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HSA Tax Form Issuance to Deceased Owner's Spouse: A Guide

Published October 9, 2024

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Short answer: The HSA custodian must issue Form 1099-SA to the deceased owner’s spouse, reporting HSA distributions the spouse receives, which may be taxable if not used for qualified medical expenses.

Form 1099-SA required for spouse

When a Health Savings Account (HSA) owner passes away, the HSA custodian must issue certain tax forms to the deceased owner's spouse. The tax form required in this situation is Form 1099-SA.

When an individual who holds a Health Savings Account (HSA) passes, their HSA custodian is responsible for issuing Form 1099-SA to the spouse of the deceased owner. This form is crucial as it captures all distributions made from the HSA, which can include funds accessed by the spouse after the owner’s death.

What Form 1099-SA reports and why

Form 1099-SA reports distributions made from an HSA, which includes any funds withdrawn by the spouse of a deceased HSA owner. The form is essential for the spouse to accurately report these distributions on their tax return.

Tax implications of inherited HSA distributions

It is important for the deceased owner's spouse to understand the tax implications of receiving HSA distributions after the owner's death. These distributions may be subject to taxation if they are not used for qualified medical expenses.

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