The IRS 1095-A form, also known as the Health Insurance Marketplace Statement, is a critical tax document for individuals who enroll in health coverage through the Health Insurance Marketplace. It includes information about the insurance policy, premiums paid, and any advance payments of the premium tax credit. Understanding how to interpret and use this form is essential for accurately reporting health coverage information on your tax return. To get started on filling out your form, click the button below.
Navigating the landscape of health insurance documentation can sometimes feel like deciphering a complex puzzle, especially during tax season. Central to this challenge is the IRS 1095-A form, a crucial piece of paperwork for individuals who have obtained health insurance through the Health Insurance Marketplace under the Affordable Care Act (ACA). The form serves a dual purpose: it not only provides essential information about the health coverage, but it also plays a pivotal role in determining eligibility for premium tax credits. These credits are a form of financial assistance designed to make health insurance more affordable for individuals and families. Moreover, the form helps taxpayers to reconcile any credits they received in advance during the fiscal year, ensuring that the benefits provided accurately reflect their income level. Given its importance, understanding the nuances of the IRS 1095-A form is imperative for anyone who is preparing their tax return and has participated in the Marketplace. This guide aims to demystify the form, offering clarity on its significance, its impact on tax obligations, and how to accurately report the information it contains, thereby making the tax filing process smoother and less intimidating.
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)
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.
When an individual or a family enrolls in a health insurance plan through the Health Insurance Marketplace, they receive a crucial document, the IRS Form 1095-A, Health Insurance Marketplace Statement. This form plays an important role in preparing one's taxes, specifically when calculating the premium tax credit or determining if one has to repay any credit received in advance. It is essential that the form is filled out accurately to ensure compliance with tax obligations and to potentially secure beneficial tax credits. The process, while detailed, can be navigated with careful attention to each step.
After filling out Form 1095-A and checking it thoroughly for accuracy, the next steps include using this information to fill out other necessary tax forms, such as Form 8962, Premium Tax Credit. This step is essential for those who need to reconcile any advance credit payments or claim the premium tax credit. Properly integrating the information from Form 1095-A into one's tax return is paramount to ensuring that one's tax obligations are met accurately and efficiently. This process helps maintain eligibility for future health coverage benefits while avoiding potential issues with the IRS.
What is the IRS 1095-A form?
The IRS 1095-A form, also known as the Health Insurance Marketplace Statement, is a critical document for individuals who have purchased health insurance through the Marketplace. This form provides essential information needed to complete your federal income tax return, detailing the months you were covered and the amount of any premium tax credits you received. Essentially, it serves as proof of insurance for the IRS, ensuring that you've met your health coverage requirements for the year.
Why did I receive a 1095-A form?
If you enrolled in a health plan through the Health Insurance Marketplace, you'll receive a 1095-A form. This form is sent out by the Marketplace, not the insurance companies. Upon receiving it, you'll use the information to fill out your taxes, particularly if you're eligible for premium tax credits or need to reconcile any credits you've already utilized. The details provided include the insurance plan, the premiums paid, and the premium tax credits you're eligible for or have received.
How do I use the information on my 1095-A form when filing taxes?
The details found on your 1095-A form are pivotal for filing your taxes accurately. You'll need this form to fill out Form 8962, Premium Tax Credit (PTC). This action is necessary to claim premium tax credits on your tax return or to reconcile any advance payments of the premium tax credit. The process ensures that the credits you've received match your income level, ensuring you've not underpaid or overpaid your taxes regarding your healthcare coverage.
What should I do if I find a mistake on my 1095-A form?
If you discover inconsistencies or errors on your 1095-A form, it's crucial to contact the Health Insurance Marketplace as soon as possible. These errors could range from incorrect coverage dates to erroneous personal information, and resolving these discrepancies is necessary to ensure the accuracy of your tax return. The Marketplace will issue a corrected 1095-A form upon resolving the inaccuracies.
Can I file my taxes without my 1095-A form?
It's not advisable to file your taxes without your 1095-A if you had Marketplace coverage. This document is essential for completing Form 8962 to calculate your premium tax credit or reconcile any advance premium tax credit payments. Filing your taxes without this information could lead to inaccuracies in your tax return and potentially delay your refund. If you haven't received your form by early February, or if you lose it, you should contact the Marketplace to request a copy.
