![9381 - Form 5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information Copy C Trustee 9381 - Form 5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information Copy C Trustee](https://cdn11.bigcommerce.com/s-30uw6whld0/images/stencil/500x659/products/1039/7638/9381__53282.1715965021.png?c=2)
Below are the available bulk discount rates for each individual item when you purchase a certain amount
HSA, Archer MSA, or Medicare Advantage MSA Information. Use Form 5498-SA Copy B to print and mail payment information to the recipient. 5498-SA Forms are 3up on an 8 1/2 x 11" sheet with a 1/2" side perforation and are printed on 20# laser paper. Mail to the recipient in compatible window envelopes. Order by number of forms, not sheets.
Compatible Envelopes: 99DWENV05 (Moisture Seal) | 99DWENVS05 (Self Seal) | 99DWENVSTE (Self Seal Tamper Evident)