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Understanding the intricacies of the health insurance marketplace becomes significantly easier with familiarity with the IRS 1095-A form. This important document serves as a bridge between individuals' health coverage and their tax obligations, proving essential for anyone who has purchased health insurance through a state or federal marketplace. The form not only details the monthly premiums paid but also outlines any advance payments of the premium tax credit that help reduce the cost of coverage. For many, the 1095-A form is a critical piece of paperwork needed to accurately file taxes, ensure they are getting the proper tax benefits, and reconcile any discrepancies between advance credits received and the amount actually due. Its role in facilitating the accurate reporting of health insurance information and supporting taxpayers in maximizing their eligible returns cannot be overstated, making a thorough understanding of how to use and interpret this form a valuable asset during tax season.

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CAUTION: NOT FOR FILING

Form 1095-A is provided here for informational purposes only.

Health Insurance Marketplaces use Form 1095-A to report information on enrollments in a qualified health plan in the individual market through the Marketplace. As the form is to be completed by the Marketplaces, individuals cannot complete and use Form 1095-A available on IRS.gov. Individuals receiving a completed Form 1095-A from the Health Insurance Marketplace will use the information received on the form and the guidance in the instructions to assist them in filing an accurate tax return.

Form 1095-A

Department of the Treasury Internal Revenue Service

Health Insurance Marketplace Statement

Do not attach to your tax return. Keep for your records.

Go to www.irs.gov/Form1095A for instructions and the latest information.

VOID

CORRECTED

OMB No. 1545-2232

2021

 

Recipient Information

 

 

 

 

 

 

Part I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

Marketplace identifier

2

Marketplace-assigned policy number

3

Policy issuer’s name

 

 

 

 

 

 

 

 

 

 

4

Recipient’s name

 

 

5

Recipient’s SSN

6

Recipient’s date of birth

 

 

 

 

 

 

 

 

7

Recipient’s spouse’s name

 

 

8

Recipient’s spouse’s SSN

9

Recipient’s spouse’s date of birth

 

 

 

 

 

 

 

10

Policy start date

11

Policy termination date

12

Street address (including apartment no.)

 

 

 

 

 

 

 

13

City or town

14

State or province

15

Country and ZIP or foreign postal code

 

 

 

 

 

 

 

 

 

 

 

 

Covered Individuals

 

 

 

 

 

 

 

 

Part II

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Covered individual name

B. Covered individual SSN

C. Covered individual

 

D. Coverage start date

E. Coverage termination date

 

 

 

 

 

 

 

date of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16

 

 

 

 

 

 

 

 

 

 

 

 

17

 

 

 

 

 

 

 

 

 

 

 

 

18

 

 

 

 

 

 

 

 

 

 

 

 

19

 

 

 

 

 

 

 

 

 

 

 

 

20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Coverage Information

 

 

 

 

 

 

 

 

Part III

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Month

A. Monthly enrollment premiums

B. Monthly second lowest cost silver

C. Monthly advance payment of

 

 

 

 

 

plan (SLCSP) premium

 

 

 

premium tax credit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

January

 

 

 

 

 

 

 

 

 

22

February

 

 

 

 

 

 

 

 

 

23

March

 

 

 

 

 

 

 

 

 

 

24

April

 

 

 

 

 

 

 

 

 

 

25

May

 

 

 

 

 

 

 

 

 

 

26

June

 

 

 

 

 

 

 

 

 

 

27

July

 

 

 

 

 

 

 

 

 

 

28

August

 

 

 

 

 

 

 

 

 

 

29

September

 

 

 

 

 

 

 

 

 

30

October

 

 

 

 

 

 

 

 

 

31

November

 

 

 

 

 

 

 

 

 

32

December

 

 

 

 

 

 

 

 

 

33

Annual Totals

 

 

 

 

 

 

 

 

 

For Privacy Act and Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 60703Q

 

Form 1095-A (2021)

Form 1095-A (2021)

