About Form 8889, Health Savings Accounts (HSAs)InternalFederal Form 8889 (Health Savings Accounts (HSAs)) - 2020Federal Form 8889 (Health Savings Accounts (HSAs)) - 2020Instructions for Form 8889 (2020)Internal Revenue Service-2025

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  1. Click 'Get Form' to open it in the editor.
  2. Begin by entering your name(s) and Social Security number as shown on your Form 1040, 1040-SR, or 1040-NR.
  3. In Part I, check the box indicating your coverage under a high-deductible health plan (HDHP) for the year. Enter any HSA contributions made for 2022, excluding employer contributions.
  4. Complete lines regarding your HSA deduction and any additional contributions if you are age 55 or older. Follow the instructions carefully for accurate amounts.
  5. In Part II, report total distributions received from all HSAs and any amounts rolled over. Calculate taxable distributions and qualified medical expenses paid using HSA funds.
  6. Finally, review all entries for accuracy before printing, downloading, or sharing the completed form through our platform.

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Go to .irs.gov/Form8889 for instructions and the latest information. Name(s) shown on Form 1040, 1040-SR, or 1040-NR Social security number of HSA beneficiary. If both spouses have HSAs, see instructions.
HSA distributions are reported to the account owner on Form 1099-SA. This form is issued by the financial institution. Form 8889 must be filed with your annual Form 1040 federal tax filing if you make contributions to or take distributions from an HSA.
More In Forms and Instructions File Form 8889 to: Report health savings account (HSA) contributions (including those made on your behalf and employer contributions). Figure your HSA deduction. Report distributions from HSAs.
You must report distributions from your HSA on IRS Form 8889. You will receive a separate 1099-SA for each type of distribution made during the tax year. The five distribution types are 1) normal; 2) excess contribution removal; 3) death; 4) disability; and 5) prohibited transaction.
Put simply, the IRS uses Form 8889 for HSA reporting. If you hold an HSA account (or are the beneficiary of a deceased HSA holder), youre required to attach Form 8889 to your Form 1040 when filing your personal income tax or information return. If you fail to do so, youll be unable to deduct your HSA contributions.

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If you didnt receive yours, contact your HSA administrator or your employers HR department.
You must always file a Form 8889 in any year you or an employer contributes money to your HSA or you make withdrawals from the account. The deduction you calculate on Form 8889 is taken on the first page of your income tax return.
Health Savings Accounts The purpose of the form is to report your deductible contributions, calculate the deduction, report the distributions you take to pay medical expenses and to calculate the tax you must pay on withdrawals you make for non-medical related purposes.

form 8889 for 2022