Setting Up Direct Deposit Using a Paper Form
This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement)*.
You may set up direct deposit or update your banking information by returning a completed Direct Deposit Authorization Form.
1. Call us at 1-866-322-2824 (TTY: 711) and use our automated voice system or speak with a Via Benefits representative to get the form.
2. Complete the form.
Provide your banking information, including your bank account number and routing number.
If you're requesting funds to be deposited into a checking account, a voided check is also required.
Please verify your bank account number and routing number for your savings account with your financial institution.
3. Mail the form and voided check (if you’re setting up a checking account) to the address provided on the form.
It may take up to 20 business days to receive and validate your Direct Deposit Authorization Form. Forms received between January 1 and March 31 can take longer to be processed and validated. Direct deposit banking information validates in three to five business days if submitted on the mobile app or website.
*Via Benefits reimbursement accounts are administered by Extend Health, LLC.