The letter is sent to the member by PayFlex. That means that they had a health savings account (HSA) with PayFlex when they were previously enrolled in our CDHP. When they had the CDHP coverage, the state paid the monthly account maintenance fees for the plan member. When someone changes coverage and no longer has the CDHP, their HSA doesn't just go away. It is still there at PayFlex with funds in it and can be used but the plan member has to start paying the monthly account maintenance fees and PayFlex will take those fees out of their HSA funds. The letter is sent to the member to notify them of this.
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