Page 2

Instructions for Recipient

You received this Form 1095-A because you or a family member enrolled in health insurance coverage through the Health Insurance Marketplace. This Form 1095-A provides information you need to complete Form 8962, Premium Tax Credit (PTC). You must complete

Form 8962 and file it with your tax return (Form 1040, Form

1040-SR, or Form 1040-NR) if any amount other than zero is shown in Part III, column C, of this Form 1095-A (meaning that you received premium assistance through advance payments of the premium tax credit (also called advance credit payments)) or if you want to take the premium tax credit. The filing requirement applies whether or not you’re otherwise required to file a tax return. If you are filing Form 8962, you cannot file Form 1040-NR-EZ, Form

1040-SS, or Form 1040-PR. The Marketplace has also reported the information on this form to the IRS. If you or your family members enrolled at the Marketplace in more than one qualified health plan policy, you will receive a Form 1095-A for each policy. Check the information on this form carefully. Please contact your Marketplace if you have questions concerning its accuracy. If you or your family members were enrolled in a Marketplace catastrophic health plan or separate dental policy, you aren’t entitled to take a premium tax credit for this coverage when you file your return, even if you received a Form 1095-A for this coverage. For additional information related to Form 1095-A, go to www.irs.gov/Affordable-Care-Act/Individuals-and- Families/Health-Insurance-Marketplace-Statements.

Additional information. For additional information about the tax provisions of the Affordable Care Act (ACA), including the premium tax credit, see www.irs.gov/Affordable-Care-Act/Individuals-and-Families or call the IRS Healthcare Hotline for ACA questions (800-919-0452).

VOID box. If the “VOID” box is checked at the top of the form, you previously received a Form 1095-A for the policy described in Part I. That Form 1095-A was sent in error. You shouldn’t have received a Form 1095-A for this policy. Don’t use the information on this or the previously received Form 1095-A to figure your premium tax credit on Form 8962.

CORRECTED box. If the “CORRECTED” box is checked at the top of the form, use the information on this Form 1095-A to figure the premium tax credit and reconcile any advance credit payments on Form 8962. Don’t use the information on the original Form 1095-A you received for this policy.

Part I. Recipient Information, lines 1–15. Part I reports information about you, the insurance company that issued your policy, and the Marketplace where you enrolled in the coverage.

Line 1. This line identifies the state where you enrolled in coverage through the Marketplace.

Line 2. This line is the policy number assigned by the Marketplace to identify the policy in which you enrolled. If you are completing Part IV of Form 8962, enter this number on line 30, 31, 32, or 33, box a.

Line 3. This is the name of the insurance company that issued your policy.

Line 4. You are the recipient because you are the person the Marketplace identified at enrollment who is expected to file a tax return and who, if qualified, would take the premium tax credit for the year of coverage.

Line 5. This is your social security number (SSN). For your protection, this form may show only the last four digits. However, the Marketplace has reported your complete SSN to the IRS.

Line 6. A date of birth will be entered if there is no SSN on line 5.

Lines 7, 8, and 9. Information about your spouse will be entered only if advance credit payments were made for your coverage. The date of birth will be entered on line 9 only if line 8 is blank.

Lines 10 and 11. These are the starting and ending dates of the policy. Lines 12 through 15. Your address is entered on these lines.

Part II. Covered Individuals, lines 16–20. Part II reports information about each individual who is covered under your policy. This information includes the name, SSN, date of birth, and the starting and ending dates of coverage for each covered individual. For each line, a date of birth is reported in column C only if an SSN isn’t entered in column B.

If advance credit payments are made, the only individuals listed on Form 1095-A will be those whom you certified to the Marketplace would be in your tax family for the year of coverage (yourself, spouse, and dependents). If you certified to the Marketplace at enrollment that one or more of the individuals who enrolled in the plan aren’t individuals who would be in your tax family for the year of coverage, those individuals won’t be listed on your Form 1095-A. For example, if you indicated to the Marketplace at enrollment that an individual enrolling in the policy is your adult child who will not be your dependent for the year of coverage, that child will receive a separate Form 1095-A and won’t be listed in Part II on your Form 1095-A.

