Financial Hsa_statement

Optum Financial HSA Quarterly Statement

ID: bd60cc227d4b3f54

Download

Details

Category
Vendor
Optum Financial
Amount
$1,778.00
Date
Sep 30, 2025
Processed
Feb 10, 2026 3:40 AM EST
Original File
Report_02102026_033911_000116.pdf

Summary

Quarterly Health Savings Account statement for Johan Jongsma covering the period July 1, 2025 through September 30, 2025, showing an ending cash balance of $1,778.00, zero year-to-date contributions, and a 2025 contribution limit of $9,550.00.

Notes

No notes yet. Click Edit to add notes.

OCR Text

Document Preview

100%
Page 1 of 1