Employer Enrollment Form

Thank you for selecting Bend to provide your Health Savings Account program in conjunction with your HDHP offering through Harvard Pilgrim Health Care. Please provide the information requested below to allow us to begin the implementation of your program. Contact our team via email to support@bendhsa.com or by phone to 888-248-7551 if you need assistance with this process. Once complete, a member of our implementation team will reach out to you regarding next steps.