If advance credit payments are made and you certify that one or more enrolled individuals aren’t individuals who would be in your tax family for the year of coverage, your Form 1095-A will include coverage information in Part III that is applicable solely to the individuals listed on your Form 1095-A, and separately issued Forms 1095-A will include coverage information, including dollar amounts, applicable to those individuals not in your tax family.

If advance credit payments weren’t made and you didn’t identify at enrollment the individuals who would be in your tax family for the year of coverage, Form 1095-A will list all enrolled individuals in Part II on your Form 1095-A.

If there are more than 5 individuals covered by a policy, you will receive one or more additional Forms 1095-A that continue Part II.

Part III. Coverage Information, lines 21–33. Part III reports information about your insurance coverage that you will need to complete Form 8962 to reconcile advance credit payments or to take the premium tax credit when you file your return.

Column A. This column is the monthly premiums for the plan in which you or family members were enrolled, including premiums that you paid and premiums that were paid through advance payments of the premium tax credit. If you or a family member enrolled in a separate dental plan with pediatric benefits, this column includes the portion of the dental plan premiums for the pediatric benefits. If your plan covered benefits that aren’t essential health benefits, such as adult dental or vision benefits, the amount in this column will be reduced by the premiums for the nonessential benefits. If the policy was terminated by your insurance company due to nonpayment of premiums for 1 or more months, then a -0- will appear in this column for these months regardless of whether advance credit payments were made for these months.

Column B. This column is the monthly premium for the second lowest cost silver plan (SLCSP) that the Marketplace has determined applies to members of your family enrolled in the coverage. The applicable SLCSP premium is used to compute your monthly advance credit payments and the premium tax credit you take on your return. See the instructions for Form 8962, Part II, on how to use the information in this column or how to complete Form 8962 if there is no information entered. If the policy was terminated by your insurance company due to nonpayment of premiums for 1 or more months, then a -0- will appear in this column for the months, regardless of whether advance credit payments were made for these months.

Column C. This column is the monthly amount of advance credit payments that were made to your insurance company on your behalf to pay for all or part of the premiums for your coverage. If this is the only column in Part III that is filled in with an amount other than zero for a month, it means your policy was terminated by your insurance company due to nonpayment of premiums, and you aren’t entitled to take the premium tax credit for that month when you file your tax return. You must still reconcile the entire advance payment that was paid on your behalf for that month using Form 8962. No information will be entered in this column if no advance credit payments were made.

Lines 21–33. The Marketplace will report the amounts in columns A, B, and C on lines 21–32 for each month and enter the totals on line 33. Use this information to complete Form 8962, line 11 or lines 12–23.

Document Attributes

Fact Name Description
Form Purpose The IRS 1095-A form is sent to individuals to report information on health insurance coverage purchased through the Marketplace.
Issued By The form is issued by the Health Insurance Marketplace, not the IRS.
Primary Use It is used to fill out parts of the federal income tax return, helping recipients calculate their premium tax credit or reconcile the credit on their returns if they've received it in advance.
Who Receives It It is received by individuals who have purchased health insurance through the Marketplace.
Deadline for Issuance The Marketplace must provide the form by January 31 following the coverage year.
Essential Information Included The form includes information such as the type of coverage, months of coverage, and the total monthly premium.
State-Specific Forms Some states operating their own Health Insurance Marketplaces might issue a state-specific version of Form 1095-A, governed by state laws.
Impact on Tax Returns Failure to report the information from Form 1095-A on a federal tax return can affect the calculation of taxable income and health insurance premiums credits.
Taxpayer Obligations Recipients of Form 1095-A are required to use it to complete Form 8962, Premium Tax Credit (PTC), and attach it to their federal tax returns.

