E-file Form 1099-SA Online for 2022 Tax Year

Form 1099-SA, to report the distributions made from an:

The distribution may have been paid directly to a medical service provider or to the account holder and available at the end of January. A separate return must be filed for each plan type. HSA is reported on Box 12 with Code W in the W-2 Form, which includes the medical expenses. The filer may file more than one tax return 1099-SA when they have multiple accounts. This includes the total amount of the distribution, the total earnings distributed with any excess HSA or Archer MSA contributions, appropriate distribution code for the types of distribute n, FMV of the account on the date of death, and a checkbox to choose the type of distribution or the type of account to be chosen by the filer. The distributions will be taxed at a rate of 20%.

Distribution Codes for Distributions from HSAs, Archer MSAs, and Medicare Advantage MSAs:

Code Explanation
1—Normal distributions Use this code for normal distributions to the account holder and any direct payments to a medical service provider. Use this code if no other code applies.
2—Excess contributions Use this code for distributions of excess HSA or Archer MSA contributions to the account holder.
3—Disability Use this code if you made distributions after the account holder was disabled (see section 72(m)(7)).
4—Death distribution other than code 6 Use this code for payments to a decedent's estate in the year of death. Also, use this code for payments to an estate after the year of demise. Do not use with code 6.
5—Prohibited transaction See sections 220(e)(2) and 223(e)(2).
6—Death distribution after a year of demise to a non-spouse beneficiary Use this code for payments to a decedent's non-spouse beneficiary, other than an estate, after the year of demise. Do not use with code 4.

How to File Form 1099-SA?

The 1099-SA tax return is to report the distributions made from a Health Savings Account (HSA), Archer Medical Savings Account (Archer MSA), or Medicare Advantage Medical Savings Account (MA MSA). The filer must keep all receipts and records of medical expenses paid with their funds to document that distributions have been made exclusively for qualified medical expenses and submit them to the IRS by filing it.

1099 SA Form

Qualified Medical Expenses include

  • Most medical care and services
  • Dental and vision care
  • Prescription drugs and some over-the-counter drugs that are not covered by insurance

Watch our step-by-step video to E-file Form 1099-SA by Tax2efile

Who Must File Form 1099-SA?

Form 1099-SA is beneficial in many ways, it's always good to have assisting documents at tax time. Some filers use their HSA primarily to pay for their current healthcare expenses. Others use it as a long-term savings tool, investing the funds for tax-free earnings. There is no deadline for using the money. For your information, withdrawals for eligible medical expenses are tax-free at any age. The filer can use the fund for their medical expenses. In the tax year, an HSA, Archer MSA or MA MSA owner dies, generally, the spouse / any person related to the owner must file a Form 5498-SA and furnish a statement for the decedent.

When is the Form 1099-SA Deadline?

Filing Type Deadline
Recipient copy January 31st
IRS Paper Filing February 28th
IRS Electronic Filing March 31st

Note: If the due date/deadline falls on a Saturday, Sunday, or federal holiday, the filer will need to E-file on the next business day.

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