How to Report HSA Pass Through Premium Tax?

Reporting HSA pass-through premium tax is an important aspect of managing your Health Savings Account. When it comes to tax reporting for HSA pass-through premiums, it's essential to understand the process to ensure compliance and maximize the benefits of your HSA account. Here are the steps to report HSA pass-through premium tax:

  1. Obtain Form 1099-SA: The financial institution holding your HSA account will provide you with Form 1099-SA, which outlines the distributions made from your HSA during the tax year.
  2. Identify Pass-Through Premium Amount: Look for the section on Form 1099-SA that specifies the pass-through premium amount. This is the portion of the premium paid by the insurance provider that qualifies as an HSA distribution.
  3. Report on Form 8889: Use Form 8889, Health Savings Accounts (HSAs), to report HSA contributions, distributions, and pass-through premiums. Enter the pass-through premium amount in the appropriate section of Form 8889.
  4. Calculate Taxable Income: The pass-through premium amount reported on Form 8889 will be included in your taxable income for the year. Make sure to include this amount when calculating your overall tax liability.
  5. File Your Tax Return: When filing your annual tax return, ensure that you include all relevant forms and schedules related to your HSA, including Form 8889 with the reported pass-through premium tax amount.

By following these steps, you can accurately report HSA pass-through premium tax and stay compliant with IRS regulations. Consulting a tax professional or using tax preparation software can also help simplify the process.


Understanding how to report HSA pass-through premium tax is crucial for effectively managing your Health Savings Account. The process begins with obtaining Form 1099-SA from your HSA custodian, which details the distributions you've received throughout the year. Take a moment to review this form thoroughly to identify the section that highlights your pass-through premium amount.

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