About Form 8853, Archer MSAs and Long-Term Care Insurance Contracts

Use Form 8853 to:

• Report Archer MSA contributions (including employer contributions.
• Figure your Archer MSA deduction.
• Report distributions from Archer MSAs or Medicare Advantage MSAs.
• Report taxable payments from long-term care (LTC) insurance contracts.
• Report taxable accelerated death benefits from a life insurance policy.

Current revision

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