13 Apr, 2026

Form 5498-Sa: What It Is And What To Do With It

form 5498-sa: What It Is and What To Do With It
Written by: - Phil Baker

What is a 5498-sa Form and Do I Need It at Tax Time? The 5498-sa Form is attached to packages and letter sent from foreign countries, including Canada. The 5498-sa form itemizes information for duty and taxes as required by regulations in multiple countries. What is a 5498-sa form used for, how to verify correct 5498-sa form information and do you need a 5498-sa form for reference to print a pay stub online with a form 5498-sa form, HSA form or a pay stub generator. We can complete a 5498-sa form as well as create a form 5498-sa form, HSA form or online pay stub.

Key Takeaways

  • form 5498-sa: form 5498-sa word(s) report contains information from HSA, Archer MSA and/or Medicare Advantage MSA for contributions to IRS.
  • This form does NOT need to be attached to your tax return application. Please keep a copy for your records.
  • Your Employee Number (HSA) and Tax File Number (trustee) will be included on the end of year letter that is sent to you by EMP (May 31).
  • Review your form for accuracy and save it with other tax related documents.

what is form 5498-sa?

form 5498-sa - This is an IRS form that lists contributions that were put into your Health Savings Account (also known as HSA)) by your Archer MSA or Medicare Advantage MSA for the tax year. You will receive a copy of the form 5498-sa from your HSA or trustee. You receive a form 5498-sa for the tax year. This form is not filed with your tax return.

The form 5498-sa statement shows details of your contributions, your employer’s contributions. It also shows the end of year balance of your individual account and any interest that has been added to your account.

Can you please provide reference for the 2026 limits for the number of IRS that can sit on a single cap head hsa contributions. From my prior research, the limit for a single cap is $4,300. The limit for 4 caps would be $8,550. I believe this is the form that we would use for those with an high-deductible health plan.

Do You Need form 5498-sa for Your Taxes?

Professional reviewing financial documents

This Form Most People Don't Need To File is a non-starter for most people because they receive payroll checking as cash and their income is reported on their W-2s. However, for the self employed this form can be a useful tool to obtain a deduction on their net earnings from self employment (NESE). Their NESE is reported on their Form 1099-MISC and on Schedule K-1 received from any partnership or S corporation in which they are a partner or shareholder. This information is also reported on Form 1040 on their W-2.

This form is for your medical record. It is NOT needed for your provider's office to resubmit information that you have already provided to them on your HSA. Completed form goes to provider's office and copy goes to you for your record.

If the child care credit was subtracted from wages shown on your Form W-2, enter the amount shown on your W-2, in Box 12 with a Code W. Report this information on page 2 of the Child Care Credit Worksheet (5498-sa form).

Please keep this form with your after-tax contributions made with after-tax dollars. Report the total on Form 8889 for your tax deduction credit. Self-employed individuals and others who made personal contributions through paystubs (non-payroll income) should keep this form for their records. See reporting non-payroll income for more information. how to report freelance income without a 1099

Send by and when received: Your form 5498-sa package will be sent out to you within 5 to 7 working days from the date you ordered. Therefore, you

You will receive from your parent/guardian or farmer an HSA Statement of Work done and/or Income Earnings (trustee) or an custodian Income report statement to sign and return to them by May 31 (usually early June). You should receive your declaration of work or income form 5498-sa early June and it will cover all contributions earned in the previous tax year.

You will receive a form (HSA) in the mail from your bank or provider for this section. It will not come from your employer and you can expect to receive it in late spring.

Also, if you are 55 or older and contributed a catch-up contribution prior to April 15, we anticipate the trustee filed with the Social Security Administration in May to be accompanied by a revised hsa form 5498 wage transcription that will show the increased contribution.

5498-sa vs 1099-sa: What's the Difference?

Clean workspace with laptop and documents

form 5498-sa - Shows what you saved and reported on Form(s) contributions for your HSA or MSA. Form Form 1099-SA - Shows the amounts for which you are required to report distributions for medical expenses. You may receive both forms if you contributed to and also made withdrawals from a qualified medical expense arrangement for the year.

