HSA deduction schedule

  • To make a contribution from payroll to your HSA, please use this form:
  • To send you can use interoffice mail and send to Eileen Ahern (203-341-1003) or
  • using the Westport gmail only, email the signed form to: HSA@westport.k12.ct.us
  • Forms must be received 12 days before the payroll date..that is the Friday one week before the normal delivery of the payroll voucher to your email.
    i.e. Wed Dec 17th payroll, form must be in by Fri Dec 5th.