IRS Tax Form 5498-SA is an informational form that reports the total contributions made towards a Health Savings Account (HSA), Archer Medical Savings Accounts (MSA), and Medical Advantage MSA (MA MSA) to the IRS. You are required to file if you are the trustee or custodian of an HSA, Archer MSA, or MA MSA with a separate form for each type of plan.
You must report the receipt of a rollover from one Archer MSA to another Archer MSA, and receipt of a rollover from an Archer MSA or an HSA to an HSA.
Note: Do not report a trustee-to-trustee transfer from one Archer MSA or MA MSA to another Archer MSA or MA MSA, one Archer MSA to an HSA, or from one HSA to another HSA. For reporting purposes, contributions and rollovers do not include these types of transfers.
You are not required to file Form 5498-SA if a total distribution was made from an HSA or Archer MSA during the year and no contributions were made for that year. To learn more about Form 5498-SA, visit irs.gov.
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