8853 form 2017-2025

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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.
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.
Go to .irs.gov/Form8853 for instructions and the latest information. Attach to Form 1040, 1040-SR, or 1040-NR. account holder.
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, Report taxable payments from long-term care (LTC) insurance contracts, or.
A tax-qualified long term care insurance contract qualifies for favorable federal income tax treatment. If the policy only pays benefits that reimburse you for qualified long-term care expenses you will not owe federal income tax on these benefits.

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The 1095-B form will be mailed by L.A. Care to individuals enrolled in the L.A. Care Covered Direct Plan. If you have any questions regarding your Form 1095-B, please contact L.A. Care at (855) 270-2327 (TTY: 711).

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