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Health Savings Account (HSA) EMPLOYEE CONTRIBUTION FORM

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This document is an Employee Contribution Form for a Health Savings Account (HSA) at Key Bank, detailing the process for employees to authorize monthly deductions from their wages. It outlines contribution limits, deadlines for changes, and additional catch-up contributions for employees aged 55 and older. The form requires employee information and signatures to initiate the deduction process.

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Is there a form for HSA contributions?

IRS Form 8889 is used to report HSA contributions, distributions and your tax deductions. You will complete this form using IRS Forms 1099-SA and 5498-SA provided by HSA Bank.

How does an employer contribute to an employee HSA?

Employers can contribute to HSAs in one of two ways: either with or without a Section 125 plan. An IRS Section 125 plan is sometimes called a cafeteria plan. These programs have menus of benefits that employees can choose from, the same way youd choose items at a cafeteria.

Where do I get form 8889?

Go to .irs.gov/Form8889 for instructions and the latest information. Name(s) shown on Form 1040, 1040-SR, or 1040-NR Social security number of HSA beneficiary.

Do employer HSA contributions need to be reported on W-2?

Employer contributions (including an employees contribution through a cafeteria plan) are allowed to be made to an employees HSA. Generally, employer contributions are excluded from an employees income. Employer contributions are reported on Form W-2, Box 12 using code W.

How do I report my employer contribution to HSA?

payroll deductions for HSA and employer matching contributions for the same tax year are to be reported in box 12 code w on that years w-2.

How do I report employee contributions to HSA?

Use 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, and. Figure amounts you must include in income and additional tax you may owe if you fail to be an eligible individual.

How do I record employee HSA contributions?

Pre-tax - HSA contributions are pre-tax if its made pursuant through a cafeteria plan (Section 125 plan). The HSA amount will then be reported on Form W-2 in Box 12 with a W code. After-tax - If the contributions are deducted from the employees payroll after the taxes have been calculated.

Where are employee contributions to HSA reported?

For example, while contributions to Health Savings Arrangements (HSA) are not to be reported in Box 12, Code DD, certain HSA contributions are reported in Box 12, Code W (see General Instructions for Forms W-2 and W-3PDF).

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