How to Fill Out IRS 1095-A

Filling out the IRS 1095-A form is essential for individuals who have received health insurance coverage through a Health Insurance Marketplace. This document is crucial for accurately reporting healthcare coverage information on your tax return. Proper completion of the form ensures compliance with tax laws and can affect tax refunds or liabilities. Follow these steps meticulously to fill out the IRS 1095-A form accurately.

  1. Start by gathering all necessary documents, including your Health Insurance Marketplace Statement and any records of health insurance payments.
  2. Locate the correct tax year's IRS 1095-A form on the official IRS website or through your Health Insurance Marketplace account.
  3. Read through the form instructions provided by the IRS to familiarize yourself with the required information and how it should be entered.
  4. Fill in Part I with your personal information, including your name, Social Security Number (SSN), and the name and SSN of your spouse if filing jointly.
  5. In Part II, detail the policy information for your health insurance plan, including the policy number, the insurance company's name, and the dates of coverage.
  6. Complete Part III with information about the coverage, including the monthly premium amount, the amount of advance payment of premium tax credit (if applicable), and the number of covered individuals.
  7. Verify all the information entered for accuracy and completeness. Ensure that all required fields have been filled out and that the information matches your records.
  8. Sign and date the form if a paper copy is being filed. Electronic filings may require a digital signature or other forms of verification.
  9. Follow the instructions provided by the IRS or your tax preparer for submitting the completed IRS 1095-A form, whether by mail or electronically.
  10. Keep a copy of the completed form and any supporting documents for your records, in case of future inquiries or the need to amend your tax return.

After successfully filling out and submitting the IRS 1095-A form, your next steps will involve incorporating the information into your tax return, specifically if you're eligible for or received the Premium Tax Credit. This step is crucial for determining your tax liability or refund. Ensure you use the information from the form to complete the health insurance section of your tax return accurately. Adhering to these guidelines will facilitate a smoother process during tax season and help avoid potential errors or delays in processing your tax return.

More About IRS 1095-A

  1. What is the IRS Form 1095-A?

    The IRS Form 1095-A, also known as the Health Insurance Marketplace Statement, is a document sent to Americans who purchase health insurance through the Marketplace under the Affordable Care Act (ACA). This form provides details about the insurance coverage, including the start and end dates, the premiums paid, and any advance payments of the premium tax credit. It's an essential document for preparing your taxes, as it helps determine if you're eligible for additional premium tax credits or if you owe money back.

  2. Who receives a Form 1095-A?

    Form 1095-A is sent to individuals who enroll in health coverage through the Health Insurance Marketplace. If you've used the Marketplace to purchase your health insurance, expect to receive this form. It's issued by the Marketplace, not the insurance companies, and is sent to the primary insured, who may also receive copies for any dependents covered under the same policy.

  3. How do I use the information on Form 1095-A?

    The information on Form 1095-A is used to fill out Form 8962, the Premium Tax Credit form. This is essential for anyone who wants to claim the premium tax credit or to reconcile any advance payment of the premium tax credit. The figures found on Form 1095-A, such as the monthly premium amounts and the amounts of advance payment of the premium tax credit, will be necessary to accurately fill out Form 8962. This process helps to ensure that you received the correct premium tax credit amount during the year.

  4. What should I do if I haven’t received my Form 1095-A or if it’s incorrect?

    If you haven’t received your Form 1095-A by mid-February or if the information on the form you received is incorrect, your first step should be to contact the Marketplace. It’s important to correct any inaccuracies before filing your taxes to avoid potential issues with the IRS. The Marketplace can issue a corrected Form 1095-A. In the event of not receiving the form in time for tax filing, the IRS allows for an extension to file your tax return, giving you additional time to obtain the correct information.

Common mistakes

When filling out the IRS 1095-A form, a crucial document that serves as proof of health insurance via the Marketplace, individuals often encounter specific pitfalls. Avoiding these errors is essential for accurately reporting health coverage information and calculating premium tax credits on tax returns. Here are five common mistakes:

  1. Not Verifying Personal Information: One common oversight is the failure to double-check personal information, including names, social security numbers, and addresses. Even minor discrepancies can lead to processing delays or miscommunication with the IRS.

