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Form 5498-SA data entry

To enter Form 5498-SA information, you can either:
  • Use UltraTax CS Source Data Entry.
  • Use the following table to find where to enter the information.
Form field
Folder > Screen
Field
Trustee's name
Health Care > 5498SA
Trustee Name
Trustee's TIN
Health Care > 5498SA
EIN
Participant's TIN, name, address
Health Care > 5498SA
Code the screen unit to T or S to indicate if the Recipient is the Taxpayer or the Spouse.
Account number
Health Care > 5498SA
Account number
Box 1 - Employee's or self-employed person's Archer MSA contributions made in
2023
 and
2024
 for
2023
Health Care > 5498SA
Total HSA/MSA contributions for
2023
Box 2 - Total contributions made in
2023
Health Care > 5498SA
Total HSA/MSA contributions for
2023
Box 3 - Total HSA or Archer MSA contributions made in
2024
 for
2023
Health Care > 5498SA
Total HSA/MSA contributions for
2023
Box 4 - Rollover contributions
Health Care > 5498SA
Rollover contribution
Box 5 - Fair market value of HSA, Archer MSA, or MA MSA
Health Care > 5498SA
FMV of HSA, Archer MSA, or MA MSA
Box 6 - HSA, Archer MSA, MA MSA
Health Care > 5498SA
Indicate type of health or medical savings account: HSA (Form 889), Archer MSA (Form 8853), Medicare Advantage MSA (Form 8853)
note
  • If you have multiple contributions to the same account, combine the amounts on one 5498SA screen. If you have multiple contributions to different accounts, make separate screen units for each account.
  • If the account is an HSA, you'll also need to complete
    Indicate type of coverage under qualifying high deductible health plan
     and
    Number of months in qualified high deductible health plan
     for Form 8889 to calculate.
    • If the
      Number of months in qualified high deductible health plan
       is less than 12 but you qualify for the Last Month rule, enter
      1, Yes
       in the
      HDHP in effect for December
      2023
       in the Form 8889, Health Savings Account section.
  • Include employer contributions and qualified HSA funding distributions from an IRA in the
    Total HSA/MSA contributions for
    2023
     field. Amounts you enter in the W-2 screen for
    Box 12
    , Code W and the
    Qualified HSA funding distribution
     field on the 1099R-3 screens will deduct from the total contribution amount you enter here.
    • If a W-2, Box 12, Code W amount includes contributions for a different tax year, or is for a 2 percent shareholder, adjust the amount for line 9 using the field on the
      Employer contributions (Force)
       field on this screen in the Form 8889, Health Savings Account section.

This article applies to:

  • Product: UltraTax CS
  • Return type: 1040 Individual
  • Tax jurisdiction: Federal
  • Subject: health-care

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