Instructions for Forms 1099-SA and 5498-SA - Internal ...-2026

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The document provides detailed instructions for completing Forms 1099-SA and 5498-SA, which are used to report distributions from Health Savings Accounts (HSAs), Archer Medical Savings Accounts (MSAs), and Medicare Advantage MSAs. It outlines filing requirements, reporting procedures for various types of distributions, including mistaken distributions and those related to the death of account holders, as well as guidelines for electronic filing and recipient statements. The document emphasizes the importance of following IRS regulations and provides links for further information.

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Begin by reviewing the general instructions provided for Forms 1099-SA and 5498-SA. This will give you an overview of who must file, when to file, and other essential details.
Fill out Form 1099-SA by entering the gross distribution amount in Box 1. Ensure that you do not report negative amounts or excess contributions as distributions.
In Box 2, report any earnings on excess contributions if applicable. Use the appropriate distribution code in Box 3 to indicate the type of distribution.
For Form 5498-SA, enter total contributions made during the year in Box 2 and ensure to include any rollover contributions in Box 4.
Review all entries for accuracy before saving your completed forms. Utilize our platform's features to sign and distribute your forms electronically.

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Why did I get a 5498-SA instead of a 1099 SA?

The 1099SA would be filed by your HSA provider if you took any money out of your HSA. The 5498SA would be filed by someone who made contributions to your HSA on your behalf. You would not file these forms, you would receive them if they were applicable.

Do I need to report form 5498-SA on my tax return?

Participants of an HSA, Archer MSA or MA MSA do not have to file Form 5498-SA with their individual income tax return. However, if distributions from any of these accounts were taxable, they should be noted on Schedule 1 of Form 1040, Part I, line 8e.

What happens if I dont report my HSA on taxes?

You must report any nonqualifying purchases made using funds from your HSA. If you file your return with 1040.com, you simply report these purchases on the 1040.com Health Savings Account screen. Not claiming the nonqualifying expenses may lead to an audit, and youll be subject to penalties and fines.

Do I need to include Form 1099-SA on my tax return?

IRS Requirements If you have an HSA, you must include information from two IRS forms Form 1099-SA and Form 8889 on your 1040 tax form. Form 1099-SA reports the total distributions (withdrawals) from your HSA account during the taxable year. Form 8889 reports all contributions made to your account.

What is form 5498-SA instructions?

Form 5498-SA reports annual contributions to an Health Savings Account (HSA), Archer MSA, or Medicare Advantage MSA. Its sent by the account trustee to the account holder and includes both employee and employer contributions.

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Is form 5498 needed for filing taxes?

No. 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.

What is Form 1099-SA or 5498-SA?

IRS form 1099-SA shows the amount of money you spent from your HSA during the tax year. IRS form 5498-SA shows the amount of money deposited into your HSA for the tax year. IRS form 8889 is the form you fill out and submit with your tax return.

What if I forgot to include a 1099-SA on my tax return?

Often, the IRS will recalculate your tax return by including the missing income and determining the amount of tax they think that you owe. This can include penalties and interest. If you realize that you didnt include some income on your tax return, you can file an amended return that includes the missing information.

Instructions for Forms 1099-SA and 5498-SA - Internal ...-2026

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Got questions?

Why did I get a 5498-SA instead of a 1099 SA?

Do I need to report form 5498-SA on my tax return?

What happens if I dont report my HSA on taxes?

Do I need to include Form 1099-SA on my tax return?

What is form 5498-SA instructions?

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Is form 5498 needed for filing taxes?

What is Form 1099-SA or 5498-SA?

What if I forgot to include a 1099-SA on my tax return?

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