-digit brokerage account number. If you complete this transfer request, and your Fidelity HSA is not open, your fund transfer could be delayed. Timing of transfer. This paperless transfer option will be available for a three month period starting March 10, 2014 To minimize the time associated with moving your funds from your Optum Bank HSA to Fidelity, complete this process on a Wednesday, Thursday or Friday. If you complete your transaction on a Friday, do so prior to 1 p.m. Central standard time Note: While your funds are being transferred, your Optum Bank HSA funds may be unavailable for up to 30 days. Complete the paperless transfer form. Log onto Optum Bank at optumbank.com (if you have never registered to access this website, you will need to register before proceeding) On the Overview tab, select Health Savings Account (HSA). From the HSA Summary screen, in the right navigation pane, select Transfer and close your HSA under Self Service Step 3a: Enter Your New HSA Information o If you have a portion of your HSA balance invested in a brokerage account at Optum Bank, you must liquidate your investments before the transfer can take place. By completing this paperless transfer, you are authorizing Optum Bank to liquidate your holdings on your behalf. o Name of Institution: Fidelity Investments o Institution Street Address: Attention: TOA Deliveries; P.O. Box o City: Cincinnati o State: Ohio o Postal Code + 4: o New Account Number: Fidelity HSA 9-digit brokerage account number Step 3b: Review and Agree to Terms and Conditions o Review the information you submitted in Step 3a. If something is inaccurate, use the Previous button to go back to Step 3a. o Read the terms and conditions o Select I Agree or I Do Not Agree as appropriate Step 3c: Submission Confirmation o o Print confirmation page for your records This is a good opportunity to download your transaction history and tax forms prior to your account closure

5 Where to Go with Additional Questions If you have questions about Then contact By calling Or logging on to Opening and managing your Fidelity HSA HSA account status Using your Fidelity HSA Fidelity netbenefits.com/att Optum Bank HSA standard account maintenance fees Managing your Optum Bank HSA Utilizing the paperless transfer method Optum Bank optumbank.com

6 Health Savings Account: Do-It-Yourself Rollover Form Once your Health Savings Account (HSA) has been established with Fidelity Investments, you may rollover funds from your Optum Bank HSA to your Fidelity HSA. Follow these steps below and complete the paper deposit form. Step 1: Close your account with Optum Bank. Contact Optum Bank at If you have any portion of your HSA balance invested in mutual funds, you must first convert the investments into cash before closing your account. Once your account is closed, Optum Bank will mail you a check. You may want to consider downloading your transaction history and tax forms prior to your account is closed. Step 2: Rollover your HSA balance to Fidelity within 60 days* of receiving your check. You will need to complete the Fidelity deposit slip form as follows: Fill out your name and daytime telephone number. Enter your Fidelity HSA 9-digit brokerage account number (viewable on NetBenefits ) in the Fidelity Account Number field. Put a check mark by the 60-day Rollover box in the Deposit (Check One) section. Enter the check number and check amount from your Optum Bank check, in the List Checks section. Do not complete anything in the For Brokerage Accounts section. *Required to avoid taxes and penalties Step 3: Endorse your check from Optum Bank to Fidelity Brokerage Services LLC and mail it along with the completed deposit slip form to the appropriate address below. Add your name and Fidelity HSA 9-digit brokerage account number in the memo field of the check. Regular mail: Fidelity Brokerage Services LLC P.O. Box Cincinnati, OH Overnight mail: National Financial Services LLC 100 Crosby Parkway Mail Zone KC1H Covington, KY Note: There may be as much as 30 days where your Optum Bank HSA funds are unavailable due to the transfer from one institution to another. Important: The HSA is not an AT&T-sponsored employee benefit plan or subject to the federal Employee Retirement Income Security Act (ERISA) laws and regulations. It is your personal account opened and maintained by the HSA provider. You can establish and contribute to an HSA at many financial institutions.

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