Form 1099-SA, Distributions From an HSA, Archer MSA, or Medicare Advantage MSA
File this form to report distributions made from a:
- health savings account (HSA),
- Archer Medical Savings Account (Archer MSA), or
- Medicare Advantage Medical Savings Account (MA MSA).
The distribution may have been paid directly to a medical service provider or to the account holder. A separate return must be filed for each plan type.
General Instructions for Certain Information Returns (Forms 1097, 1098, 1099, 3921, 3922, 5498, and W-2G)
Other Items You May Find Useful
Notice 2004-50, Health Savings Accounts—Additional Qs&As
Comment on Form 1099-SA
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