Form preview

Get the free Form 1099-SA

Get Form
Form 1099-SA is used to report distributions from Health Savings Accounts (HSA), Archer Medical Savings Accounts (MSA), and Medicare Advantage MSAs. This form includes details such as gross distributions,
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign form 1099-sa

Edit
Edit your form 1099-sa form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your form 1099-sa form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing form 1099-sa online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the professional PDF editor, follow these steps below:
1
Check your account. In case you're new, it's time to start your free trial.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit form 1099-sa. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
With pdfFiller, dealing with documents is always straightforward.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out form 1099-sa

Illustration

How to fill out Form 1099-SA

01
Obtain Form 1099-SA from the IRS website or your financial institution.
02
Provide your name and taxpayer identification number (TIN) in the appropriate fields.
03
Fill in the recipient's name and TIN, which is usually the individual who received the distribution.
04
Indicate the total distribution amount in Box 1.
05
If applicable, fill in the amounts for Box 2 (the earnings on the account) and Box 3 (the portion of the distribution that was a qualified medical expense).
06
If your financial institution has reported a distribution that is subject to further education, you'll need to select the correct checkbox, if relevant.
07
Send a copy of the form to the recipient and file the appropriate copy with the IRS.

Who needs Form 1099-SA?

01
Individuals who have received a distribution from a health savings account (HSA), Archer Medical Savings Account (MSA), or a Medicare Advantage MSA.
02
Financial institutions or administrators who manage these accounts and must report distributions to the IRS.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.9
Satisfied
27 Votes

People Also Ask about

The trustee of your HSA, Archer MSA, or MA MSA may provide other information about your account on this form. Note: Don't attach Form 5498-SA to your income tax return. Instead, keep it for your records.
Where does Form 5498-SA go on a tax return? Participants of an HSA, Archer MSA or MA MSA do not have to file Form 5498-SA with their individual income tax return. However, if distributions from any of these accounts were taxable, they should be noted on Schedule 1 of Form 1040, Part I, line 8e.
You don't need to enter information from your Form 5498 (IRA Contribution Information) into TurboTax like you do with a W-2 or 1099s. In most cases, you'll find the info needed for your return on other paperwork, such as a year-end summary statement or a Form 1099-R.
No. You aren't required to do anything with Form 5498 because it's for informational purposes only.
The only scenarios I can think of where a 1099-SA wouldn't be issued is either: (1) the HSA had zero balance during all of 2021 and you didn't actually withdraw anything, or (2) you did a trustee-to-trustee transfer to another HSA provider, which isn't reportable.
A 1099-SA is a U.S. tax form that reports distributions made from a health savings account (HSA), Archer medical savings account (Archer MSA), or Medicare Advantage medical savings account (MA MSA). Its purpose is to show you (and the Internal Revenue Service) how much money you spent from your account.
The 1099-SA form will be available mid-to-late January in your online account if you had distributions in the prior year. If you chose to get paper documents, you'll get your 1099-SA in the mail in late January/early February.
What happens if you don't report your HSA on taxes? You may owe penalties and interest for not reporting withdrawals of contributions on your tax return. For 2024, the interest rate for not paying taxes is 8%.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Form 1099-SA is a tax form used to report distributions from a Health Savings Account (HSA), Archer Medical Savings Account (MSA), or Medicare Advantage MSA.
Financial institutions or administrators that make distributions from HSAs, Archer MSAs, or Medicare Advantage MSAs are required to file Form 1099-SA.
To fill out Form 1099-SA, you need to provide the payer's information, recipient's information, the total distribution amount, the type of account and distribution, and any applicable tax withheld.
The purpose of Form 1099-SA is to inform the IRS and the account holder about distributions made from HSAs, Archer MSAs, and Medicare Advantage MSAs for tax reporting purposes.
Form 1099-SA must report the recipient's name, address, taxpayer identification number, the amount of distribution, the account type, and any federal income tax withheld.
Fill out your form 1099-sa online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.