AddressChange30-days apartMemberDirectedPlanRefund20%AccountValue forRefundAge65ReconciledApprovedSpousalConsent591/210 mailingdays(Mon.-Sat.)DCportion ofthe COon or after07/01/201510%EmployerCertificationFreeSpace11am& 4pmTransmitted7-10bus.daysBenefitForfeitureThreemonthsW-2CheckPrintDate1099RAddressChange30-days apartMemberDirectedPlanRefund20%AccountValue forRefundAge65ReconciledApprovedSpousalConsent591/210 mailingdays(Mon.-Sat.)DCportion ofthe COon or after07/01/201510%EmployerCertificationFreeSpace11am& 4pmTransmitted7-10bus.daysBenefitForfeitureThreemonthsW-2CheckPrintDate1099R

Refund - 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. Address Change
  2. 30-days a part
  3. Member Directed Plan Refund
  4. 20%
  5. Account Value for Refund
  6. Age 65
  7. Reconciled
  8. Approved
  9. Spousal Consent
  10. 59 1/2
  11. 10 mailing days (Mon.-Sat.)
  12. DC portion of the CO
  13. on or after 07/01/2015
  14. 10%
  15. Employer Certification
  16. Free Space
  17. 11am & 4pm
  18. Transmitted
  19. 7-10 bus. days
  20. Benefit Forfeiture
  21. Three months
  22. W-2
  23. Check Print Date
  24. 1099R