this is
Your On-Line Source for Canadian Health Spending Accounts
Call Us Free: 1.800.880.6806

Enroll

Thank you for starting your application for a CHSA Health Spending Account. A CHSA representative will be contacting you to finalize and verify the information you’ve  provided, arrange payment, and to activate your account so you can start saving. If you need to reach us right now, please call 1.800.880.6806, or e-mail info@chsa.ca

Enrollment
First
Last

Contribution Schedule

First
Last

Additional Employees will be added over the phone.

Sending

If you prefer download the complete set of forms and fax them to 1-800-880-6806.

{A} Business Enrollment Form As it Pertains to Your Province (Schedule A)

{B} Business Trust Agreement {C}Employee Enrollment Form