Category: Other Tax Forms
What is a 5498-SA?
Form 5498-SA, HSA, Archer MSA, or Medicare Advantage MSA Information
This form shows you the contributions, rollovers, transfers and distributions of any HSA, Archer MSA, or Medicare Advantage MSA account you have maintained during that year. For an example of this form please select the link below.
Sample of Form 5498- SA - Click Here