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IRS Form 8889: Health Savings Accounts

Many employers offer health savings accounts (HSAs) to their employees as a tax-advantaged way to pay eligible medical expenses. However, it’s the employee’s responsibility to properly report their HSA contributions and deductions as part of their income tax return. This article will walk you through IRS Form 8889 to do just that.

Additionally, we’ll address some of the most commonly asked questions that HSA holders ask about their health savings accounts when they approach their tax filing deadline. Let’s start with a little background information on the form itself.

What is IRS Form 8889?

IRS Form 8889, Health Savings Accounts, is the IRS tax form that a taxpayer will use when reporting certain activities to the Internal Revenue Service within their HSA from the prior year. These activities include:

  • Employee HSA contributions
  • Employer HSA contributions
  • HSA tax deductions resulting from contributions to your HSA account
  • HSA distributions
  • Taxes and penalties, if applicable

Who must file IRS Form 8889?

All taxpayers must file this form who meet one or more of the following circumstances:

  • You (or someone on your behalf, including your employer) made contributions for the prior tax year to your HSA.
  • You received HSA distributions in the previous tax year.
  • You must include certain amounts in income because you failed to be an eligible individual during the testing period.
  • You acquired an interest in an HSA because of the death of the account beneficiary.

Let’s go on to walk through the tax form itself.

How do I complete IRS Form 8889?

The HSA form contains 3 parts, which we’ll walk through, step by step. Before we get to the tax form, we should note a couple of things.

Taxpayer information

Your tax preparation software should automatically enter your name and Social Security number from your Form 1040. If you are filing a joint tax return and your spouse also has an HSA, then you’ll need to complete a Form 8889 for each spouse.

Before you begin

If necessary, you may also have to file IRS Form 8853. This pertains to taxpayers who have one or more of the following:

  • Archer MSA (Medical savings account)
  • Medicare Advantage MSA
  • Long Term Care Insurance contracts
  • Taxable accelerated life insurance benefits

Let’s begin with Part I, where you report contributions and calculate any HSA deduction.

Part I: HSA contributions and deduction

In Part I, you’ll determine the following:

  • Your HSA deduction,
  • Any excess contributions you made (or those made on your behalf), and
  • Any excess contributions made by an employer

Line 1

Check the box to indicate whether your high-deductible health plan (HDHP) covers medical care for yourself only, or your family. If you have self-only coverage, your maximum tax deduction for the tax year is $3,650. For family coverage, your maximum deduction is $7,300.

Line 2: HSA contributions you made

Enter the amount that either you contributed to your HSA or that someone contributed on your behalf during the previous year.

Do not include any of the following:

  • Employer contributions
  • Contributions through a cafeteria plan
  • Rollovers from another HSA

What is an HSA rollover?

A rollover is a tax-free distribution (withdrawal) of assets from one HSA or Archer MSA that is reinvested in another HSA of the same account beneficiary. Generally, you must complete the rollover contribution within 60 days after you received the distribution.

Tax tip: Your tax advisor or financial advisor can usually help you with the rollover of HSA funds from one plan to another before you start. This may help avoid additional taxes or an unexpected increase in your taxable income.

Line 3

If you were under age 55 at the end of the calendar year, and you maintained your high deductible health plan coverage the entire year, you can enter:

  • Self-only plan: $3,650
  • Family plan: $7,300

If this does not apply to your situation, you may need to refer to the form instructions to determine the amount you should enter in this field.

Line 4: Archer MSA contributions during the tax year

If you have an Archer MSA and you contributed to it during the tax year, carry the amount over from Form 8853, Lines 1 and 2. If you did not, then leave this blank and proceed to Line 5.

Line 5

Subtract Line 4 from Line 3. If you do not have an Archer MSA or did not contribute to it during the year, then this amount will be the same as Line 3.

If the result equals zero or less, enter ‘0.’

Line 6

Carry over the number from Line 5.

If you and your spouse have separate HSAs and had family coverage under a high deductible health plan during the tax year:

  • Then split this amount equally between you and your spouse, or decide on a different allocation that you and your spouse can agree to. Enter your allocation in Line 6

If you and your spouse have separate HSAs but were not considered to have family coverage during the tax year:

  • Refigure the contribution limit that would have been entered on Line 5 if you had entered on Line 3 the total of the worksheet amounts only for the months you were treated as having family coverage.
    • When refiguring line 5, use the same amount you previously entered on line 4.
  • Divide the refigured contribution limit equally between you and your spouse, unless you both agree on a different allocation (such as allocating nothing to one spouse).
  • Enter your allocation in Line 6
irs form 8889 Part I, HSA contributions and deduction

Line 7: Additional contribution amount

If you were age 55 or older at the end of the year, married, and you had family coverage at any time during the tax year, enter your additional contribution amount.

For taxpayers with coverage for the entire tax year, your additional contribution amount is $1,000.

If you did not have coverage the entire tax year, then you must calculate your additional contribution amount by dividing the number of months you did have coverage by 12. Multiply this number by $1,000.

