Use this form 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, or
- Report taxable accelerated death benefits from a life insurance policy.
None at this time.
Other Items You May Find Useful
About Publication 502, Medical and Dental Expenses
About Publication 590-A, Contributions to Individual Retirement Arrangements (IRAs)
About Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans
Comment on Form 8853
Use the Comment on Tax Forms and Publications web form to provide feedback on the content of this product. Although we cannot respond individually to each comment, we do appreciate your feedback and will consider all comments submitted.
CAUTION: We cannot respond to tax-related questions submitted using this page. Instead, please see our Tax Law Questions page.