Carol Wheeler, age 56, is single. Carol earned wages of $48,000 and was enrolled the entire year in a high deductible health plan (HDHP) with self-only coverage. During the year, Carol contributed $3,000 to her Health Savings Account (HSA) and her cousin also contributed $1,000 to Carols HSA account. Carols Form W-2 shows $600 in Box 12 with code W. She has Form 5498-SA showing $4,600 in Box 2. Carol took a distribution from her HSA to pay her unreimbursed expenses: - 2 visits to a physical therapist due to a car accident $300 - unreimbursed doctor bills for $700 - prescription medicine $400 - replacement of a crown $1,500 - over the counter sinus medication $80 - 10 Zumba classes for $125 Carol is a U.S. citizen with a valid Social Security number.

1. Form 8889, Part 1 is used to report HSA contributions made by _______________.

a. Carol b. Carols employer c. Carols cousin d. All the above

2. Carol is eligible to contribute an additional $________ to her HSA because she is age 55 or older.

3. What is the total unreimbursed qualified medical expenses reported on Form 8889, Part II?

a. $2,600 b. $2,900 c. $2,980 d. $3,105