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The Internal Revenue Service (IRS) requires the bank/financial institution that administers our HSA accounts to issue IRS Form 1099-SA if you took a distribution from your HSA during the previous tax year. These forms are mailed directly by the bank/financial institution to our domestic medical insurance participants.
You will be asked to input information from this form when filing your taxes. We’ve provided descriptions of some of the fields on the form below.
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Box 3 – Distribution code. This code identifies the type of distribution that occurred. Please see the reverse side of your IRS Form 1099-SA for official IRS code definitions. Provided you only use the funds to pay qualified medical expenses, box 3 should show the distribution code No. 1, which indicates normal tax-free distributions. If you get a distribution code No. 5 in box 3 of a 1099-SA, it means you did not use all distributions from your account for qualified medical expenses. That means you must report some of the distribution on your tax return.
If your 1099-SA indicates you did not use the distribution for qualified medical expenses, you will pay income tax on the portion you used for unqualified expenses. You report the taxable amount on the “other income” line of your tax return and write “HSA” beside it. You will also have to pay an additional tax of 20 percent on the taxable portion of your distribution, which you’ll calculate on Form 8889.
Box 5 – HSA. This box shows the type of account that is reported on this IRS Form 1099-SA.
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The Internal Revenue Service (IRS) requires the bank/financial institution that administers our HSA accounts to issue IRS Form 5498-SA to anyone who maintained a HSA account during the previous tax year. These forms are mailed directly by the bank/financial institution to our domestic medical insurance participants.
You won't need this form to file your taxes but it is important to retain it with your tax records in case you are audited. We’ve provided descriptions of some of the fields on the form below.
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For 1099-SA 5498-SA forms covering 2018: Highmark's helpline 1-866-472-0924 (Acclaris doesn't have a direct customer service phone number to call - you'll need to contact Highmark. Highmark can help you register to access your HSA account online and then they can access your form to send you or they can assist you in how to access the form online).
Where can I find a duplicate copy of my 1099-SA /5498-SA Form?
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