If Type 1099-SA confirmed up in your mailbox or inbox this yr, don’t let it scare you. On this information, we’ll break down what a 1099-SA kind is, why you bought it, and what you should do subsequent. By the top, you’ll know precisely the right way to report it in your revenue tax return and have one much less factor to fret about on Tax Day.
At a look:
- Type 1099-SA stories distributions from well being financial savings accounts and medical financial savings accounts.
- Withdrawals from these accounts are tax-free if used for certified bills.
- Nonqualified bills are topic to revenue tax plus further tax.
What’s a 1099-SA kind?
The Inner Income Service (IRS) formally calls Type 1099-SA Distributions From an HSA, Archer MSA, or Medicare Benefit MSA. Mainly, the company makes use of this kind to trace distributions constructed from your well being financial savings account (HSA), Archer Medical Financial savings Account (Archer MSA), or Medicare Benefit Medical Financial savings Account (MA MSA).
HSAs and MSAs defined
HSAs and MSAs are tax-advantaged accounts designed to assist People lined below a Excessive Deductible Well being Plan (HDHP) pay for certified medical bills. Contributions to those accounts are tax-deductible and might be invested, however there are contribution limits to how a lot cash you may add annually. Unspent contributions roll over from yr to yr till you want them. Typically, your employer might contribute to those accounts as properly. If you pull cash out of your HSA or MSA to cowl healthcare bills, the IRS desires to learn about it.
Right here’s why it issues: In the event you used the distribution cash for certified medical bills, you’re within the clear — no taxes, no penalties. However when you used it for a nonqualified expense, that cash is topic to revenue taxes plus a further penalty.
IRS Type 1099-SA instance
Type 1099-SA seems to be like this:

On the left of the shape, you’ll discover the contact data of the monetary establishment (payer) and their taxpayer identification quantity (TIN). Because the account holder, you’ll additionally see your data, account quantity, and TIN.
Now, let’s break down the important thing components of this kind and what every field means:
- Field 1: Gross distribution – That is the full distribution quantity you took out of your HSA or MSA through the yr. All distributions are reported right here, even when you used the funds for certified medical bills.
- Field 2: Earnings on extra contributions – In the event you contributed greater than the allowable restrict to your HSA or MSA, any earnings on these extra contributions are reported right here.
- Field 3: Distribution code – This quantity signifies the kind of distribution — whether or not it was for a certified medical expense, a non-medical expense, or another excuse completely (retirement, dying, incapacity, and so on.). You’ll be able to view the complete listing of codes on the IRS website. The code tells the IRS the right way to tax your distributions (if in any respect).
- Field 4: FMV on date of dying – This field solely applies if you’re a beneficiary of the HSA or MSA account and is usually for informational functions. It exhibits the honest market worth (FMV) of your account on the day the account holder died.
- Field 5: Kind of account – This checkbox tells you whether or not the distribution got here from an HSA, Archer MSA, or Medicare Benefit MSA.
Type 1099-SA directions
Okay, so now you already know what’s on the shape. However what do you truly do with it?
First, take a deep breath. In the event you withdrew cash for certified medical bills, you shouldn’t should pay taxes on it — however you do have to report it. Right here’s the right way to deal with it:
- Verify your data: Examine the quantity in Field 1 with your individual data. Be certain the distribution matches what you took out. In the event you discover an error, contact your plan administrator instantly to get it corrected.
- Report the distribution in your tax return: Taxable HSA distributions are reported on Type 8889, whereas taxable MSA distributions are reported on Type 8853. It’s best to report distributions from these accounts even when they aren’t taxable. If you e-file with TaxAct®, we assist you to fill out these kinds by asking questions on your 1099-SA.
- Non-qualified distributions: In the event you used the funds for non-medical bills, the distribution will probably be taxed, and also you’ll owe a further 20% penalty. Our software program might help calculate this, too, if wanted.
- E-file your return: When you’ve stuffed out the right kinds, TaxAct might help you e-file all the things electronically with our tax preparation software program. E-filing is quick, safe, and ensures the IRS will get your data rapidly.
FAQs about Type 1099-SA
How you can file Type 1099-SA with TaxAct
TaxAct’s intuitive software program takes the guesswork out of tax submitting, so you may confidently report your 1099-SA with ease. Relying on the kind of account you may have, you may report your 1099-SA distributions in 3 ways:
HSA distributions
- From inside your TaxAct return (Online or Desktop), click on Federal. (On smaller gadgets, click on within the high left nook of your display screen, then click on Federal).
- Click on the Well being Financial savings Accounts (HSA) dropdown as proven under, then click on HSA distributions.

3. Proceed with the interview course of till you attain the display screen titled Type 1099-SA – Kind of Account, then click on the circle subsequent to HSA.
Archer MSA distributions
- From inside your TaxAct return (Online or Desktop), click on Federal. (On smaller gadgets, click on within the high left nook of your display screen, then click on Federal).
- Click on the Different Changes dropdown as proven under, then click on Archer MSAs and Lengthy-Time period Care Insurance coverage Contracts.

3. Click on MSA Distributions and proceed with the interview course of to enter your data.
Medicare Benefit MSA distributions
- From inside your TaxAct return (Online or Desktop), click on Federal. (On smaller gadgets, click on within the high left nook of your display screen, then click on Federal).
- Click on the Different Earnings dropdown as proven under, then click on MSA Distributions (Type 1099-SA).

3. Click on + Add Type 1099-SA to create a brand new copy of the shape or click on Edit to edit a kind already created. (Desktop program: click on Evaluation as a substitute of Edit).
4. Proceed with the interview course of to enter your data.
The underside line
In the event you took distributions from an HSA or MSA through the tax yr, anticipate to obtain Type 1099-SA this season. Whether or not you used your distribution for certified medical bills or non-medical functions, TaxAct will assist you to report it correctly so you may relaxation simple understanding your taxes are squared away. Let TaxAct deal with the main points, and your taxes will probably be over with earlier than you already know it!
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