Interview Notes

Please answer questions 6 - 7.

• Judy Young is 58 years old.
• Judy is single, is not disabled, and has no dependents.
• In 2018, she had earnings from her job of $24,300.
• Judy has participated in her employer's self-only HDHP coverage since June 1, 2018 when she started a new job.
• Judy was an eligible individual all year.
• Judy asked the HSA trustee from her previous job to rollover the balance of $2,000 into the HSA at her new job.
• In 2018, Judy contributed $975 to her HSA.
• In 2018, Judy took funds from her HSA to pay the following expenses:
  • Insulin $275
  • Doctor visit $185
  • Yoga classes $480
  • Prescription medicine $225
  • Premiums for COBRA coverage $1,425
• Judy is a U.S. citizen and has a valid Social Security number.

6. The amount of Judy's HSA contribution reported on Form 8889, line 2 is $975. T/F

7. The amount of total distributions reported on Form 8889, line 14a is:

	A. $685

	B. $1,165

	C. $2,110

	D. $2,590

8. What is the amount reported on Form 8889, line 15?

	A. $460

	B. $685

	C. $2,110

	D. $2,590