Data entry for Health Savings Account (HSA) distributions

Follow these data entry instructions to enter Health Savings Account (HSA) distributions reported on Form 1099-SA and contributions reported on Form 5498-SA. These forms can be used to report Archer MSA and Medicare Advantage MSA Accounts (reportable on Form 8853, Archer MSAs and Long-Term Care Insurance Contracts) or Health Savings Accounts (reportable on Form 8889, Health Savings Accounts [HSAs].)
Refer to the form instructions, and IRS Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans, for additional information.
W-2, Box 12, Code W:
Employer contributions will carry to Form 8889, Line 9.
  1. Go to the
    5498SA
    screen and enter
    Total contributions made for 2022
    , which includes employer and taxpayer contributions.
  2. Mark the checkbox for
    HSA
    and enter a selection in
    Indicate type of coverage under a qualifying high deductible health plan
    and
    Number of months in qualified high deductible health plan
    .

Screen 1099SA, Box 1

Enter the gross distribution in the
Gross distribution
field on the
1099SA
screen, located under the Health Care folder. The preparer must determine if Box 1 includes any excess contributions withdrawn, and the amount.

Screen 1099SA, Box 2

Earnings on excess contributions
entered in box 2 will only be reported on 1040 line 8 if
2 = Excess Contributions
is selected in Box 3
Distribution code
field.
If you're not using code
2 Excess Contributions
in box 3 and need to have the excess contributions reported on Form 1040, Schedule 1, line 8, follow these steps.
  1. In the Income folder, go to the
    Income
    screen.
  2. Open the
    Other Income
    statement.
  3. Enter the earnings with the
    Federal Code 6
    .
  4. Enter the earnings on excess contributions, plus any excess contributions withdrawn which were included in Box 1, in the
    Portion of gross distribution rolled over or withdrawal of excess contributions
    field on the
    1099SA
    screen.
Entering the earnings on excess contributions from Box 2 won't automatically calculate the 6% excise tax on excess contributions to be reported on Form 5329, Additional Taxes on Qualified Plans (including IRAs) and Other Tax-Favored Accounts.
To calculate the additional tax follow these steps.
  1. In the Taxes folder, go to the
    5329
    screen.
  2. Enter any fields necessary to complete Part VII - Additional Tax on Excess Contributions to Health Savings Accounts on Form 5329.
  3. Form 5329 will now show an additional tax, and the tax will be included on Form 1040.

Screen 1099SA, Box 3

Codes 3, 4, and 6 indicate an exception to the 10% penalty tax. A gross distribution entered in Box 1 with a distribution Code of 3, 4, or 6 entered in Box 3 will automatically include the amount in Box 2 as an exception to the additional tax. If a different amount should be used as the exception, enter it in the
Amount of exception to additional tax (Force)
field on the
1099SA
screen.

Screen 1099SA, Box 4

Enter the FMV at date of death in the
FMV on date of death
field on the
1099SA
screen. Any qualified medical expenses for the account holder that were paid by the taxpayer can be entered in the
If distribution due to death of account holder, enter qualified decedent medical expenses
field to the taxable amount of the distribution. No penalty will apply. Don't make any entry in this field if the distribution is not due to the death of the account holder.

Screen 1099SA, Box 5

This box indicates whether the distribution is from an HSA, Archer MSA, or Medicare Advantage MSA. This box must be marked.

Screen 5498SA, Box 2

Enter the total contributions to the HSA account that were made in the current tax year. This amount should include employer contributions and qualified HSA funding distributions, if applicable.

Screen 5498SA, Box 3

Enter this amount in the
Total HSA/MSA contributions for 2022
field.

Screen 5498SA, Box 4

Enter this amount in
Rollover contribution
on the 5498SA Screen.

Screen 5498SA, Box 5

Enter this amount in
FMV of HSA, Archer MSA, or MA MSA
on the
5498SA
screen. This amount is used in calculating any additional tax on excess contributions on Form 5329.

Screen 5498SA, Box 6

This box indicates whether the distribution is from an HSA, Archer MSA, or Medicare Advantage MSA. This box must be marked.
The
Indicate type of coverage under qualifying high deductible health plan
and
Number of months in qualified high deductible health plan
fields must be completed to calculate Form 8889.
If the high deductible health plan went into effect in 2010 and was in force at the end of the year, enter
Code 1
for "Yes" in the
HDHP in effect for December 2022
field in the Form 8889 - Health Savings Account section of the 5498SA Screen to qualify for the liberalized contribution limitation.

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