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This document provides instructions for filing Forms 1099-SA and 5498-SA, detailing how to report distributions from Health Savings Accounts (HSAs), Archer Medical Savings Accounts (MSAs), and Medicare
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How to fill out i1099sa

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How to fill out I1099SA

01
Obtain form I-1099-SA from the IRS website or your tax provider.
02
Fill in your name and taxpayer identification number (TIN) at the top of the form.
03
Provide the recipient's name and TIN in the appropriate fields.
04
Report the total distribution amount in Box 1.
05
If applicable, enter any amounts related to excess contributions in Box 2.
06
Include any required state tax information in Box 3, if applicable.
07
Double-check all entered information for accuracy.
08
Sign and date the form before submitting it to the IRS and providing a copy to the recipient.

Who needs I1099SA?

01
Individuals who have taken distributions from Health Savings Accounts (HSAs), Archer Medical Savings Accounts (MSAs), or Medicare Advantage MSAs need to file form I-1099-SA.
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People Also Ask about

Do I need both Form 1099-SA and Form 5498-SA? Trustees are required to provide participants with both Form 1099-SA and 5498-SA. Form 1099-SA is of particular importance because participants use information from that document to report any distributions they received from an HSA, Archer MSA or MA MSA to the IRS.
The financial institution managing the account files Copy A with the IRS, sends you Copy B, and retains Copy C. You should receive Form 1099-SA in the mail. You do not need to submit it when you file your tax return, but you should hold onto it for your records.
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.
The financial institution managing the account files Copy A with the IRS, sends you Copy B, and retains Copy C. You should receive Form 1099-SA in the mail. You do not need to submit it when you file your tax return, but you should hold onto it for your records.
In addition to this data, Form 1099-SA includes your personal identifying information, such as your name, address, and taxpayer identification number. It also contains the same information for the “payer.” In this case, that's your HSA plan administrator.
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.
Form 1099 is used to report distributions and associated tax withholdings, while Form 5498 reports contributions, rollovers, FMVs, and RMDs. Both serve different purposes but are essential for accurate tax reporting. If you take a distribution and make contributions in the same year, you will likely receive both forms.
Form 1099-SA tells you the total distributions or payments that were made from your HSA. Form 5498-SA summarizes the contributions or deposits you made to your HSA in a particular tax year. You can also find your contribution information on your December HSA statement.

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I1099SA is a form used to report distributions from an HSA, Archer MSA, or Medicare Advantage MSA.
Entities that distribute funds from Health Savings Accounts (HSAs) or Medical Savings Accounts (MSAs) are required to file I1099SA.
To fill out I1099SA, you need to provide the payer's information, recipient's information, and the amount of distributions made during the tax year.
The purpose of I1099SA is to inform the IRS and the account holder of the distributions made from HSAs and MSAs for tax reporting purposes.
I1099SA must report the total distributions from the account, the account holder's identification information, and the payer's information.
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