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  • Employer Cont. Form.doc - Freedomhsa

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Employer Contribution Form Employee Enrollment List for Employer-Sponsored HSAs Summit to: UMB HSA Processing P.O. Box 219531 Kansas City, MO 64121-9531 Please complete this form by providing Employee.

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SECTION 86SPECIAL SCHEDULES. SECTION 86SPECIAL SCHEDULES - Whitehouse Indiana Laws And Regulations For Prospective Vendor Department Of Children And Families

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While employer contributions to an HSA may be excluded from the employee's income, all employer contributions, including those made by the employee through a cafeteria plan, must be reported in box 12 of the employee's W-2.

Form 5498-SA reports your annual contributions to these tax-free accounts that you use to pay for medical expenses. Contributions to similar accounts, such as Archer Medical Savings Accounts and Medicare Advantage MSAs will also warrant a Form 5498-SA. This form must be mailed to participants and the IRS by May 31.

HIGHLIGHTS. As a general rule, amounts in an employee's HSA are not forfeitable and cannot be returned to the employer. However, the IRS allows for the return of HSA contributions in limited situations. The IRS recently recognized an employer's ability to recover HSA contributions that were made by mistake.

Contributions to an HSA are excludable from income and employment taxes if made by the employer. Earnings on amounts in HSAs are not taxable.

For example, while contributions to Health Savings Arrangements (HSA) are not to be reported in Box 12, Code DD, certain HSA contributions are reported in Box 12, Code W (see General Instructions for Forms W-2 and W-3PDF).

Don't forget that your employer's contributions count toward your total contribution limit. If you have single coverage and your employer adds $1,000 into your HSA, then you can only add up to the remaining $2,850.

Can HSA contributions be made outside of payroll deduction? HSA contributions can be made outside of payroll and deducted on Form 8889. Employees should be careful to not contribute more than the Internal Revenue Code limit.

Tax reporting is required if you have a Health Savings Account (HSA). You may be required to complete IRS Form 8889. HSA Bank provides you with the information and resources to assist you in completing IRS Form 8889 regarding your HSA.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232