Financial Statement

Your quarterly HSA statement at a glance

ID: 22936c433e15914c

Download

Details

Category
Vendor
Optum Financial
Amount
$1,749.15
Date
04/01/2026-06/30/2026
Processed
Aug 11, 2026 10:46 AM EDT
Original File
Scan_08112026_094005_000162.pdf

Summary

Quarterly HSA statement for Johan Jongsma from Optum Financial for the period 04/01/2026–06/30/2026, showing a beginning cash balance of $1,758.78, an ending cash balance of $1,749.15, 2026 YTD contributions of $0.00, and a remaining 2026 contribution limit of $9,750.00.

Notes

No notes yet. Click Edit to add notes.

OCR Text

Document Preview

100%
Page 1 of 1