Form 5498-SA

Form 5498-SA is used by trustees or custodians to report contributions to a Health Savings Account, Archer Medical Savings Account or Medicare Advantage Medical Savings Account for the tax year. The form includes details such as total contributions, rollover contributions and the fair market value of the account at year end and is provided to the Internal Revenue Service and the account holder.

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Frequently asked questions

Form 5498-SA reports contributions made to Health Savings Accounts, Archer Medical Savings Accounts and Medicare Advantage Medical Savings Accounts along with rollover amounts and the fair market value of the account at year end. The form is filed with the IRS by the plan trustee and provided to the account holder and is informational not attached to the individual’s tax return.
The trustee or custodian of a Health Savings Account, Archer Medical Savings Account or Medicare Advantage Medical Savings Account must complete and file Form 5498-SA for each individual for whom they maintained such an account during the tax year.
Form 5498-SA is submitted to the Internal Revenue Service by filing Copy A with the IRS by the annual deadline typically May 31 following the calendar year being reported. The trustee also furnishes a copy to the account holder for their records.

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