Do I need to report HSA activity on my tax forms?

Yes, there are specific forms you will receive to properly complete your income tax return if you have an HSA. Below are a few of the necessary forms you will need to help you file your tax return correctly with the Internal Revenue Service (IRS).

NOTE: American Fidelity Assurance Company does NOT provide tax advice. If you have questions regarding how to fill out IRS Form 8889, you will need to consult a tax professional.

IRS Form 1099-SA reflects all distributions from your HSA for the previous tax year. You will only receive this tax form if you’ve taken distributions for the specific tax year. Forms are mailed out and made available to you through your online account at the end of January.

IRS Form 5498-SA indicates your total contributions from the previous tax year. These contributions can be made up until the federal tax-filing deadline (usually April 15) of the new tax year. Forms are mailed out and made available to you through your online account at the end of May.

If you had contributions deducted from your paycheck, you can find this information already included in your Form W-2 in box 12. You will not have to wait until the end of May for your contribution information.

IRS Form W-2 shows total contributions made to your HSA through your employer (both your own pre-tax contributions and any your employer makes on your behalf) in Box 12W. This form is provided to you by your employer.

IRS Form 8889 is used to report contributions, distributions, and your tax deductions. You or your tax professional will complete this form using IRS Forms 1099-SA and 5498-SA provided by American Fidelity.

IRS Resources:

Internal Revenue Service (IRS) website

IRS Publication 502 – Eligible and ineligible medical expenses.*

IRS Publication 969 – Health Savings Accounts and other tax-favored health plans

IRS Forms 1099-SA and 5498-SA  – Complete instructions for these forms

*While this is a guide, not all expenses in the publication are eligible expenses for reimbursement from the HSA. Please reference American Fidelity’s list of Health Savings Account (HSA) eligible expenses to ensure your expense is eligible under your employer’s plan. Other eligible expense lists may not be tailored to your employer’s plan.