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Get the free Health Savings Account Distribution Request ... - Benefit Extras

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8772480510 8557176571 PO Box 6161 | Fargo, ND 581086161 mercermarketplaceaccounts@serviceaccount.comHealth Savings Account (HSA) Distribution Request/Account Closure Form Use this form to request
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How to fill out health savings account distribution

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How to fill out health savings account distribution

01
Log in to your health savings account provider's website or contact them directly.
02
Locate the distribution request form or section on the website.
03
Fill out the required information such as your name, account number, amount to be distributed, and reason for the distribution.
04
Specify whether you want the distribution to be made via check or direct deposit.
05
Submit the form online or mail it to the provided address.
06
Keep a copy of the form for your records.

Who needs health savings account distribution?

01
Individuals who have a health savings account and need to make a withdrawal or distribution from it.
02
Those who have eligible medical expenses that can be paid for using funds from their health savings account.
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A health savings account distribution is the withdrawal of funds from a health savings account to pay for qualified medical expenses.
Individuals who have taken a distribution from their health savings account are required to report it on their taxes.
To fill out a health savings account distribution, individuals must report the amount of the distribution on their tax return using Form 8889.
The purpose of a health savings account distribution is to allow individuals to use their HSA funds to cover medical expenses tax-free.
Individuals must report the amount of the distribution, any qualified medical expenses paid with the distribution, and any contributions made to the HSA during the tax year.
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