[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-303361-105":53,"doc-detail-303361-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","hsa-tax-form-checklist","HSA Tax Form Checklist","","HSA account holders receive specific IRS forms depending on prior-year HSA activity, including Form 1099-SA for distributions and Form 5498-SA for contributions, with availability dates noted for each. Federal income tax filing requires Form 1040, Form 8889 attached to Form 1040 to report contributions and distributions, and Form 5329 attached when excess contributions were not withdrawn by the deadline. Guidance also highlights limitations, state tax considerations, and references to IRS Publication 969.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/hsa-tax-form-checklist/303361/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/hsa-tax-form-checklist/303361.png","ImageObject",442,249,{"name":88,"@type":89},"Ivy","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-03","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"Which IRS form is received if you distributed funds out of your HSA in the prior year?","Question",{"text":108,"@type":109},"IRS Form 1099-SA is only provided if you distributed funds out of your HSA in the prior year, including rollover distributions.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Which IRS form is required to report HSA contributions and distributions on federal taxes?",{"text":113,"@type":109},"IRS Form 8889 must be attached to Form 1040 to report HSA contributions and distributions, including rollovers and withdrawals for excess contributions.",{"name":115,"@type":106,"acceptedAnswer":116},"When do you need IRS Form 5329 attached to Form 1040?",{"text":117,"@type":109},"IRS Form 5329 applies only if you reported excess contributions that were not withdrawn prior to the tax filing deadline.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},303361,1790183504,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":4},549758252649,"https://ap-avatar.wpscdn.com/avatar/8000253669c5317157?_k=1778319167496531819","Tax form checklist for your HSA  \nAs the tax season approaches, you may be asking yourself what you, as an HSA account holder, need to do differently when completing your tax forms. This checklist will help simplify what forms you should be aware of and what information will be required.  \n\n| You will receive the following forms from Optum Bank: |  | Received √ |\n| --- | --- | --- |\n| IRS Form 1099-SA Available online January 31 | This form is only provided if you distributed funds out of your HSA in the prior year (includes rollover distributions) . |  |\n| IRS Form 5498-SA Available online May 31 | This form is only provided if you contributed funds to your HSA in the prior year through April 15 of the current year (includes rollover contributions) .\u003Cbr>Note: if you contributed more than the allowed amount, the correction will appear in your distributions amount on Form 1099-SA. |  |\n\n\n| When completing your federal income taxes, you must obtain the following forms: |  | Received √ |\n| --- | --- | --- |\n| IRS Form 1040 | • Reports deductions for individual contributions\u003Cbr>• Reports taxable non-medical HSA distributions\u003Cbr>• Reports any 6% excise tax on excess contributions not withdrawn\u003Cbr>• Reports any 20% excise tax for non-medical distributions |  |\n| IRS Form 8889 (attach to Form 1040) | • Reports HSA contributions (by you, others and/or your employer); you must include all prior year contributions even if they are made in the current year\u003Cbr>• Reports HSA distributions (medical, non-medical, rollovers, withdrawals for excess contribution)\u003Cbr>• Reports HSA you acquire upon death of HSA owner\u003Cbr>Note: If married, you must complete separate Form 8889 for each spouse’s HSA. |  |\n| IRS Form 5329 (attach to Form 1040) | This form only applies if you reported excess contributions not withdrawn prior to the tax filing deadline. |  |\n\nThis checklist is not intended as tax or legal advice and it cannot be relied upon as such. Additional forms may be required for federal or state tax purposes . For more information on HSAs and tax or reporting requirements, please refer to IRS Publication 969. For copies of IRS forms and instructions, please visit the IRS website [at www.irs.gov/formspubs](at www.irs.gov/formspubs) .  \nHealth savings accounts (HSAs) are individual accounts offered by Optum Bank®, Member FDIC, and are subject to eligibility and restrictions, including, but not limited to, restrictions on distributions for qualified medical expenses set forth in section 213(d) of the Internal Revenue Code. State taxes may apply. Fees may reduce earnings on account. This communication is not intended as legal or tax advice. Please contact a competent legal or tax professional for personal advice on eligibility, tax treatment and restrictions . Federal and state laws and regulations are subject to change.  \nAll Optum trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners . Because weare continuously improving our products and services, Optum reserves the right to change specifications without prior notice. Optum is an equal opportunity employer.  \n© 2015 Optum, Inc. All rights reserved. A14778 50691-092015","cbCaitc0F65a9tKW","https://ap.wps.com/l/cbCaitc0F65a9tKW","pdf",44352,"English","# HSA tax form checklist\n## Optum Bank provided IRS forms\n## Federal income tax forms required\n## Important notices and references","[{\"question\":\"Which IRS form is received if you distributed funds out of your HSA in the prior year?\",\"answer\":\"IRS Form 1099-SA is only provided if you distributed funds out of your HSA in the prior year, including rollover distributions.\"},{\"question\":\"Which IRS form is required to report HSA contributions and distributions on federal taxes?\",\"answer\":\"IRS Form 8889 must be attached to Form 1040 to report HSA contributions and distributions, including rollovers and withdrawals for excess contributions.\"},{\"question\":\"When do you need IRS Form 5329 attached to Form 1040?\",\"answer\":\"IRS Form 5329 applies only if you reported excess contributions that were not withdrawn prior to the tax filing deadline.\"}]","HSA Tax Form Checklist | PDF",1789802499]