1099-SA 2016

What's New for 2016

Field Name	Size	Type	Description	Notes
See Form Filer Common Fields			Filer fields common to all form types.
See Recipient Common Fields			Recipient fields common to all form types.
Box 1 Amount	12	Amount	Gross distribution
Box 2 Amount	12	Amount	Earnings on excess contributions
Box 3 Code	1	Numeric	Distribution code	1, 2, 3, 4, 5, 6
Box 4 Amount	12	Amount	FMV on date of death
Box 5 Checkbox 1	1	Checkbox	HSA	X / Y / T / 1 = Checked
Box 5 Checkbox 2	1	Checkbox	Archer MSA	X / Y / T / 1 = Checked
Box 5 Checkbox 3	1	Checkbox	MA MSA	X / Y / T / 1 = Checked
See Form Common Fields			Form fields common to all form types.

IRS 1099-SA Form: 1099-SA Form