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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 offer a triple-tax advantage* deposits are tax-deductible, growth is tax-deferred, and spending is tax-free. All contributions to your HSA are tax-deducible, or if made through payroll deductions, are pre-tax which lowers your overall taxable income.
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.
When filing your taxes, you are required to file IRS Form 8889 if you (or someone on your behalf, including your employer) made contributions to your HSA, or if you received HSA distributions for the year.
If your funds are used for non-eligible expenditures, you may be subjected to income tax plus a 20% IRS penalty. However, that doesnt mean you should neglect your HSA. After age 65, you are allowed to withdraw from your account penalty-free for non-eligible expenses, as long as you report it as income on your taxes.
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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. Figure amounts you must include in income and additional tax you may owe if you fail to be an eligible individual.
Employers must report all employer and employee Health Savings Account (HSA) contributions made through payroll as a single aggregated amount on the employees form W-2 in Box 12 using code W.
If youre under 65 and use the funds for other purposes, that money becomes taxable income, and you could face an additional 20% tax on the nonmedical use of HSA money. Once you turn 65, you can use HSA money for anything, but youll owe tax on withdrawals that arent used to pay medical expenses.

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