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I have been horrified by the dearth of self-directed HSA Custodians available. While it has improved slightly in just a years time, I am hoping more ROTH IIRA Custodians will start taking on HSA's for those who wish to self-direct. I just wrote a letter to Fidelity asking them to impliment a program for individuals. Currently they only administer HSA's for specific companies. *sigh*

I hear ya, but I'm extremely happy with my current custodian and probably wouldn't switch anyway. My only beefs are
1. I need a minimum balance on my hsa bank side of $3000, or I will get a monthly charge
2. The account has two separate one for hsa bank checking, and one for brokerage TD Ameritrade.

That said #2 isn't really that bad, as transfer of funds between HSA Bank and TD Ameritrade are seamless. I am still somewhat annoyed by #1 but will live. The commissions on stock trades are only $10, and out of all my brokerage accounts TD Ameritrade is my favorite interface. My HSA has grown very rapidly, and I my stock purchases are never under $5000 anymore, so my percentage of commissions are usually only .2% or less.

My HSA Bank debit account also draws very high yield in comparison to other accounts 1.6% on $15,000 or greater, and .9% on $5,000-$14,999
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