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NY Form 8853: What You Should Know
If it is a COBRA plan, a COBRA premium is not includible in income. If it is an HSA, the HSA is not includible in income. If the benefits are from an Archer MSA, they must be reported and deducted in a separate Form 8853. There are two types of Archer MSA contributions: qualified and non-qualified. If more than one benefit is from a qualified MSA, the non-qualified portion of the contribution is includible in income with reduced adjusted gross income (AGI). A non-qualified MSA contribution, other than an FSA, is a non-qualified Archer MSA contribution that is includible in the gross income of an IRA, 401(k), or other retirement account. In most cases, this includes only qualified, non-qualified, or FSA contributions that are for the care of a qualified spouse or dependent, and not for any qualified care provided on behalf of the insured. For a detailed explanation of the various types of MSA's and Archer MSA deductions, see Publication 594, MSA Contributions and Deduction, published by IRS. For the deduction of contributions to long term care insurance, go to or call (toll-free), or (TTY). For a more complete explanation, see Publication 546, Long-Term Care Services, published by IRS. For more information about IRA's and 401(k) Retirement Savings Plans, go to. For a more complete explanation of IRA contributions made to qualified retirement plans, see Pub 493, Contributions by You to a Retirement Fund, Pubs. 505 through 510. For most IRA's, a rollover of your contributions from before May 6, 2017, can not be used to offset current tax. This is because you should have made your IRA contributions prior to becoming eligible to make non-qualified contributions. However, if you are converting your IRA to a Roth IRA, the conversion should offset the pre-tax IRA contributions, regardless of conversion date.
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