1099-SA : Distributions From an HSA, Archer MSA, or Medicare Advantage MSA

FDX

#	Id	Type	Description
1	payerNameAddress	NameAddressPhone	Payer's name, address, and phone
2	payerTin	string	PAYER'S TIN
3	recipientTin	string	RECIPIENT'S TIN
4	recipientNameAddress	NameAddress	Recipient's name and address
5	accountNumber	string	Account number
6	grossDistribution	number (double)	Box 1, Gross distribution
7	earnings	number (double)	Box 2, Earnings on excess contributions
8	distributionCode	string	Box 3, Distribution code
9	fairMarketValue	number (double)	Box 4, FMV on date of death
10	hsa	boolean	Box 5a, HSA
11	archerAccount	boolean	Box 5b, Archer MSA
12	medicalSavingsAccount	boolean	Box 5c, Medicare Advantage (MA) MSA

The TXF standard does not support this form.