← State of Embedded Finance 2026

FirstDollar

Can one platform become the infrastructure layer for all embedded health spending accounts (HSA/FSA/HRA/LSA) distributed through payroll providers, banks, and employers?

HQUnited States
IndustryVertical SaaS / Healthcare
The story

First Dollar launched as an embeddable health benefits infrastructure company, abstracting the compliance and banking complexity of consumer-directed health accounts (HSA/FSA/HRA/LSA) so that payroll platforms, financial institutions, and employers can offer these products under their own brand. The company's Health Wallet platform uses Treasury Prime for BaaS and Piermont Bank as sponsor bank, and targets distribution through B2B partners rather than direct-to-consumer. Its strategic angle is becoming the picks-and-shovels infrastructure for the rapidly growing health savings account market embedded within third-party platforms.

Last 12 months
The stack
Banking / BaaS
Treasury Prime
Sponsor bank
Piermont Bank
Accounting gap: minor