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This document provides instructions for completing Form 8853, which is used to report contributions to Archer Medical Savings Accounts (MSAs) and distributions from Archer MSAs or Medicare+Choice
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How to fill out form 8853

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How to fill out Form 8853

01
Obtain Form 8853 from the IRS website or your tax software.
02
Fill out your personal information at the top of the form, including your name, address, and Social Security number.
03
If applicable, complete Part I by providing details of any Health Savings Accounts (HSAs) you contributed to during the tax year.
04
In Part II, report any distributions from your HSAs and specify the purpose of the distribution.
05
Provide information about any Archer Medical Savings Accounts (MSAs) in Part III, if you have one.
06
Double-check all entries for accuracy and completeness.
07
Sign and date the form before submitting it with your tax return.

Who needs Form 8853?

01
Individuals who made contributions to Health Savings Accounts (HSAs) during the tax year.
02
Taxpayers who received distributions from HSAs or Archer MSAs.
03
People who are claiming a tax deduction for the contributions made to their HSAs.
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People Also Ask about

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.
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.
The Form 1099-LTC report reflects payments made directly to you as well as those payments made to third parties on your behalf. People are often surprised to receive this report.
Form 1099-C. Lenders or creditors are required to issue Form 1099-C, Cancellation of Debt, if they cancel a debt owed to them of $600 or more. Generally, an individual taxpayer must include all canceled amounts (even if less than $600) on the "Other Income" line of Form 1040.
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.
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 can't be another person's dependent.
Form 8233. The Form 8233 (pdf) should be used by nonresident alien students, teachers, and researchers to claim exemption from withholding on compensation for services that is exempt from taxation under a U.S. tax treaty. View IRS instructions for completing the form (pdf).
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.

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Form 8853 is used to report the Health Savings Account (HSA) and other tax-favored health plans, including Archer Medical Savings Accounts (MSAs) and Health Reimbursement Arrangements (HRAs).
Individuals who have contributions to a Health Savings Account (HSA), or who received distributions from an Archer MSA or other similar health accounts must file Form 8853.
To fill out Form 8853, taxpayers need to provide information about their HSAs or MSAs, including contributions made, distributions received, and any qualified medical expenses paid. Specific instructions and guidelines are available in the IRS instructions for Form 8853.
The purpose of Form 8853 is to report contributions to and distributions from health savings accounts and other tax-favored plans, allowing the IRS to verify compliance with tax laws related to these accounts.
Form 8853 requires reporting information such as the contributions made to HSAs, distributions taken from HSAs, contributions or distributions related to Archer MSAs, and any adjustments necessary in connection with these accounts.
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