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Must HSA trustees or custodians determine whether HSA distributions are used exclusively for qualified medical expenses?

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Must HSA trustees or custodians determine whether HSA distributions are used exclusively for qualified medical expenses?

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No. HSA trustees or custodians are not required to determine whether HSA distributions are used for qualified medical expenses. Individuals who establish HSAs make the determination and should maintain sufficient records of their medical expenses to show that the distributions have been made exclusively for qualified medical expenses and are therefore excludable from gross income.

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No. HSA trustees or custodians are not required to determine whether HSA distributions are used for qualified medical expenses. Individuals who establish HSAs make that determination and should maintain records of their medical expenses sufficient to show that the distributions have been made exclusively for qualified medical expenses and are therefore excludable from gross income.

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No. HSA trustees or custodians are not required to determine whether HSA distributions are used for qualified medical expenses. Individuals who establish HSAs make that determination and should maintain records of their medical expenses sufficient to show that the distributions have been made exclusively for qualified medical expenses and are therefore excludable from gross income. Must employers who make contributions to an employee’s HSA determine whether HSA distributions are used exclusively for qualified medical expenses? No. The same rule that applies to trustees or custodians applies to employers.

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