Get the free HSA Employee Contribution Change Form - cscc

Este formulario permite a los empleados de Columbus State Community College solicitar cambios en sus contribuciones a la HSA. Los empleados deben proporcionar información personal y detalles sobre

How to fill out hsa employee contribution change

How to fill out HSA Employee Contribution Change Form

1. Obtain the HSA Employee Contribution Change Form from your HR department or company website.
2. Fill in your personal details, including your name, employee ID, and department.
3. Indicate the current contribution amount you wish to change.
4. Specify the new contribution amount you want to set.
5. Make sure to check the contribution limits set by the IRS for the tax year.
6. Sign and date the form to confirm your request.
7. Submit the completed form to your HR department or benefits administrator by the designated deadline.

Who needs HSA Employee Contribution Change Form?

1. Employees currently participating in a Health Savings Account (HSA) who wish to change their contribution amounts.
2. Individuals looking to adjust their payroll deductions related to HSA contributions.

People Also Ask about

Is there a 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.

Do I get a 1099 for my HSA?

You'll get Form 1099-SA if you used funds in your Health Savings Account (HSA) or a Medical Savings Account (MSA) to pay for health care expenses.

Do I need to report HSA contributions on my tax return?

Form 8889 is submitted with your tax return via Form 1040 or Form 1040-SR to report a distribution from the account, even if it's not taxable. If you took a taxable distribution from your HSA, this is where you report that. You also report contributions and any deductions related to your HSA on this form.

Do I need to fill out form 8889?

You must file Form 8889 if any of the following applies. You (or someone on your behalf, including your employer) made contributions for 2024 to your HSA. You received HSA distributions in 2024. You must include certain amounts in income because you failed to be an eligible individual during the testing period.

Can an employee make change to their HSA contribution at any time?

For instance, contribution changes to 401(k) or similar defined contribution retirement plans, and to health savings accounts (HSAs), can be made at any time for any reason.

Do you get a form for HSA contributions?

IRS Form 8889 is used to report HSA contributions, distributions and your tax deductions. You will complete this form using IRS Forms 1099-SA and 5498-SA provided by HSA Bank.

Where can I download my HSA tax form?

How do I find my HSA tax forms? Log in to your account and select Manage My Reimbursement Account. Click the red menu on the top left, click My Accounts, then select Benefit Account Summary. Select the Tax Forms link in the Account Resources section. You may be prompted to complete a PDF verification step.

For pdfFiller’s FAQs

What is HSA Employee Contribution Change Form?

The HSA Employee Contribution Change Form is a document used by employees to request changes to their periodic contributions to a Health Savings Account (HSA).

Who is required to file HSA Employee Contribution Change Form?

Employees who wish to modify their HSA contribution amounts, whether increasing or decreasing them, are required to file the HSA Employee Contribution Change Form.

How to fill out HSA Employee Contribution Change Form?

To fill out the HSA Employee Contribution Change Form, an employee must provide personal details, specify the current contribution amounts, indicate the new desired contribution amounts, and sign and date the form before submitting it to the employer or HR department.

What is the purpose of HSA Employee Contribution Change Form?

The purpose of the HSA Employee Contribution Change Form is to facilitate changes in an employee's contributions to their Health Savings Account, allowing for adjustments based on financial needs or changing circumstances.

What information must be reported on HSA Employee Contribution Change Form?

The information required on the HSA Employee Contribution Change Form typically includes the employee's name, identification number, current contribution amount, new contribution amount, and the date of the requested change.