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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

  • 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.

7. Carol is eligible to contribute an additional $________ to her HSA because she is age 55 or older. (Do not enter dollar signs, commas, periods, or decimal points in your answer.)

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