Get the free HEALTH SAVINGS ACCOUNT CONTRIBUTION FORM

This form is used for making contributions to a Health Savings Account (HSA), including one-time increases from longevity/overtime, new contributions, and changes to existing contributions.

How to fill out health savings account contribution

How to fill out HEALTH SAVINGS ACCOUNT CONTRIBUTION FORM

1. Obtain the HEALTH SAVINGS ACCOUNT CONTRIBUTION FORM from your HSA provider or website.
2. Fill in your personal information including your name, address, and Social Security number.
3. Enter the tax year for which you are making the contribution.
4. Indicate the amount you wish to contribute to your HSA for that tax year.
5. Specify if this contribution is coming from an employer, yourself, or a third party.
6. Review any instructions regarding contribution limits for the specific year.
7. Sign and date the form to certify the information provided is accurate.
8. Submit the completed form to your HSA provider, either digitally or via mail.

Who needs HEALTH SAVINGS ACCOUNT CONTRIBUTION FORM?

1. Individuals who have a qualifying High Deductible Health Plan (HDHP) and wish to make contributions to their Health Savings Account (HSA).
2. Employers wishing to contribute on behalf of their employees.
3. Anyone looking to take advantage of tax benefits associated with HSA contributions.

People Also Ask about

What is the form for HSA contributions?

File Form 8889 to: Report health savings account (HSA) contributions (including those made on your behalf and employer contributions). Figure your HSA deduction. Report distributions from HSAs.

What is a HSA contribution?

A type of savings account that lets you set aside money on a pre-tax basis to pay for qualified medical expenses. By using untaxed dollars in an HSA to pay for deductibles, copayments, coinsurance, and some other expenses, you may be able to lower your out-of-pocket health care costs.

How do I report HSA contributions?

If you contribute to an HSA, or take a distribution, you need to complete and file IRS Form 8889 with your tax return. You have until April 15, 2026, to make contributions to your HSA for 2025, up to the applicable annual limit.

What is form 8889 part 2?

Form 8889, Part II, is used by taxpayers to report distributions from an HSA. Taxpayers receive tax-free distributions from an HSA to pay or be reimbursed for qualified medical expenses. The taxpayer will have to tell you what types of expenses were paid or reimbursed with the distribution.

How to contribute to a health savings account?

If your employer doesn't allow for tax-free payroll deductions or if you are enrolled in a privately held HSA, you may contribute to your HSA by writing a check or by electronically transferring money.

For pdfFiller’s FAQs

What is HEALTH SAVINGS ACCOUNT CONTRIBUTION FORM?

The Health Savings Account Contribution Form is a document used to report contributions made to a Health Savings Account (HSA), which allows individuals to save money for medical expenses on a tax-free basis.

Who is required to file HEALTH SAVINGS ACCOUNT CONTRIBUTION FORM?

Individuals who make contributions to a Health Savings Account, including both employers and employees, are required to file the Health Savings Account Contribution Form.

How to fill out HEALTH SAVINGS ACCOUNT CONTRIBUTION FORM?

To fill out the Health Savings Account Contribution Form, individuals need to provide personal information including their name, Social Security number, and details about contribution amounts, as well as the type of contributions being made.

What is the purpose of HEALTH SAVINGS ACCOUNT CONTRIBUTION FORM?

The purpose of the Health Savings Account Contribution Form is to ensure accurate reporting of contributions to HSAs for tax purposes and to maintain compliance with IRS regulations.

What information must be reported on HEALTH SAVINGS ACCOUNT CONTRIBUTION FORM?

The information that must be reported on the Health Savings Account Contribution Form includes the account holder's personal details, the amount contributed, the type of contributions (individual or employer), and the tax year for which the contributions are being reported.