The Internal Revenue Service (IRS) Form 8889 is used to report HSA contributions, compute the HSA deduction for federal income tax purposes, report distributions from an HSA, and figure amounts you must include in income and additional tax owed when an individual does not use the account according to tax rules.
You’ll find a description of the key fields below. Refer to Frequently Asked Questions for more information about HSA tax forms and filing. For complete instructions, visit irs.gov/instructions/i8889/index.html.
Line 2 — Direct contributions, not employer or pre-tax contributions
Line 9 — W-2 box 12W amount
Line 14a — IRS Form 1099-SA box 1 amount
All information provided here is intended as a convenient source of tax information. This information is general in nature, is not complete, and may not apply to your specific situation. You should consult your own tax advisor regarding your tax needs. Wells Fargo makes no warranties and is not responsible for your use of this information or for any errors or inaccuracies resulting from your use.