For example, if you only had HDHP coverage for 6 months out of the year, then your additional coverage amount would be $500 (6/12 X $1,000 = $500).

Line 8

Add Line 6 and Line 7.

Line 9: Employer contributions

Include any contributions your employer made for the previous tax year. These contributions should be indicated on your Form W-2, Box 12, with Code ‘W.’

If you received either of the following, you should complete the employer contribution worksheet (see below).

  • Contributions for the given tax year, but received after the tax year (i.e. contributions for 2022 received in 2023)
  • Contributions received in the given tax year for the previous tax year (i.e. contributions for 2021 received in 2022)
employer contribution worksheet

Line 10: Qualified HSA funding distribution

A distribution from your traditional IRA or Roth IRA to your HSA in a direct trustee-to-trustee transfer is called an HSA funding distribution. Note that these funds are not being distributed from your HSA, but rather are being distributed from your IRA and contributed to your HSA.

The qualified HSA funding distribution:

  • is not included in your taxable income
  • Is not deductible, and
  • Reduces the amount that can be contributed to your HSA by you and from other sources

Generally, you can only make 1 qualified HSA funding distribution in your lifetime.

Line 11

Add Line 9 and Line 10. This represents the total contributions to your HSA plan.

Line 12

Subtract Line 11 from Line 8. If this results in a negative number, enter ‘0.’

Line 13: HSA deduction

Enter the smaller of:

  • Line 2
  • Line 12

Enter this number on Line 13 and on Schedule 1 (IRS Form 1040), Part II, Line 13. If Line 2 is greater than Line 13, you may have to pay an additional tax by completing IRS Form 5329.

However, you may avoid the additional taxes by withdrawing excess contributions as follows:

  • You withdraw the excess contributions no later than the due date, including extensions, of your annual tax return
    • You can make the withdrawal during the 6-month period after the due date if you also file an amended tax return marked, “Filed pursuant to section 301.9100-2.”
  • You do not claim a deduction for the amount of the withdrawn contributions
  • You also withdraw any income earned on the withdrawn contributions and include the earnings in “Other income” on your tax return for the year you withdraw the contributions and earnings
    • You will pay additional taxes on this other income

Part II: HSA Distributions

Line 14: Total distributions

In Line 14a, enter the total distributions you received during the tax year from all HSAs. This includes:

  • Any amounts paid with a debit card that restricts payments to health care and
  • Amounts withdrawn by other individuals that you have designated

These amounts should be shown in Box 1 of IRS Form 1099-SA. The 1099 SA form is one of the HSA tax forms you should receive from the financial institution managing your account.

In Line 14b, enter any HSA rollover amounts or any excess contributions that were properly withdrawn by the due date of your federal tax return.

In Line 14c, subtract Line 14b from Line 14a.

Line 15: Qualified medical expenses

Only include distributions from your HSA that were used to pay you for qualified medical expenses that were:

  • Not reimbursed by insurance or other coverage and
  • That you incurred after the HSA was established

What are qualified medical expenses?

Generally, qualified medical expenses are unreimbursed medical expenses that you could otherwise deduct on Schedule A of your tax return.

Any unreimbursed amounts you pay for testing or preventing the spread of COVID-19 for yourself, your spouse, or your dependents are qualified medical expenses that you can reimburse from an HSA. This includes:

  • Masks
  • Hand sanitizer
  • Sanitizing wipes
  • Home testing kids

Line 16: Taxable HSA distributions

Subtract Line 15 from Line 14c. If zero or less, enter ‘0.’ Also include this number on Schedule 1, Part I, Line 8f.

Line 17: Tax

Check the box for any distributions that meet the exceptions to the additional 20% tax. This includes any distributions made after the account beneficiary dies, becomes disabled, or turns age 65.

For any amounts that don’t qualify for one of the exceptions, multiply that number by 20% and enter it in Line 17b. Also include that amount on Schedule 2, Part II, Line 17c.

irs form 8889 Part II, HSA distributions

Part III: Income and additional tax for failure to maintain HDHP coverage

Line 18: Last-month rule

If you are an eligible individual on the first day of the last month of your tax year, you are considered to be an eligible individual for the entire year. However, you must remain an eligible individual during the testing period. The testing period is the 12 month period:

  • Beginning with the last month of the tax year
  • Ending on the last day of the 12th month following the last month of the tax year

If you fail to remain an eligible individual during this period, you will have to include the total contributions that would have been made as part of your income in the year in which you fail to be an eligible individual.

This amount is subject to a 10% additional tax.

Line 19: Qualified HSA funding distribution

Enter the total of any qualified HSA funding distribution, outlined in Line 10.

Line 20: Total income

Add Lines 18 and 19. Include this amount on Schedule 1, Part I, Line 8f.

Line 21: Additional tax

Multiply Line 20 by 10%. Include this amount in the total on Schedule 2, Part II, Line 17d.

irs form 8889 Part III, income and additional tax for failure to maintain hdhp coverage

Where can I find IRS Form 8889?

You may find a copy of this tax form on the IRS website or by downloading the file below.