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Too late to do much with the 401k contributions, I think, and she cannot contribute after her seperation.

I had also thought about the Medicare premium issue. She will not go on Medicare until the company insurance ends in May 2014. I think, as someone said, she'll be able to show 2013 was a one-time event and avoid the higher premium, or at least most of it. Once 2014 income is used to figure the premium it won't be an issue.

Doesn't seem to be a way around the higher income tax for 2013. Just have to be sure she meets safe haven requirements on withholding to avoid penalties. She hasn't filed 2012 taxes yet so we don't know what that amount will be.
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