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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

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

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