Carol Wheeler, age 56, is single. Carol earned wages of $48,000 and was enrolled the entire
Question:
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 Carol’s HSA account.
• Carol’s 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.
1. Form 8889, Part 1 is used to report HSA contributions made by _______________.
a. Carol
b. Carol’s employer
c. Carol’s cousin
d. All the above
2. Carol is eligible to contribute an additional $________ to her HSA because she is age 55 or older.
3. What is the total unreimbursed qualified medical expenses reported on Form 8889, Part II?
a. $2,600
b. $2,900
c. $2,980
d. $3,105
Expert Answer:
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