Form 8851, Summary of Archer MSAs
Trustees and custodians of Archer Medical Savings Accounts (MSAs) use this form to report:
- the total number of Archer MSAs they established,
- the total number of previously uninsured account holders,
- the total number of excludable account holders, and
- the names and social security numbers (SSNs) of account holders.
Other Items You May Find Useful
Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans
Form 1099-SA, Distributions From an HSA, Archer MSA, or Medicare Advantage MSA
Form 5498-SA, HSA, Archer MSA or Medicare Advantage MSA Information
Form 8853, Archer MSAs and Long-Term Care Insurance Contracts
Comment on Form 8851
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