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


FDX / Data Structures / Tax1099Sa
Form 1099-SA, Distributions From an HSA, Archer MSA, or Medicare Advantage MSA
Extends and inherits all fields from Tax  
Tax1099Sa Properties
1payerNameAddressNameAddressPhonePayer's name, address, and phone
2payerTinstringPAYER'S TIN
3recipientTinstringRECIPIENT'S TIN
4recipientNameAddressNameAddressRecipient's name and address
5accountNumberstringAccount number
6grossDistributionnumber (double)Box 1, Gross distribution
7earningsnumber (double)Box 2, Earnings on excess contributions
8distributionCodestringBox 3, Distribution code
9fairMarketValuenumber (double)Box 4, FMV on date of death
10hsabooleanBox 5a, HSA
11archerAccountbooleanBox 5b, Archer MSA
12medicalSavingsAccountbooleanBox 5c, Medicare Advantage (MA) MSA
Tax1099Sa Usage:


OFX / Types / Tax1099SA_V100
1 SRVRTID ServerIdType
2 TAXYEAR YearType
3 VOID BooleanType
4 CORRECTED BooleanType
5 PAYERADDR PayerAddressType
6 RECIPADDR RecipientAddressType
7 PAYERID GenericNameType
8 RECID IdType
9 ACCTNUM GenericNameType
10 GROSSDIST AmountType
11 EARNINGS AmountType
12 DISTCODE GenericNameType
13 FMVON AmountType
14 HSA BooleanType
15 ARCHER BooleanType
16 MSA BooleanType


Under Development



The TXF standard does not support this form.

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