Multi-EmployerPlanMVCoveredDependents1095ImportTemplateReview& FileEnrolledW-2WaivedCoverageRateof PaySafeHarborLine16HRClientFLEALEPart-TimeEETransitionRelief1094Line14FederalPovertyLineSelf-FundedACALine15OverrideCodesMulti-EmployerPlanMVCoveredDependents1095ImportTemplateReview& FileEnrolledW-2WaivedCoverageRateof PaySafeHarborLine16HRClientFLEALEPart-TimeEETransitionRelief1094Line14FederalPovertyLineSelf-FundedACALine15OverrideCodes

ACA 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. Multi-Employer Plan
  2. MV
  3. Covered Dependents
  4. 1095
  5. Import Template
  6. Review & File
  7. Enrolled
  8. W-2
  9. Waived Coverage
  10. Rate of Pay
  11. Safe Harbor
  12. Line 16
  13. HR Client
  14. FLE
  15. ALE
  16. Part-Time EE
  17. Transition Relief
  18. 1094
  19. Line 14
  20. Federal Poverty Line
  21. Self-Funded
  22. ACA
  23. Line 15
  24. Override Codes