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The trustee of your HSA, Archer MSA, or MA MSA may provide other information about your account on this form. Note: Dont attach Form 5498-SA to your income tax return. Instead, keep it for your records.
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.
IRS Form 1099-SA example Now, lets break down the key parts of this form and what each box means: Box 1: Gross distribution This is the total distribution amount you took from your HSA or MSA during the year. All distributions are reported here, even if you used the funds for qualified medical expenses.
There are three copies of the 1099-SA. The financial institution managing the account files Copy A with the IRS, sends you Copy B, and retains Copy C. You should receive Form 1099-SA in the mail. You do not need to submit it when you file your tax return, but you should hold onto it for your records.
If you fail to file any type of 1099 form, the IRS can technically start issuing penalties starting at $250 per failure to those who dont follow through with this requirement (that is, if they ever find out about it).
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Not reporting contributions or distributions for your HSA can result in penalties and interest, affect taxable income calculations, require amended returns, and increase the risk of an IRS audit.
The IRS Form 1099-SA is used for reporting HSA distributions; the IRS Form 5498-SA is used for reporting contributions. If you did not have contributions during the year, then you will not see the IRS Form 5498-SA. Although HSAs have triple-tax advantages, you are required to report distributions to the IRS.
Youll use Form 1040-X, Amended U.S. Individual Tax Return. You should provide a clear explanation for the reason that you are amending your return. Send a copy of any 1099s that werent included with your original tax filing. When you amend your tax return, you may have to file additional forms.

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