SpousalConsentReconciled7-10bus.daysW-2AddressChangeFreeSpace10%MemberDirectedPlanRefundTransmittedApproved1099RCheckPrintDateBenefitForfeiture591/2Age65EmployerCertificationDCportion ofthe COon or after07/01/201510 mailingdays(Mon.-Sat.)30-days apart11am& 4pm20%ThreemonthsAccountValue forRefundSpousalConsentReconciled7-10bus.daysW-2AddressChangeFreeSpace10%MemberDirectedPlanRefundTransmittedApproved1099RCheckPrintDateBenefitForfeiture591/2Age65EmployerCertificationDCportion ofthe COon or after07/01/201510 mailingdays(Mon.-Sat.)30-days apart11am& 4pm20%ThreemonthsAccountValue forRefund

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