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This publication explains Archer MSAs and introduces Medicare+Choice MSAs, which were created to help self-employed individuals and employees of certain small employers meet their medical care costs.
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How to fill out publication 969

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How to fill out Publication 969

01
Gather your tax information including medical expenses and health account contributions.
02
Download or obtain a physical copy of Publication 969 from the IRS website.
03
Review the sections that pertain to your specific health account, such as HSAs or MSAs.
04
Fill out personal information at the top of the form, including your name and Social Security number.
05
Report contributions to your health accounts in the designated sections.
06
Calculate any distributions taken from your health accounts.
07
Follow the instructions for completing the worksheets included in the publication.
08
Double-check your entries for accuracy and completeness before submitting.

Who needs Publication 969?

01
Individuals who have Health Savings Accounts (HSAs).
02
Individuals who have Archer Medical Savings Accounts (Archer MSAs).
03
Taxpayers who need to report distributions from health accounts.
04
People filing for tax benefits related to medical expenses.
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To be an eligible individual and qualify for an HSA contribution, you must meet the following requirements. You are covered under a high deductible health plan (HDHP), described later, on the first day of the month. You have no other health coverage except what is permitted under Other health coverage, later.
Making excess contributions could result in you paying more in taxes because of penalties. But you can avoid penalties on excess contributions by taking money out of your account before the tax deadline. If you have unused funds in an HSA at the end of the year, the money will carry over to the following year.
Second, the IRS believes that, by default, that HSA distributions are taxable until you declare that they were all for qualified medical expenses. Thus as soon as you hit continue on the screens where you enter the 1099-SA, your refund is reduced (or your tax due increased) because it is temporarily considered taxable.
Distributions may be tax free if you pay qualified medical expenses. See Qualified medical expenses, later. An HSA is “portable.” It stays with you if you change employers or leave the work force.
Publication 969 explains the following programs: Health savings accounts (HSA). Medical savings accounts (Archer MSA and Medicare Advantage MSA). Health flexible spending arrangements (FSA).
HSA distributions are reported to the account owner on Form 1099-SA. This form is issued by the financial institution. Form 8889 must be filed with your annual Form 1040 federal tax filing if you make contributions to or take distributions from an HSA.
Any contributions above the IRS set limit will be considered as taxable income. If you over contribute to your HSA and don't correct it, you may be charged a 6% penalty rate each year on the excess that remains in your account.
Any HSA withdrawal you make without a qualified medical expense will be subject to income taxes. In addition to the income tax, you'll have to pay an additional 20% tax on the withdrawal.

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Publication 969 is a document published by the IRS that provides information regarding Health Savings Accounts (HSAs) and other tax-advantaged accounts, such as Archer Medical Savings Accounts (MSAs) and Medicare Advantage MSAs.
Taxpayers who have a Health Savings Account (HSA), Archer MSA, or Medicare Advantage MSA and are seeking to report contributions, distributions, and certain other information related to these accounts are required to file Publication 969.
To fill out Publication 969, individuals should gather all relevant information regarding their HSAs or MSAs, including contributions and distributions. The publication provides detailed instructions and worksheets to assist in completing the required forms accurately.
The purpose of Publication 969 is to educate taxpayers about the tax benefits of Health Savings Accounts, Archer MSAs, and Medicare Advantage MSAs, while also outlining the requirements to report related information accurately to the IRS.
Information that must be reported on Publication 969 includes contributions made to HSAs or MSAs, distributions from these accounts, and any excess contributions that need to be corrected, as well as details about eligible expenses.
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