How to Set Up a Checkbook Control Self Directed HSA

Setting up a checkbook control self-directed HSA can provide you with more flexibility and control over your healthcare funds. Here are the steps to help you get started:

  1. Open a self-directed HSA account with a qualified custodian that allows checkbook control.
  2. Set up a limited liability company (LLC) that will serve as the custodian of your HSA funds.
  3. Transfer your HSA funds to the newly established LLC.
  4. Obtain an EIN (Employer Identification Number) for your LLC from the IRS.
  5. Open a business bank account in the name of your LLC and obtain checks for the account.
  6. Use the checks to make eligible healthcare expenses directly from your HSA funds.

By following these steps, you can enjoy the benefits of checkbook control and invest your HSA funds in alternative assets such as real estate, private equity, and more.


Setting up a checkbook control self-directed HSA not only offers flexibility in managing your healthcare spending but also empowers you to make investment choices that align with your financial goals. Here are the steps to take:

  1. Begin by opening a self-directed HSA account with a reputable custodian that supports checkbook control.
  2. Create a limited liability company (LLC) which will act as the custodian for your HSA funds.
  3. Transfer your existing HSA funds into your newly formed LLC.
  4. Secure an Employer Identification Number (EIN) for your LLC through the IRS website.
  5. Establish a business bank account under your LLC's name, and order checks for this account.
  6. Now you're ready to write checks for qualified healthcare expenses directly from your HSA account.

Embracing this model allows you to not just manage your funds but to also diversify them into alternative assets such as real estate or private equity, all while maintaining tax advantages.

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