Do I need to attach my 1095-A form to my tax return?
No, you aren't required to attach your 1095-A form to your tax return when you file it. However, it's paramount that you keep this document with your tax records. You'll need the information on the 1095-A form to complete Form 8962, which is necessary for accurately calculating your premium tax credit or reconciling advance premium tax credit payments, and this form must be submitted with your tax return.
One common mistake is missing information on the form. Every field on the IRS 1095-A form is important and leaving a section blank can result in processing delays.
Another error occurs when people enter incorrect personal details, such as a misspelled name or the wrong Social Security Number (SSN). This leads to issues verifying identity and insurance coverage.
Many also mistakenly misreport the premium amount. The monthly premium amount must match the records from the health insurance marketplace.
Entering inaccurate policy start and end dates is another frequent error. These dates must accurately reflect the coverage period as per the marketplace records.
Some people fail to accurately report the advance payment of premium tax credit. It's crucial this amount is reported correctly to reconcile the tax credit one is eligible for.
There's also confusion around how to report coverage for dependents. All individuals covered under the policy should be listed, including dependents, with correct information.
A significant error is not updating the form with changes in circumstances like a change in income, address, or family size that occurred during the year.
Occasionally, people use the wrong form to report their health insurance information, confusing Form 1095-A with Forms 1095-B or 1095-C, which are for different types of coverage.
Last but not least, failing to verify the form before submission can result in errors. It’s important to review all the information meticulously to ensure its accuracy and completeness.
Mistakes on the IRS 1095-A form can delay tax refunds or result in incorrect calculations of tax liability or health insurance premium tax credits. Understanding these common errors can help individuals avoid them, ensuring a smoother process when filing their taxes.
When dealing with the IRS 1095-A form, a Health Insurance Marketplace Statement, individuals often find themselves needing additional documents to complete their tax returns accurately and to comply with the Affordable Care Act requirements. The 1095-A form provides information about health insurance coverage purchased through the marketplace, which is essential for reporting on federal tax returns. However, to ensure a comprehensive understanding and proper reporting of health coverage and tax credits, a variety of other forms and documents may also be used alongside the IRS 1095-A. Below is a list of these documents, each briefly described to provide clarity on their purpose and relevance.
Navigating tax requirements can be complex, especially when it involves understanding the interaction between health insurance and taxes. The forms and documents listed above are commonly used alongside the IRS 1095-A to ensure individuals meet their tax obligations while maximizing any available benefits. When preparing tax returns, it's important to have all relevant documentation at hand to accurately report health insurance coverage and calculate taxes owed or refunds due. As always, if there's uncertainty or complexity in your tax situation, consider seeking advice from a tax professional.
Filling out the IRS 1095-A form, which documents your health insurance marketplace coverage, can be a bit daunting. To ease the process and ensure accuracy, here's a comprehensive list of do's and don'ts to keep in mind:
Do's:
Don'ts:
By following these guidelines, you'll be more likely to fill out the form correctly and avoid potential issues. If you're unsure about any details, don't hesitate to get in touch with a tax professional or the Marketplace. They can provide the guidance you need to navigate the process smoothly.
The IRS Form 1095-A, Health Insurance Marketplace Statement, is essential for individuals who have purchased health insurance through the Marketplace. However, there are several misconceptions about this form that may confuse taxpayers. Understanding the truth can help individuals accurately report health insurance information and potentially avoid unnecessary complications with their taxes.
Understanding these misconceptions about the IRS Form 1095-A can help you navigate the complexities of health insurance information on your tax return. Remember, accurate and timely information can prevent potential issues and ensure compliance with tax laws.
The IRS 1095-A form, officially known as the Health Insurance Marketplace Statement, is a critical document for many Americans. It serves a dual purpose: firstly, it provides important information about health insurance coverage through the Marketplace, and secondly, it's essential for accurately filing your taxes. Understanding how to fill out and use this form correctly can save a lot of time and prevent potential issues. Here are four key takeaways you should keep in mind:
Accurately handling your IRS 1095-A form is key to navigating the tax season smoothly, especially when it comes to reconciling potential tax credits. By paying close attention to these takeaways, you can make the most of your health insurance coverage and avoid common pitfalls when filing your taxes.
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