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File Form 1099-SA Online for 2026 Tax Year

Simplify Form 1099-SA reporting for distributions from health savings accounts (HSA), Archer MSAs, and Medicare Advantage MSAs. With 1099Online, you get built-in TIN-matching, bulk import, recipient copy delivery, and secure eFiling in one platform.

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What Is Form 1099-SA?

Form 1099-SA is an IRS information return that reports distributions made from a Health Savings Account (HSA), Archer Medical Savings Account (Archer MSA), or Medicare Advantage MSA (MA MSA).

The distribution may go directly to a medical service provider or to the account holder. The trustee or custodian of the account files this form with the IRS. A separate Form 1099-SA is required for each account type.

Who Must File Form 1099-SA?

The trustee or custodian of an HSA, Archer MSA, or Medicare Advantage MSA is required to file the Form 1099-SA for every distribution made during the year. This applies whether the payment went to the account holder or directly to a medical service provider.

Also, there is no dollar threshold. Every distribution must be reported, regardless of the amount. Trustee-to-trustee transfers are not reportable on Form 1099-SA.

What Distributions Are To Be Reported While Filling Form 1099-SA?

Form 1099-SA covers distributions from an HSA, Archer MSA, or Medicare Advantage MSA. These usually comprise:

  • Payments made to account holders
  • Payments made directly to medical providers
  • Excess contribution withdrawals
  • Death distributions paid to beneficiaries

You will be required to file a separate Form 1099-SA for each account type.

Updates To Form 1099-SA for the 2026 Tax Year?

The IRS currently reports no new developments for Form 1099-SA. The form is in a continuous-use format, which means the April 2025 revision of Form 1099-SA continues to be used to file and furnish 2026 information in early 2027. This revision remains in effect until the IRS releases a superseding version.

Key Filing Requirements for Form 1099-SA

The IRS requires eFiling if you submit 10 or more information returns in aggregate across all return types for the year. Paper filing with Form 1096 remains available for smaller volumes.

Collect the following before filing:

  • Payer name, address, and TIN
  • Recipient name, address, and TIN
  • Gross distribution amount (Box 1)
  • Earnings on excess contributions, if applicable (Box 2)
  • Distribution code (Box 3): codes 1 through 6 identify the type of distribution
  • Account type checkbox (Box 5): HSA, Archer MSA, or MA MSA
  • Fair market value at date of death (Box 4), for death distributions only

If you discover an error after filing, submit a corrected Form 1099-SA as soon as possible and furnish an updated copy to the recipient.

Form 1099-SA Deadlines for the 2026 Tax Year

For 2026 distributions reported in early 2027, the IRS deadlines are as follows

Filing Action 2026 Tax Year Deadline
Furnish Copy B to the recipient February 1, 2027 (January 31 falls on a Sunday)
Paper file Copy A with IRS MMarch 1, 2027 (February 28 falls on a Sunday)
eFile Copy A with IRS March 31, 2027

Note: When a due date falls on a weekend or federal holiday, it moves to the next business day.

How to eFile Form 1099-SA with 1099Online

1099Online offers a simple, flexible way to eFile Form 1099-SA. Choose your preferred data entry or import method, complete your forms, and submit them securely to the IRS.

Step 1: Enter Recipient and Distribution Details
Add payer details and recipient information manually, or use the bulk Excel import for multiple accounts. 1099Online supports both single-entry and high-volume filing. Enter the gross distribution amount, distribution code, and account type. Include earnings on excess contributions or fair market value at the date of death, where applicable.

Step 2: Choose Recipient Copy Delivery
Opt in for recipient copy distribution by postal mail or PDF download. 1099Online handles Copy B delivery so you meet the applicable furnishing deadline.

Step 3: Run TIN Match and Submit
Use the built-in TIN Match to validate the recipient name and TIN against IRS records. Review your filing summary, then submit your forms securely to the IRS with 1099Online.

Frequently asked questions

There is no dollar threshold. Every distribution from an HSA, Archer MSA, or MA MSA must be reported on Form 1099-SA, regardless of amount.

No. The IRS does not require trustees to report trustee-to-trustee transfers on Form 1099-SA. These are excluded from reporting.

File a corrected Form 1099-SA as soon as possible with the CORRECTED box checked and the accurate distribution code entered. Furnish an updated copy to the recipient. Correcting quickly reduces penalty exposure.

The IRS charges $60 per form if corrected within 30 days of the due date, $130 per form if corrected between 31 days and August 1, $340 per form if filed after August 1 or not filed at all, and $680 per form for intentional disregard. Penalties apply separately for failing to file with the IRS and for failing to furnish copies to recipients.

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