Form 1099-SA - Distributions From an HSA, Archer MSA, or Medicare Advantage MSA

Distributions From an HSA, Archer MSA, or Medicare Advantage MSA

OMB: 1545-1517

IC ID: 18577

Documents and Forms

Document Name Document Type
Form 1099-SA Form 1099-SA - Distributions From an HSA, Archer MSA, or Medicare Advantage MSA Form
1099-SA Distributions From an HSA, Archer MSA or Medical Advantage MSA f1099-sa--2024-11-00.pdf Form
i1099-sa_and_5498-sa--2025-00-00_draft.pdf Instruction
i1099-general--2025-00-00.pdf Instruction