Enter $1,000 (the total distribution received from the HSA).
To help you with the legitimate part of your query, here is an example of how a standard Form 8889 is completed. 📋 Form 8889 Example Scenario Name: Jane Smith Coverage Type: Family HDHP Personal Contributions: $3,000 Form 8889 Examples Filled Out - Syair SDY
Enter $1,500 (the amount contributed by your employer). Enter $1,000 (the total distribution received from the HSA)
IRS Form 8889 is used to report Health Savings Account (HSA) contributions, calculate your deduction, and report any distributions. IRS Form 8889 is used to report Health
Enter $1,000 (the amount used for qualified medical expenses).
$1,500 (Reported on Form W-2, Box 12, Code W) Distributions Taken: $1,000 (Reported on Form 1099-SA) Qualified Medical Expenses: $1,000 ✍️ How to Fill Out the Form Part I: Contributions and Deductions Line 1: Check the Family box. Line 2: Enter $3,000 (your out-of-pocket contributions).
Enter $0 (subtract line 15 from 14a. Because all funds were used on qualified expenses, no tax is owed). IRS Form 8889 walkthrough (Health Savings Accounts)