Begin Enrollment

Please take a moment to enroll in your Lively HSA account.

Finishing enrollment is easy and only takes a few minutes
You'll be able to link your bank account to start reimbursing yourself as soon as HSA funds become available
*All fields are required unless otherwise noted
First Name
Middle Name or Initial
Last Name
Email
Password
Your password must be at least 8 characters long, and include one lowercase letter, one uppercase letter and at least one symbol or number.
Re-enter Password
Mobile Phone Number
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