2022 Form 5498-SA. HSA, Archer MSA, or Medicare Advantage MSA Information-2025

Get Form
5498 sa Preview on Page 1

Here's how it works

01. Edit your 5498 sa online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send 2022 form 5498 sa via email, link, or fax. You can also download it, export it or print it out.

How to quickly redact 2022 Form 5498-SA. HSA, Archer MSA, or Medicare Advantage MSA Information online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click 'Get Form' to open it in the editor.
  2. Enter the trustee's name, address, and contact information in the designated fields.
  3. Fill in Box 1 with contributions made to your Archer MSA for 2022 and early 2023. This amount may be deductible on your tax return.
  4. Complete Box 2 with the total contributions made to your HSA or Archer MSA during 2022.
  5. In Box 3, indicate any HSA or Archer MSA contributions made in 2023 for the year 2022.
  6. Document any rollover contributions in Box 4, if applicable.
  7. Provide the fair market value of your account at the end of 2022 in Box 5.
  8. Specify the type of account (HSA, Archer MSA, or MA MSA) in Box 6.
  9. Once completed, you can print, download, and share the form as needed.

Start using our platform today to fill out your Form 5498-SA effortlessly and for free!

See more 2022 Form 5498-SA. HSA, Archer MSA, or Medicare Advantage MSA Information versions

We've got more versions of the 2022 Form 5498-SA. HSA, Archer MSA, or Medicare Advantage MSA Information form. Select the right 2022 Form 5498-SA. HSA, Archer MSA, or Medicare Advantage MSA Information version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2023 4.5 Satisfied (21 Votes)
2022 4.3 Satisfied (30 Votes)
2021 4.8 Satisfied (222 Votes)
2020 4.4 Satisfied (62 Votes)
2019 4.1 Satisfied (57 Votes)
2018 4.2 Satisfied (65 Votes)
2017 4.2 Satisfied (40 Votes)
2016 4.3 Satisfied (244 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Employer contributions made to an Archer MSA are shown on your Form W-2 Wage and Tax Statement in Box 12 (code R), and employer contributions (and employee contributions through a section 125 cafeteria plan) made to an HSA are shown in Box 12 (code W).
Archer MSA - Archer MSAs were the program that came before HSAs. MSAs are only available to self-employed individuals or people who are employed by a company with 50 or fewer employees. Like with an HSA, you need to be enrolled in a HDHP to be eligible.
The information on Form 5498 is submitted to the IRS by the trustee or issuer of your individual retirement arrangement (IRA) to report contributions, including any catch-up contributions, rollovers, repayments, required minimum distributions (RMDs), and the fair market value (FMV) of the account.
Form 1099 is used to report distributions and associated tax withholdings, while Form 5498 reports contributions, rollovers, FMVs, and RMDs. Both serve different purposes but are essential for accurate tax reporting. If you take a distribution and make contributions in the same year, you will likely receive both forms.
The purpose of Form 5498-SA is to report how much money is contributed to an HSA, Archer MSA or MA MSA over the course of a tax year. In the case of HSAs and Archer MSAs, the tax year extends to April 15 of the following year.

People also ask

You arent required to do anything with Form 5498 because its for informational purposes only. Please be sure to keep this form for your records as youll need this information to calculate your taxable income when you decide to take distributions from your IRA.

irs msa form