It's line 4 that puzzles me. This line says that your employer made a contribution to your Archer MSA (a predecessor to the HSA). Do you have an 8853 on your return?
There is a 8853 pt1 form but everything is blank except for the no box is checked in the tax payer column in the part 1 smart worksheet.
Also, on your W-2 in box 12, do you have a code R?
I have a code DD in box 12a and a code W in box 12b.