  2. Mixing Up Columns: The form requires detailed information about monthly premiums, subsidy amounts, and the second lowest cost Silver plan (SLCSP). Mixing up these columns can drastically alter the accuracy of tax credit calculations.

  3. Omitting Household Members: If individuals fail to include all members of their household who are covered under the Marketplace plan, it may result in inaccuracies in coverage reporting and premium tax credit eligibility.

  4. Inaccurate Income Reporting: The 1095-A form plays a significant role in determining eligibility for premium tax credits, which are based on household income. Reporting income inaccurately can affect these calculations, leading to potential issues with the IRS.

  5. Ignoring the Form Altogether: Perhaps the most critical mistake is neglecting to include the 1095-A form information when filing taxes. This omission can delay tax return processing and affect tax liability or refund amounts.

By avoiding these common mistakes, individuals can ensure that their 1095-A forms are accurately completed, thereby facilitating a smoother tax return process. It’s always advisable to review the form thoroughly, consult with a tax professional if unsure, and use all available resources to complete this crucial tax document correctly.

Documents used along the form

Having all the necessary paperwork is crucial when it's time to deal with taxes. One form that many people find themselves needing is the IRS 1095-A. This document is essential for anyone who has had health insurance coverage through the Health Insurance Marketplace. It details the months you were covered and any premium tax credits you received. However, this form doesn't stand alone. Various other documents and forms often accompany it in the tax preparation process. Understanding these additional documents can streamline tax filing and ensure accuracy and compliance.

  • IRS Form 1040: This is the standard federal income tax form used to report an individual's gross income. It's where you'll summarize your earnings, deductions, and credits, including information from your 1095-A to calculate your premium tax credit or reconcile any advance payments.
  • Schedule 1 (Form 1040): This form is used for additional income and adjustments to income. Taxpayers who have specific types of income, like business income or alimony, or deductions, such as educator expenses or student loan interest, use this form.
  • IRS Form 8962: This form is critical for anyone who has a 1095-A. It's used to calculate the amount of your premium tax credit and reconcile it with any advance payments of the credit that the Marketplace may have paid on your behalf to your insurance provider.
  • Schedule 2 (Form 1040): Taxpayers use this if they owe Alternative Minimum Tax or need to make an excess advance premium tax credit repayment. It's another form that ties into the information from your 1095-A if you need to repay some of the subsidies received.
  • IRS Form 8965: Form 8965 is used to report any health coverage exemptions you qualify for. Though not as commonly used since the individual mandate penalty was reduced to zero in 2019, it was crucial for reporting periods before that change.
  • Schedule 3 (Form 1040): This form is for reporting non-refundable tax credits other than the education and child tax credits. It includes the credit for the elderly or disabled, foreign tax credit, and credit for dependent care expenses, to name a few.
  • IRS Form 1095-B: Issued by insurance providers outside of the marketplace, 1095-B reports private, employer-provided, or government-sponsored health insurance coverage. It's informational and shows you had health coverage but doesn't directly impact your tax return if you also have a 1095-A.
  • IRS Form 1095-C: Large employers provide this form. It details the health insurance coverage they offered to their employees. Just like the 1095-B, it's more informational for employees and ensures compliance from the employer's side.
  • State Tax Return Forms: Depending on your state, you may have to file a state tax return alongside your federal return. Some states have their own versions of health coverage forms or require information from your 1095-A to complete state-specific health insurance mandates.

Collecting and understanding these forms can seem daunting. Still, they are all designed to ensure taxpayers correctly report their income, expenses, and health insurance coverage. Having a complete set of the correct forms, including the 1095-A, can help you navigate tax season smoothly, avoid penalties, and maximize potential refunds or credits. When in doubt, consulting with a tax professional can provide clarity and peace of mind.