Once a contribution is made to an account (let’s say HSA) for a purpose of contributing $3000 towards the required contribution amount for qualified medical expenses, the contribution amount will also get reflected in your 5498-sa report for contributions. Similarly, the 1099-SA will report any distributions made in that account (let’s say $1200 for qualified medical expenses). For examples and images of 1099 forms in general, click here what a 1099 pay stub looks like

Detailform 5498-saForm 1099-SA
TitleReportscontributions (what you saved)Distributions (what you spent)
-Your HSA Email TagYour trustee Email Tag
DeadlineMay 31January 31
File withtax returnNoUsed forForm 8889
#CoversCovered by
CoversHSA, Archer MSA, MA MSAHSA, Archer MSA, MA MSA

You'll probably only see one form for your HL-10. If you didn't take any money out, the IRS won't require your HL-10 to report it and you won't receive a 1099-SA.

HSA and employer contributions on form 5498-sa

This form, the hsa 5498, breaks out the information from the contributions by box. Box 2 reports the total contributions for the tax year. Box 3 reports whether any contributions was made between January 1 and April 15 of the following year. Box 4 reports the total rollover contributions. Box 5 reports the ending balance of your account in fair market value as of December 31.

Employer contributions to HSA and/or FSA are not included in Key Words for HSA/FSA contributions, but they are included in W-2 in Box 12, Code W. This W-2 number (Box 12, Code W) includes your HSA payroll contributions and your employer contributions. For this reason, your 5498 sa form number and W-2 number may not be the same. For more details, please refer to HSA contributions on your W-2.

Common Mistakes To Avoid With Your 5498-sa

Its mostly good, but there are a couple of problems.

  • Filing it with your tax return: form 5498-sa is informational only. Do not attach to return.
  • contributions looks confusingly similar to another Enterprise issue. This is the issue number for the Enterprise itself, as opposed to Form 1099-SA which is the issue number for the Enterprise's problem of the month.
  • **Not reviewing your 5498-sa for accuracy and reporting discrepancies if you encounter something that appears to be incorrect. To report discrepancies, please contact your HSA administrator with your account number.

You may not receive a form 5498-sa this year if no contributions were created. Review the online provider portal under Statements or Tax Documents for submitted financial documents. Refer to the above guide for understanding what your HSA provider is submitting in these financial documents. If you need to know what each number of your paystubs mean, refer to our guide to understanding pay stub deductions.

You Might Also Like

Conclusion

form 5498-sa Keep with other tax related documents. Verify data is correct. Most people do not file for a refund 5498-sa tax form. Use to prove income for various purposes such as purchasing clothing, applying for a rental, or to procure a loan. Create a customized pay stub in under 2 minutes. Click here PayStubCreator.net

Create Your Pay Stub Now!

It takes an average of less than 5 minutes.

How are you paid?
Employment status
Select your state
Virginia
Create your paystubs in 4 easy steps
Your Pay stub Sample in black and white

Frequently Asked Questions

You don't have to attach this document to the tax return but may find it useful as a reference. If an after-tax hsa contributions was made, then the figures on the form should be completed on page 1 of Form 8889 to claim a deduction. Otherwise, it should be filed with tax returns.

These plans are related but present contributions and distributions differently. There will be one report that shows contributions (money going into your or MSA account) and another that will show distributions (money you took out for long-term care). For example, if you contributed to a plan and also took money out of the plan in the same year, you will receive two different reports for that year.

No form 5498-sa means no contributions for that year for HSA/Msa. If you believe contributions were made please contact the provider of your HSA or check online under Statements or Tax Documents. You can also request this information from your HR department.

This form does not include wages/salary or other types of income (taxable income). It is meant to report benefits such as HSA or MSA contributions. For proof of income you will need to get a pay stub and/or W-2 form for the year in question. Anchors Away taxable income can be completed in a few minutes if needed.

The annual contribution limit for the IRS plan for individual coverage in 2026 is $4,300 with the annual contribution limit for family coverage being $8,550. In addition, if you are 55 years of age or older you can make a catch-up contribution of $1,000 in each year. Your form 5498-sa will indicate whether contributions exceeded limits set by legislative changes.

Hi! How can I help you? Kris

Hi, there!

How can we help today?

Before we begin, please provide us with some quick information to assist you better:
Start the chat