Form 8853

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Contents

Archer MSAs and Long-Term Care Contracts

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Purpose of Form

Use Form 8853 to:

  • Report Archer MSA contributions (including employer contributions),
  • Figure your Archer MSA deduction,
  • Report distributions from Archer MSAs or Medicare Advantage MSAs,
  • Report taxable payments from long-term care (LTC) insurance contracts, or
  • Report taxable accelerated death benefits from a life insurance policy.

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