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LOS RIOS COMMUNITY COLLEGE DISTRICT HSA ENROLLMENT FORM Instructions 1. 2. 3. Complete this form in order to open an HSA. (* Required Fields) Return completed form to the Los Rios Employee Benefits
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How to fill out about form 8889 health

01
To fill out Form 8889 Health, follow these steps:
02
Start by entering your personal information, such as your name, Social Security number, and address.
03
Report any distributions from health savings accounts (HSA) or Archer medical savings accounts (MSA). Include the distribution amount and any qualified HSA funding distributions.
04
Indicate if you had any excess contributions to your HSA or MSA and report the excess amount.
05
Calculate the taxable HSA distribution and report it on line 14a.
06
Determine if you qualify for the HSA/FSA Penalty Exception and enter the applicable codes if you do.
07
If you had any HSA or Archer MSA contributions made by your employer, report them on line 9.
08
Complete Part III of Form 8889 if you had a self-only HDHP or Part IV if you had family HDHP coverage.
09
Finally, sign and date the form before submitting it with your tax return.

Who needs about form 8889 health?

01
Form 8889 Health is needed by individuals who had a health savings account (HSA) or Archer medical savings account (MSA) and wish to report their contributions, distributions, and other related information for tax purposes.
02
You may need to fill out this form if you or your employer made contributions to your HSA or MSA, or if you had any distributions or excess contributions during the tax year.
03
It is important to consult the instructions for Form 8889 or a tax professional to determine if you meet the requirements for filing this form.
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Form 8889 is used to report contributions to and distributions from a Health Savings Account (HSA).
Anyone who has an HSA or who has made contributions to an HSA is required to file Form 8889.
Form 8889 can be filled out by following the instructions provided by the IRS on their website or by using tax preparation software.
The purpose of Form 8889 is to track HSA contributions, distributions, and account activity for tax reporting purposes.
Information such as total HSA contributions, distribution amounts, and account balances must be reported on Form 8889.
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