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IRS Form 1099-SA (Tax Year 2026)

Distributions From an HSA, Archer MSA, or Medicare Advantage MSA

IRS Form 1099-SA is used to report distributions from Health Savings Accounts (HSAs), Archer Medical Savings Accounts (MSAs), and Medicare Advantage MSAs. Banks, financial institutions, insurance companies, and other trustees or custodians that manage HSA or MSA accounts are generally responsible for filing Form 1099-SA.

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IRS FIRE is closing After Nov. 19, all e-filing moves to IRIS. We're ready. Are you?
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IRIS Filing Pricing

Starting at
$249
per filing + $0.28 per recipient
Included
  • Each filing covers one form type
  • Unlimited payers (EINs) in one filing
  • Combined Federal/State filing, where applicable
Add-ons
Printing and mailing We print and mail recipient copies for you.
Additional fee
TIN matching Check names and TINs against IRS records before you file.
Additional fee
Client sub-accounts File each client on its own. Add them anytime, billed later with recipient fees.
$20 each
Corrections and prior years Fix a return that's already filed, or catch up on past years through IRIS.
Ask for pricing

Secure IRIS A2A Filing

  • Filed directly through our IRS A2A-approved channel
  • No TCC, ID.me, or IRS setup needed on your end
  • Data validated, then you approve PDF copies before we file
  • SOC 2 compliant portal for secure file handling

Want pricing for your filing?

Filing high volumes or several form types? Tell us roughly how many forms you file and we'll send a custom quote.

Get a custom quote

Prefer to talk? Call (480) 706-6474

20+ Years Experience IRS A2A Approved U.S.-Based Support
Get ready to file with IRIS Free guides and templates from our resource center.

HOW OUR IRIS FILING PROCESS WORKS

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Upload Your File

Upload your Excel or CSV file securely.

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We Validate & Format

We format and validate your data to IRS standards.

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Review & Approve

We generate IRS-ready PDFs for your approval.

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Filed Directly to IRS

Your forms are e-filed securely using IRIS.

No manual processing. Fully automated IRIS submission.

Frequently Asked Questions (FAQs)

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No. Our filing service handles the IRS transmission process for you through our IRS-approved A2A channel, so no IRS setup is required on your end.

Upload your spreadsheet securely through our portal and we will generate the IRS XML files and recipient PDFs, validate your data, and electronically file the forms through IRIS after your approval.

Yes. We support original filings, corrections, and prior year 1099-SA submissions.

Our service supports both small and large volume filings, including multiple payer submissions and high-volume recipient datasets.

Yes. Data is securely transmitted through the IRS IRIS A2A system using encrypted upload and transmission methods designed for sensitive taxpayer information.

Yes. Multiple payer datasets and large batches of recipient records can be included within a single filing submission depending on your reporting needs.

1099FIRE previously sold 1099-SA software for the IRS FIRE System, where users could generate a file and upload it through the IRS website. IRIS is different. For 1099-SA filing, there is no simple IRS upload screen where users can browse for a file and submit it themselves. IRIS transmissions must be sent through a secure A2A channel.

 

Because the A2A connection cannot be packaged as normal downloadable software, we now provide a 1099-SA e-filing service instead. Send us your Excel file, and we handle the data import, validation, recipient PDFs, XML creation, and IRS IRIS transmission on your behalf.

1099 SA
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