2016 8853 form-2025

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  1. Click ‘Get Form’ to open the 2016 8853 form in our editor.
  2. Begin by entering your name and social security number at the top of the form. If applicable, include your spouse's information if filing jointly.
  3. In Section A, Part I, input total employer contributions and your personal contributions to your Archer MSA for the year. Ensure you follow the instructions for any limitations.
  4. Continue to Part II, where you will report distributions received from your Archer MSAs. Carefully subtract any rollovers from total distributions.
  5. If applicable, complete Section B for Medicare Advantage MSA distributions, ensuring to check any exceptions that may apply.
  6. Finally, fill out Section C regarding Long-Term Care Insurance Contracts. Be sure to provide accurate details about payments received and costs incurred.

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Use Form 8853 to: Report Archer MSA contributions (including employer contributions. Figure your Archer MSA deduction. Report distributions from Archer MSAs or Medicare Advantage MSAs.
At a glance: Form 1099-LTC reports payments from long-term care insurance policies and accelerated death benefits. Not all the benefits listed on this tax form may be taxable.
File Form 1099-R for each person to whom you have made a designated distribution or are treated as having made a distribution of $10 or more from: Profit-sharing or retirement plans. Any individual retirement arrangements (IRAs). Annuities, pensions, insurance contracts, survivor income benefit plans.
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.
You need to file Form 8853 if you contribute to an Archer MSA, receive distributions, inherit an MSA, or receive taxable payments from long-term care insurance or accelerated death benefits.
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This form is used by non resident alien individuals to claim exemption from withholding on compensation for personal services because of an income tax treaty or the personal exemption amount.
To be eligible for an Archer MSA, you (or your spouse) must be an employee of a small employer or be self-employed. You (or your spouse) must be covered under an HDHP and have no other health coverage except permitted coverage. You must not be enrolled in Medicare and cant be another persons dependent.

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