HSA, Archer MSA, or Medicare Advantage MSA Information

HSA, Archer MSA, or Medicare Advantage MSA Information

OMB: 1545-1518

IC ID: 18582

Documents and Forms

Document Name Document Type
Form 5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information Form
5498-SA HSA, ARCHER MSA OR MEDICARE ADVANTAGE MSA INFORMATION 2025 Form 5498-SA.pdf Form
i1099-sa_and_5498-sa--2025-00-00_draft.pdf Instruction
i1099-general--2025-00-00.pdf Instruction