Similar forms

  • IRS Form 1099-INT: This form is quite similar to the 1095-A form as both provide crucial year-end tax information to taxpayers. While the 1095-A form offers details on health insurance coverage through the marketplace, the 1099-INT form reports interest income. Both are important for ensuring accurate tax returns and for their role in individual financial management.

  • W-2 Form: The resemblance here lies in the fact that both forms are pivotal for filing personal income taxes. While the W-2 form is issued by employers to report an employee's annual wages and the amount of taxes withheld from their paycheck, the 1095-A form provides information on health insurance obtained through the marketplace. Each form's information is essential for accurately calculating tax liability or refunds.

  • IRS Form 1040: The connection between the 1040 form and the 1095-A is in their mutual requirement for completing an individual's tax filing. The 1040 form serves as the U.S. federal income tax return, into which information from the 1095-A concerning healthcare coverage and subsidies is integrated to ensure accurate tax credits and payments related to the Affordable Care Act.

  • IRS Form 8863: Both the 1095-A and the 8863 form intersect at the point of tax benefits, albeit for different reasons. Form 8863 is used to claim education credits, while the 1095-A relates to health insurance premiums. They are similar in that both can influence the amount of tax credit a taxpayer qualifies for, reflecting personal circumstances that can lower tax liability.

  • Schedule SE (Form 1040): The similarity to Form 1095-A lies in its relevance to self-employed individuals. Schedule SE is used to calculate the self-employment tax owed by people who work for themselves, while the 1095-A form could provide key details for self-employed persons who purchased health insurance through the marketplace, potentially affecting their overall taxable income and tax credits.

  • IRS Form 8962: This form directly connects with the 1095-A because it is used to calculate the premium tax credit (PTC) and reconcile any advance payment of the PTC. Individuals use the 1095-A to fill out the 8962 form, making them intricately linked in the process of ensuring taxpayers correctly apply for and receive the right amount of healthcare-related tax credits.

  • IRS Form 1095-B: Similar to the 1095-A, this form also deals with health insurance coverage but is provided by insurers to individuals who have coverage outside of the health insurance marketplace. Both forms serve a similar purpose in providing taxpayers with the information necessary to report their health insurance status on their tax returns, crucial for complying with the Affordable Care Act's requirements.

Dos and Don'ts

The IRS 1095-A form is an essential document for many Americans, proving they have health insurance coverage through the Health Insurance Marketplace. Filling it out correctly is critical to avoid any issues with your tax return. Here are 10 dos and don'ts to keep in mind:

Do:
  • Verify your personal information, including your Social Security Number (SSN), to ensure everything matches your official documents.
  • Double-check the information about your health insurance plan, such as the policy start and end dates, to make sure they are accurate.
  • Use the correct figures for your monthly premium and any advance payments of the premium tax credit. This information must match the data in the Marketplace’s records.
  • Keep a copy of the form for your records, along with any supporting documentation.
  • Contact the Health Insurance Marketplace if you spot any discrepancies in the form or if you haven’t received your 1095-A form by the due date.
Don't:
  • Rush through filling out the form. Taking your time to carefully review each section can prevent mistakes that could delay your tax return or affect your refund.
  • Ignore errors. If you find a mistake after submitting the form, follow the appropriate procedures to amend the error.
  • Assume the information from the Health Insurance Marketplace is correct without verifying. Errors can happen, and it’s your responsibility to ensure the accuracy of your tax return.
  • Forget to use the information on the 1095-A when calculating your premium tax credit eligibility. This could lead to missing out on valuable tax credits.
  • Lose your form. Safeguarding your 1095-A is crucial as you may need it for future reference or to resolve disputes.

