Medical20%Penalty$13,300$3450Form8889AdjustmentTestingPeriod$6900BeneficiaryHSAAfter-Tax6%ExciseTaxFamilyCoverageLastMonthRuleContributions1099-SADependentSingleCoverage5498-SADistributionsHDHPOut-of-PocketPortableEnrolledinMedicareMinimumDeductible$6,650Pre-TaxEmployerContribution55Medical20%Penalty$13,300$3450Form8889AdjustmentTestingPeriod$6900BeneficiaryHSAAfter-Tax6%ExciseTaxFamilyCoverageLastMonthRuleContributions1099-SADependentSingleCoverage5498-SADistributionsHDHPOut-of-PocketPortableEnrolledinMedicareMinimumDeductible$6,650Pre-TaxEmployerContribution55

Untitled Bingo - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Medical
  2. 20% Penalty
  3. $13,300
  4. $3450
  5. Form 8889
  6. Adjustment
  7. Testing Period
  8. $6900
  9. Beneficiary
  10. HSA
  11. After-Tax
  12. 6% Excise Tax
  13. Family Coverage
  14. Last Month Rule
  15. Contributions
  16. 1099-SA
  17. Dependent
  18. Single Coverage
  19. 5498-SA
  20. Distributions
  21. HDHP
  22. Out-of-Pocket
  23. Portable
  24. Enrolled in Medicare
  25. Minimum Deductible
  26. $6,650
  27. Pre-Tax
  28. Employer Contribution
  29. 55