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Must employers who make contributions to an employees HSA determine whether HSA distributions are used exclusively for qualified medical expenses?

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Must employers who make contributions to an employees HSA determine whether HSA distributions are used exclusively for qualified medical expenses?

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No. The same rule that applies to trustees or custodians applies to employers. 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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