How to Setup an HSA Payroll Item in QuickBooks Desktop

Setting up an HSA (Health Savings Account) payroll item in QuickBooks Desktop is a simple process that can benefit both employers and employees. By offering an HSA, employers can help their employees save for medical expenses tax-free, while employees can enjoy the financial advantages and flexibility that come with an HSA.

Here are the steps to set up an HSA payroll item in QuickBooks Desktop:

  1. Open QuickBooks Desktop and go to the Lists menu.
  2. Select Payroll Item List.
  3. Click on the Payroll Item button at the bottom left corner and choose New.
  4. Choose Custom Setup and click Next.
  5. Select Deduction and click Next.
  6. Enter a name for the payroll item (e.g., HSA Contribution).
  7. Click on the Agency for employee-paid liability and click Next.
  8. Select None for the calculation basis and click Next.
  9. Select None for the tax tracking type and click Next.
  10. Enter the default amount (if applicable) and click Next.
  11. Click Finish to save the payroll item.

Once you have set up the HSA payroll item, you can assign it to employees who choose to contribute to their HSA through payroll deductions. This allows for easy and automated contributions to their HSA account each pay period.


Setting up an HSA (Health Savings Account) payroll item in QuickBooks Desktop not only simplifies the contribution process but also empowers both employers and employees by offering great tax benefits. With an HSA, employees can contribute pre-tax dollars, allowing them to save more for their medical care, while employers can benefit from lower payroll taxes.

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