Tax5498SA_V100
OFX / Types / Tax5498SA_V100
Form 5498-SA - HSA, Archer MSA, or Medicare Advantage MSA Information
| # | Tag | Description | Type |
|---|---|---|---|
| 1 | SRVRTID | ServerIdType | |
| 2 | TAXYEAR | YearType | |
| 3 | VOID | BooleanType | |
| 4 | CORRECTED | BooleanType | |
| 5 | TRUSTEEADDR | TrusteeAddressType | |
| 6 | PARTICIPANTADDR | ParticipantAddressType | |
| 7 | TRUSTEEID | TRUSTEE’S federal identification number | GenericNameType |
| 8 | PARTICIPANTID | PARTICIPANT'S social security number | IdType |
| 9 | ACCTNUM | Account number | GenericNameType |
| 10 | MSACONTRIB | Box 1. Employee or self-employed person’s Archer MSA contributions made in 2017 and 2018 for 2017 | AmountType |
| 11 | TOTALCONTRIB | Box 2. Total contributions made in 2017 | AmountType |
| 12 | TOTALMADE | Box 3. Total HSA or Archer MSA contributions made in 2018 for 2017 | AmountType |
| 13 | ROLLOVER | Box 4. Rollover contributions | AmountType |
| 14 | FMV | Box 5. Fair market value OF HAS, Archer MSA, or MA MSA | AmountType |
| 15 | HSA | Box 6a. HSA | BooleanType |
| 16 | ARCHER | Box 6b. Archer MSA | BooleanType |
| 17 | MAMSA | Box 6c. MA MSA | BooleanType |
Usages:
- Tax5498Response TAX5498SA_V100