Distributions from your HSA used exclusively
to pay for qualified medical expenses of
you, your spouse or your dependents are
excludable from your gross income. Any other
distributions are includable in your gross
income and are subject to an additional
10 percent tax on the amount includable,
except in the case of distributions made
after your death, your disability, or your
attainment of age 65. HSA distributions
that are not rolled over will be taxed as
income in the year distributed unless they
are used for qualified medical expenses.
HSA custodians/trustees are not required
to determine whether HSA distributions are
used for qualified medical expenses.
The qualified medical expenses must be
incurred only after the HSA has been established.
However, for calendar-year 2004, an HSA
established by you on or before April 15,
2005, may pay or reimburse on a tax-free
basis an otherwise qualified medical expense
if that expense was incurred on or after
the later of: (1) January 1, 2004, or (2)
the first day of the month that you became
eligible for an HSA.