American Fidelity Website:

https://americanfidelity.com/fairbanks

 If you have questions, please contact the following American Fidelity staff: 

• Tyler Keel at tyler.keel@americanfidelity.com / (907) 317-4647
• Tracy Fannin at tracy.fannin@americanfidelity.com / (866) 576-0201 

Health Savings Rollover Transfer Form

• This form is used to rollover your HSA from Navia to American Fidelity.  You must fax, email, or mail this form to American Fidelity.  The form DOES NOT go to Benefits.