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Interview Notes Judy Young is 58 years old. Judy is single, is not disabled, and has no dependents. In 2017, she had earnings from her

Interview Notes
  • Judy Young is 58 years old.
  • Judy is single, is not disabled, and has no dependents.
  • In 2017, she had earnings from her job of $24,300.
  • Judy has participated in her employer's self-only HDHP coverage since June 1, 2017 when she started a new job.
  • Judy was an eligible individual all year.
  • Judy asked the HSA trustee from her previous job to transfer the balance of $2,000 into the HSA at her new job.
  • In 2017, Judy contributed $975 to her HSA.
  • In 2017, Judy took funds from her HSA to pay the following expenses:
    • Insulin $275
    • Doctor visit $185
    • Yoga classes $300
    • Prescription medicine $225
    • Premiums for COBRA coverage $425
  • Judy is a U.S. citizen and has a valid Social Security number.
8. What is the amount reported on Form 8889, line 15?
A. $410
B. $685
C. $1,110
D. $1,410

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