Misconceptions

The IRS 1095-A form, known as the Health Insurance Marketplace Statement, is crucial for individuals who have purchased health insurance through the marketplace. It plays a significant role in filing federal tax returns by providing information about the insurance coverage, including premiums paid, any advance payment of the premium tax credit, and the benefit period. Despite its importance, several misconceptions surround the form, often leading to confusion. Here are eight common misunderstandings:

  • Only the policyholder needs the 1095-A form to file taxes. This belief is inaccurate. Although the form is issued to the policyholder, it includes information pertinent to everyone covered by the policy. Therefore, all parties listed should use it when completing their tax returns to report health coverage accurately.
  • If you didn’t have any changes in your coverage, you don’t need a new 1095-A each year. Regardless of whether your health insurance coverage or family situation changed, you will receive a new 1095-A form each year. This document is essential for tax-filing purposes and reflects the details of your coverage for each tax year.
  • The 1095-A form is only necessary if you’re anticipating a refund. This misconception could lead to filing errors. The form is crucial for both receiving a refund and determining the amount you owe. It helps in calculating the premium tax credit or reconciling any advance payment toward the premium tax credit you received.
  • Corrections on a 1095-A form are rare and unnecessary. Mistakes happen, and sometimes the information reported on the 1095-A form may need to be corrected. If you find any inaccuracies, it’s essential to contact the Marketplace as soon as possible to get a corrected form. Filing your taxes with incorrect information could lead to discrepancies and potential audits.
  • You can file your taxes without the 1095-A form if you know your insurance details. Even if you are well aware of your health insurance coverage specifics, the IRS requires the exact figures reported on the 1095-A form for accurate tax filing related to healthcare coverage. Filing without it could result in processing delays or a request to submit the form later.
  • The information on the 1095-A form is only relevant for calculating the premium tax credit. While calculating or reconciling the premium tax credit is a primary use of the 1095-A form, the information it contains also helps to establish proof of health insurance coverage, which is critical for determining if you're liable for the individual shared responsibility payment.
  • If you missed receiving your 1095-A form by mail, you must wait for a hard copy. If your form is delayed or misplaced, you are not obligated to wait for a physical copy. You can access it online through the Health Insurance Marketplace account where your form is available for download, ensuring you can file your taxes without unnecessary delays.
  • The premium tax credit reported must match what you used during the year. The premium tax credit amount shown on the 1095-A form reflects the amount you were eligible for based on your income, not necessarily the amount you opted to use during the year. Taxpayers have the option to use less of their credit in advance and may claim the difference on their tax return.

Understanding these misconceptions about the IRS 1095-A form can demystify the process of filing taxes with health insurance considerations, ensuring compliance and possibly avoiding common pitfalls that could lead to audits or delays in processing your tax return.

Key takeaways

Understanding how to correctly fill out and utilize the IRS 1095-A form is crucial for those who have purchased health insurance through the Health Insurance Marketplace. Here are eight key takeaways to keep in mind:

  • What It’s For: The 1095-A form is a Health Insurance Marketplace Statement. It's used to report certain information to the IRS about individuals who enroll in a qualified health plan through the Health Insurance Marketplace.
  • Importance for Tax Returns: When preparing your tax returns, the 1095-A form is essential. It contains information needed to determine if you're eligible for the premium tax credit, or if you need to adjust any credit you've already received.
  • Information Included: The form includes details such as the amount of premium paid, the amount of premium covered by tax credits, and the number of months you were covered.
  • Receiving the Form: The Marketplace sends out the 1095-A form. You should receive it by early February. If you haven’t gotten it by then, contact the Marketplace directly.
  • Accuracy Matters: Check the information on your 1095-A form carefully. If any details are incorrect, such as the monthly premium or the number of covered months, contact the Marketplace to get a corrected form.
  • Using the Form: Use the information from the 1095-A form to fill out Form 8962, Premium Tax Credit (PTC). This is how you'll figure out your premium tax credit or reconcile any advance payment on the premium tax credit.
  • Safekeeping: Keep your 1095-A form with your other important tax documents. You may need to refer back to it in future years, especially if you're asked to verify information on your tax return.
  • Electronic Access: You might be able to access your 1095-A form online through your Health Insurance Marketplace account. This can be a convenient way to get your form if you’ve misplaced your paper copy.
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