Publication 969 - Health Savings Accounts And Other Tax-Favored Health Plans - 2010 Page 5

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Limit on Contributions
Chris fails to be an eligible individual in June 2011.
Because Chris did not remain an eligible individual during
The amount you or any other person can contribute to your
the testing period (December 1, 2010, through December
HSA depends on the type of HDHP coverage you have,
31, 2011), he must include in his 2011 income the contribu-
your age, the date you become an eligible individual, and
tions made in 2010 that would not have been made except
the date you cease to be an eligible individual. For 2010, if
for the last-month rule. Chris uses the worksheet for line 3
you have self-only HDHP coverage, you can contribute up
in the Form 8889 instructions to determine this amount.
to $3,050. If you have family HDHP coverage, you can
January . . . . . . . . . . . . . . .
-0-
contribute up to $6,150.
February . . . . . . . . . . . . . .
-0-
For 2011, if you have self-only HDHP coverage,
March . . . . . . . . . . . . . . . .
-0-
you can contribute up to $3,050. If you have
TIP
April . . . . . . . . . . . . . . . . .
-0-
family HDHP coverage you can contribute up to
May . . . . . . . . . . . . . . . . . .
-0-
$6,150.
June . . . . . . . . . . . . . . . . .
-0-
If you were, or were considered (under the last-month
July . . . . . . . . . . . . . . . . . .
-0-
rule, discussed later), an eligible individual for the entire
August . . . . . . . . . . . . . . .
-0-
year and did not change your type of coverage, you can
September . . . . . . . . . . . .
-0-
contribute the full amount based on your type of coverage.
October . . . . . . . . . . . . . . .
-0-
However, if you were not an eligible individual for the entire
November . . . . . . . . . . . . .
-0-
year or changed your coverage during the year, your
December . . . . . . . . . . . . .
$6,150.00
contribution limit is the greater of:
Total for all months . . . . .
$6,150.00
Limitation. Divide the total
1. The limitation shown on the last line of the Line 3
$512.50
by 12
Limitation Chart and Worksheet in the Instructions for
Form 8889, Health Savings Accounts (HSAs), or
Chris would include $5,637.50 ($6,150.00 – $512.50) in
his gross income on his 2011 tax return. Also, a 10%
2. The maximum annual HSA contribution based on
additional tax applies to this amount.
your HDHP coverage (self-only or family) on the first
day of the last month of your tax year.
Example 2. Erika, age 39, has self-only HDHP cover-
age on January 1, 2010. Erika changes to family HDHP
If you had family HDHP coverage on the first day
coverage on November 1, 2010. Because Erika has family
of the last month of your tax year, your contribu-
TIP
HDHP coverage on December 1, 2010, she contributes
tion limit for 2010 is $6,150 even if you changed
$6,150 for 2010.
coverage during the year.
Erika fails to be an eligible individual in March 2011.
Because she did not remain an eligible individual during
Last-month rule. Under the last-month rule, if you are an
the testing period (December 1, 2010, through December
eligible individual on the first day of the last month of your
31, 2011), she must include in income the contribution
tax year (December 1 for most taxpayers), you are consid-
made that would not have been made except for the
ered an eligible individual for the entire year. You are
last-month rule. Erika uses the worksheet for line 3 in the
treated as having the same HDHP coverage for the entire
Form 8889 instructions to determine this amount.
year as you had on the first day of that last month.
Testing period. If contributions were made to your
January . . . . . . . . . . . . . . .
$3,050.00
HSA based on you being an eligible individual for the entire
February . . . . . . . . . . . . . .
$3,050.00
year under the last-month rule, you must remain an eligible
March . . . . . . . . . . . . . . . .
$3,050.00
individual during the testing period. For the last-month rule,
April . . . . . . . . . . . . . . . . .
$3,050.00
the testing period begins with the last month of your tax
May . . . . . . . . . . . . . . . . . .
$3,050.00
year and ends on the last day of the 12th month following
June . . . . . . . . . . . . . . . . .
$3,050.00
that month. For example, December 1, 2010, through
July . . . . . . . . . . . . . . . . . .
$3,050.00
December 31, 2011.
August . . . . . . . . . . . . . . .
$3,050.00
If you fail to remain an eligible individual during the
September . . . . . . . . . . . .
$3,050.00
testing period, other than because of death or becoming
October . . . . . . . . . . . . . . .
$3,050.00
disabled, you will have to include in income the total contri-
November . . . . . . . . . . . . .
$6,150.00
butions made to your HSA that would not have been made
December . . . . . . . . . . . . .
$6,150.00
except for the last-month rule. You include this amount in
Total for all months . . . . .
$42,800.00
your income in the year in which you fail to be an eligible
Limitation. Divide the total
$3,566.67
individual. This amount is also subject to a 10% additional
by 12
tax. The income and additional tax are shown on Form
8889, Part III.
Erika would include $2,583.33 ($6,150 – $3,566.67) in her
gross income on her 2011 tax return. Also, a 10% addi-
Example 1. Chris, age 53, becomes an eligible individ-
tional tax applies to this amount.
ual on December 1, 2010. He has family HDHP coverage
on that date. Under the last-month rule, he contributes
Additional contribution. For 2010, if you are an eligible
$6,150 to his HSA.
individual who is age 55 or older, your contribution limit is
Publication 969 (2010)
Page 5

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