MSA to HSA Rollover Request Form 2025

Get Form
MSA to HSA Rollover Request Form Preview on Page 1

Here's how it works

01. Edit your form 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 it via email, link, or fax. You can also download it, export it or print it out.

The best way to change MSA to HSA Rollover Request Form online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

With DocHub, making changes to your documentation takes just a few simple clicks. Follow these quick steps to change the PDF MSA to HSA Rollover Request Form online free of charge:

  1. Sign up and log in to your account. Sign in to the editor with your credentials or click Create free account to test the tool’s functionality.
  2. Add the MSA to HSA Rollover Request Form for editing. Click the New Document button above, then drag and drop the document to the upload area, import it from the cloud, or via a link.
  3. Adjust your document. Make any changes needed: insert text and photos to your MSA to HSA Rollover Request Form, underline information that matters, erase sections of content and replace them with new ones, and insert symbols, checkmarks, and fields for filling out.
  4. Finish redacting the form. Save the modified document on your device, export it to the cloud, print it right from the editor, or share it with all the people involved.

Our editor is super easy to use and efficient. Try it out now!

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
The final section on Form 8889 is where you report any qualified funding distributionsaka rolloversthat you made from a traditional or Roth IRA to an HSA and calculate additional taxes that may be owed for things like overfunding your account.
Medical Savings Accounts take the place of Heath Savings Accounts for Medicare recipients, because they cant have HSAs. They combine a High Deductible Health Plan with a medical savings account.
The advantages of rolling over your HSA from a previous employer: Simplicity: By consolidating your HSAs into one account, you dont have to keep track of balances in multiple accounts, and you wont have multiple sets of tax documents after the rollover year.
Put the excess contributions you got back (not the earnings on it, just the excess contributions) on Schedule 1, line 8f (``Income from Form 8889.) That will eventually flow into your income on your 1040 form. And now youve taken care of the excess contributions, so youre good for your 2023 taxes.
Yes, if you do so within 60 days of withdrawing the funds from the Archer MSA.
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

HSA transfer If your new employer offers an HSA, you can transfer the administration of your account to your new employers HSA administrator. If you select this option, your new employer will provide you with a transfer request form that authorizes a new HSA custodian to take over the administration of your account.
How to perform an HSA rollover Find a new HSA provider. Make sure to evaluate investment options, minimums, and any fees at new HSA providers. Request that your old HSA provider rolls over the cash to your new provider. Keep contributing to and investing through your HSA.

Related links