Form 1099-SA - Distributions From an HSA, Archer MSA, or Medicare Advantage MSA

#	Tag	Description	Type
1	SRVRTID	ID assigned to document by server	ServerIdType
2	TAXYEAR	Tax year	YearType
3	VOID	Voided document	BooleanType
4	CORRECTED	Corrected document	BooleanType
5	PAYERADDR	Payer name and address	PayerAddressType
6	RECIPADDR	Recipient name and address	RecipientAddressType
7	PAYERID	PAYER'S federal identification number	GenericNameType
8	RECID	RECIPIENT'S identification number	IdType
9	ACCTNUM	Account number	GenericNameType
10	GROSSDIST	Box 1. Gross distribution	AmountType
11	EARNINGS	Box 2. Earnings on excess cont.	AmountType
12	DISTCODE	Box 3. Distribution code	GenericNameType
13	FMVON	Box 4. FMV on date of death	AmountType
14	HSA	Box 5a. HSA	BooleanType
15	ARCHER	Box 5b. Archer MSA	BooleanType
16	MSA	Box 5c. MA MSA	BooleanType