11am& 4pm10%MemberDirectedPlanRefund7-10bus.daysApprovedReconciledAddressChangeFreeSpaceW-2ThreemonthsCheckPrintDateDCportion ofthe CO30-days apartBenefitForfeitureAccountValue forRefund20%10 mailingdays(Mon.-Sat.)Age65EmployerCertificationon or after07/01/2015Transmitted591/21099RSpousalConsent11am& 4pm10%MemberDirectedPlanRefund7-10bus.daysApprovedReconciledAddressChangeFreeSpaceW-2ThreemonthsCheckPrintDateDCportion ofthe CO30-days apartBenefitForfeitureAccountValue forRefund20%10 mailingdays(Mon.-Sat.)Age65EmployerCertificationon or after07/01/2015Transmitted591/21099RSpousalConsent

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