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

6. The amount of Judy's HSA contribution reported on Form 8889, line 2 is $2,975.

True

False

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

	A. $410

	B. $975

	C. $1,110

	D. $1,410

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

	A. $410

	B. $685

	C. $1,110

	D. $1,410