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This article provides an overview of how to add distributions reported on Form 1099-SA to a tax return.

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About Form 1099-SA

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  • Taxpayers should receive Form 1099-SA if they received any distributions from a Health Savings Account, Archer Medical Savings Account, or Medicare Advantage Medical Savings Account.

  • Inquire if the taxpayer used all distributions for medical purposes.

  • Distributions not used for medical purposes will be taxed on the taxpayer’s return.

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  • Information from here is reported on Form 8889

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  • on the tax return.

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Entering 1099-SA Distributions on the Tax Return

Form 8889 may already be on the tax return, if the taxpayer made contributions to their HSA, and code “W” is entered on their W-2. If Form 8889 is already on the return, skip to step 4.

  1. Select Add Form.

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  2. Begin by typing 8889, into the search bar at the bottom of the All Forms and Schedules Menu.

  3. Select Form 8889. image-20241003-202401.pngImage Added

  4. Locate and highlight Form 8889 in the All Forms & Schedules Menu. Double-click to add the form.

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  5. If a joint return, choose New Taxpayer's or New Spouse's Occurrence.

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  6. Complete Line line 1a by indicating the coverage type as Self Only or Family. Complete Line 1b by entering the month coverage began.

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  7. Complete lines 1b and 1c as needed.

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  8. Enter the amount of distributions from the Form 1099-SA box 1 into Form 8889, line 14a (unless rolled over into another HSA).

  9. Enter the amount of qualified medical expenses on Line 15.

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    line 15(this will not be on the form you will need to ask the taxpayer).

    *Failure to enter qualified medical expenses will result in the distribution being taxable.

Need more help?  Watch our quick video below...

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