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Forms & Descriptions
Tax-subsidized Medical Expenses
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Forms and Descriptions


 IRS Form 1099-SA

This form provides you with the total distributions that were made from your Health Savings Account. You will receive a separate 1099-SA for each type of distribution you had in that tax year. The five types of distributions are normal, excess contribution removal, death, disability and prohibited transaction. If you did not have distributions during the tax year, you will NOT receive a 1099.


 IRS Form 5498-SA

This form provides you with the contributions that you made to your Health Savings Account in that tax year. Since accountholders have the right to make contributions to their HSA for a tax year until April 15th of the following year, this form is sent out in May of the following year.

Click here for a list of frequently asked questions about IRS Form 5498-SA.


 IRS Form 8889

HSA contribution form. This form must be completed by the accountholder and attached to the 1040 Form.


For more information on tax forms and descriptions click on the links below:
http://www.ustreas.gov/offices/public-affairs/hsa/forms/

US Treasury links to Frequently Asked Questions
http://www.ustreas.gov/offices/public-affairs/hsa/faq.shtml

Federal Tax Filing Forms

You can use these downloadable forms to report the information you need to file with the IRS. The same forms are available through the Internal Revenue Service.
http://www.ustreas.gov/offices/public-affairs/hsa/technical-guidance/



Eligible and ineligible expenses

For information on Eligible and ineligible expenses, including tax-subsidized medical expenses visit

 IRS Publication 502 - Qualified Medical and Dental Expenses.


Related Information
Frequently Asked Questions
  About Definity HSAs
  IRS Guidelines
  Tax Resource Center

HSA Tools
HSA Calculator
  An Introduction to HSAs
HSA User Guide