Are HSA distributions reported to IRS?

Asked by: Thaddeus Carroll  |  Last update: December 3, 2023
Score: 4.3/5 (67 votes)

An HSA distribution is a withdrawal from your health savings account. HSA distributions taken to pay for eligible medical expenses are not taxable, but they still must be reported to the Internal Revenue Service (IRS).

Does IRS check HSA distributions?

Verification of expenses is not required for HSAs. However, total withdrawals from your HSA are reported to the IRS on Form 1099-SA. You are responsible for reporting qualified and non-qualified withdrawals when completing your taxes.

Do you have to report HSA distributions on tax return?

If you (or your spouse, if filing jointly) received HSA distributions in 2022, you must file Form 8889 with Form 1040, Form 1040-SR, or Form 1040-NR, even if you have no taxable income or any other reason for filing Form 1040, Form 1040-SR, or Form 1040-NR.

What IRS form shows HSA distributions?

File Form 1099-SA to report distributions made from a: Health savings account (HSA).

Do you get a 1099 for HSA distributions?

A 1099-SA is a U.S. tax form that reports distributions made from a health savings account (HSA), Archer medical savings account (Archer MSA), or Medicare Advantage medical savings account (MA MSA). Its purpose is to show you (and the Internal Revenue Service) how much money you spent from your account.

Health Savings Account HSA Tax Forms and Tax Reporting Explained!

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Are HSA payouts taxable?

Money goes into and comes out of an HSA tax-free (as long as funds are used to pay for qualified medical expenses). Earnings to an HSA from interest and investments are tax-free. Distributions from an HSA to pay for qualified medical expenses are tax-free.

Do I need to report 1099-SA on taxes?

IRS Requirements

If you have an HSA, you need to include information from two IRS forms – Form 1099-SA and Form 8889 – on your 1040 tax form. Form 1099-SA reports the total distributions (withdrawals) made from your HSA account during the taxable year. Form 8889 reports all contributions made to your account.

What if I forgot to include a 1099-SA on my tax return?

If you catch the error before the IRS does, then you should file an amended tax return using Form 1040-X, Amended U.S. Individual Tax Return. Be sure to include a copy of the 1099 with the amended return and include a payment for any additional tax that you owe.

Where is HSA reported on tax return?

HSA distributions are reported to the account owner on Form 1099-SA. This form is issued by the financial institution. Form 8889 must be filed with your annual Form 1040 federal tax filing if you make contributions to or take distributions from an HSA.

What if I forgot to report my HSA on my tax return?

It's possible that processing could be delayed and your refund held up until you clear up the discrepancy. However, the most likely outcome is that your return will be processed as submitted, and then you will have to file an amended return to correct the issue.

Why do I have to report HSA on my taxes?

You are eligible for a tax deduction for additional contributions you made to your HSA even if you do not itemize your deductions. Contributions made to your HSA by your employer may be excluded from your gross income. The contributions remain in your account until you use them.

What is the tax penalty for HSA distribution?

IRS penalty and taxable income

Prior to age 65, if you use your money for non-qualified expenses, the IRS imposes a hefty HSA withdrawal penalty of 20 percent on the amount withdrawn.

What happens if you don't file Form 8889?

If you hold an HSA account (or are the beneficiary of a deceased HSA holder), you're required to attach Form 8889 to your Form 1040 when filing your personal income tax or information return. If you fail to do so, you'll be unable to deduct your HSA contributions.

Does IRS ask for HSA receipts?

The IRS requires that you keep receipts for all your Health Savings Account (HSA) spending. HSA distributions (money taken from an HSA account) are nontaxable, but only when the money is used to pay for qualified medical expenses.

How far back can the IRS audit you?

Generally, the IRS can include returns filed within the last three years in an audit. If we identify a substantial error, we may add additional years. We usually don't go back more than the last six years. The IRS tries to audit tax returns as soon as possible after they are filed.

Are HSA distributions considered medical expenses?

The taxpayer can receive tax-free distributions from an HSA to pay or be reimbursed for qualified medical expenses incurred after the taxpayer establishes the HSA. Qualified medical expenses include the medical expenses of the taxpayer, their spouse, or a dependent at the time the expense was incurred.

What is 1099 SA distribution?

File Form 1099-SA, Distributions From an HSA, Archer MSA, or Medicare Advantage MSA, to report distributions made from a health savings account (HSA), Archer medical savings account (Archer MSA), or Medicare Advantage MSA (MA MSA).

Will I get audited if I forgot a 1099?

Often, you'll receive a normal CP11 notice if you file returns with missing 1099s. But in more severe cases, the IRS might notify you that they want to “examine” you, which means you're getting an audit. The chances of the IRS auditing you are naturally very low if you've only lost a 1099 form.

What is the penalty for not filing a 1099 s?

There are maximum fines per year for small businesses. If a business intentionally disregards the requirement to provide a correct payee statement, it's subject to a minimum penalty of $570 per form in 2022 or 10% of the income reported on the form, with no maximum.

What happens if you don't report a tax form?

The penalty for not filing your return is typically 5% of the tax you owe for each month or partial month your return is late. This penalty also maxes out at 25% of your unpaid taxes.

How does HSA affect tax refund?

HSA Tax Advantages

Your contributions may be 100 percent tax-deductible, meaning contributions can be deducted from your gross income. All interest earned in your HSA is 100 percent tax-deferred, meaning the funds grow without being subject to taxes unless they are used for non-eligible medical expenses.

Why did I get a 1099 for my HSA?

The 1099-SA is used to report any distribution (withdrawal) of funds from your HSA during the prior year. You must report distributions from your HSA on IRS Form 8889.

Do I need to enter 1099-SA in TurboTax?

You'll get Form 1099-SA if you paid for medical or other expenses from your HSA or MSA during the tax year. Here's how to add it in TurboTax: Open or continue your return in TurboTax. Select Search and enter 1099-SA.

How do I pay taxes on my HSA withdrawals?

HSA distribution form for 2023

The trustee or custodian will send a copy of IRS Form 1099-SA to you and to the IRS. In turn, you will need to use the information on IRS Form 1099-SA to complete IRS Form 8889, which must be included with your 1040 form when you file your taxes if you have an HSA.

Should I max out my HSA?

Maxing out your HSA each year easily allows your funds to grow over time. Unlike regular savings accounts, an HSA allows you to invest funds in stocks, bonds, and mutual funds.