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Form 5498-SA, HSA, Archer MSA, or Medicare Advantage MSA Information

Trustees and custodians of Health Savings Account (HSA), Archer Medical Savings Account (Archer MSA), and Medicare Advantage Medical Savings Account (MA MSA) file this form for each person for whom they maintained an HSA, Archer MSA, or Medicare Advantage MSA (MA MSA). A separate form is required for each type of plan.

Current Products

Recent Developments


Other Items You May Find Useful:

All Form 5498-SA Revisions

Publication 542, Corporations

Form 1099-SA, Distributions From an HSA, Archer MSA, or Medicare Advantage MSA

Other Current Products

Comment on Form 5498-SA

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Information reporting customer service site. If you have questions about reporting on forms 1096, 1097, 1098, 1099, 3921, 3922, 5498, W-2, W-2C, W-2G, W-3 and W-3C, you may call a toll-free number, 1-866-455-7438 or 304-263-8700 (not toll free). For TTY/TDD equipment, call 304-579-4827 (not toll free). The hours of operation are Monday through Friday from 8:30 a.m. to 4:30 p.m., Eastern time.

Page Last Reviewed or Updated: 28-Jan-2014