The IRS 1095-A form is a document that provides information about an individual's health insurance coverage through the Health Insurance Marketplace. It details the monthly premiums paid, any advance premium tax credits received, and the coverage periods. For individuals looking to reconcile their credits or claim premium tax credits on their tax return, completing this form is crucial. Click the button below to start filling out your form.
Navigating the complexities of health insurance documentation is an essential part of managing one's finances and health care in the United States. Among the myriad of forms, the IRS 1095-A stands out as a critical document for individuals who have enrolled in a health insurance plan through the Health Insurance Marketplace. This form is not just a piece of paper; it's a comprehensive summary of the health insurance coverage for the year, detailing not only the months covered but also the amount of premium paid, and any advance payments of the premium tax credit that were sent directly to the insurance provider to lower the cost of monthly premiums. For people who have obtained their health insurance this way, the 1095-A form plays a pivotal role during tax season, serving as a necessary tool to reconcile actual health care premiums and advance payments against potential tax credits, ensuring that individuals can accurately report their information and potentially claim additional credits or refunds. Understanding its components, implications for tax filing, and how it interacts with other tax forms can streamline the tax filing process, making it less daunting while ensuring compliance with health care reporting requirements.
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.
Filling out the IRS 1095-A form is a critical step for individuals who have received health insurance through the Health Insurance Marketplace. This document is necessary for accurately reporting health coverage information on your tax return. It details the coverage, who was covered, and when, which is essential for determining eligibility for premium tax credits or if any repayment is necessary. Below are the steps essential for completing the form accurately and ensuring compliance with tax regulations.
After submitting the IRS 1095-A form, the next steps involve waiting for any communication from the IRS regarding your submission. This may include requests for additional information, corrections, or confirmation of receipt. It's crucial to respond promptly to any IRS inquiries to avoid delays or penalties. This form plays a pivotal role in your financial health, as it impacts your tax return and potential refunds or liabilities. Thus, ensuring its accuracy cannot be overstated.
The IRS 1095-A form, officially known as the Health Insurance Marketplace Statement, is a document sent to individuals who purchase health insurance through the Marketplace, established by the Affordable Care Act. This form contains important information about the insurance policy, including coverage periods, premiums paid, and any advance payments of the premium tax credit. It is essential for preparing your tax return if you've received a premium tax credit or wish to claim the premium tax credit.
The 1095-A form is crucial for tax filing purposes because it provides the details necessary to:
If you do not receive your 1095-A form by early February or if the information on the form is incorrect, you should take the following steps:
It is not recommended to file your taxes without the 1095-A form if you are expecting it, as it contains crucial information needed to accurately report health insurance coverage and calculate any premium tax credit. If the tax filing deadline is approaching and you have still not received your 1095-A form, consider the following options:
Filling out the IRS 1095-A form, which is vital for accurately reporting health insurance information for your tax returns, can seem straightforward. However, small errors can lead to big headaches. Let’s ensure you avoid common pitfalls, leading to a smoother tax filing process.
Not double-checking information against insurance statements: Always compare the information on your 1095-A form with your health insurance statements to ensure accuracy. Discrepancies can cause delays in processing your tax return.
Misunderstanding the columns: Each column on the form has a specific meaning, notably the monthly premium amount, the amount of premium assistance received, and the benchmark premium. Misinterpreting these can affect your tax credits.
Entering incorrect Social Security Numbers (SSNs): An easily avoidable mistake, yet quite common, is entering an incorrect SSN. This can lead to processing issues and potential fines.
Overlooking dependent information: If dependents were covered under the insurance policy, ensure their details are accurately reflected on the form. Missing or incorrect dependent information can affect credit calculations.
Failure to amend information after changes in circumstances: Life changes such as marriage, divorce, or a change in income can affect your coverage. It’s crucial to update your form accordingly.
Ignoring the form because you’re no longer enrolled in the plan: Even if you’re no longer enrolled in the health insurance plan, you must report the period you were covered. Ignoring the form can lead to inaccuracies in your tax obligations.
Assuming the form isn’t necessary for your tax return: If you or anyone in your household enrolled in a plan through the Marketplace, the 1095-A form is essential for completing your tax return accurately.
Not seeking help when needed: If you’re unsure about any part of the form, it’s better to seek assistance than to guess. Misinformation can lead to under-reported income or tax credit discrepancies.
Being diligent and thorough when filling out the IRS 1095-A form is crucial. These common mistakes are easily rectifiable with attention to detail, ensuring an accurate and stress-free tax filing experience.
Navigating through health insurance information during tax season can be daunting, particularly when handling the IRS 1095-A form. This form is essential for anyone who has purchased health insurance through the Marketplace under the Affordable Care Act. However, to report accurately and possibly take advantage of tax credits or deductions, other forms and documents might also be necessary. Understanding these documents ensures a smoother process and helps avoid potential issues. Here's a breakdown of up to seven forms and documents often used alongside the IRS 1095-A form.
Collecting these documents before starting your tax preparation can save time and reduce stress. Each plays a role in ensuring your tax returns are complete and accurate, reflecting your health insurance status and financial activity throughout the year. Whether you're expecting a refund, owe taxes, or are applying for credits, these forms support your situation, helping to navigate the often complex interactions between healthcare and taxes.
IRS 1095-B Form: Similar to the 1095-A, the IRS 1095-B form provides information about an individual’s health coverage. Whereas the 1095-A details marketplace insurance, the 1095-B is for people who received health coverage through providers not part of the health insurance marketplace. This includes government plans such as Medicare, employer-provided health insurance, and other off-market health plans.
IRS 1095-C Form: This document is akin to the 1095-A, with its main focus on providing details about health insurance offered and provided by an employer. Large employers typically issue the 1095-C form to their employees. It highlights whether the coverage meets the minimum value standard and affirms that the individual was covered under an employer-sponsored plan, serving a similar purpose to the 1095-A for the different context of employer insurance.
W-2 Form: Although primarily known as the wage and tax statement issued to employees, the W-2 form does have a connection to the 1095-A in providing vital tax filing information. Both forms are essential for accurately completing individual income tax returns, with the W-2 reporting wages earned and taxes withheld, and the 1095-A offering details necessary for reporting healthcare coverage and calculating any premium tax credit eligibility.
1040 Form: The main tax return form, the 1040, is intricately linked with the 1095-A, as information from the 1095-A is used to fill out sections of the 1040. The form assists in determining the taxpayer’s eligibility for premium tax credits and reconciling the credit amount, if applicable. Both forms are integral to the tax filing process, directly impacting a taxpayer’s obligations and benefits related to health coverage.
Schedule A (Form 1040): This form, which details itemized deductions on a tax return, parallels the 1095-A through its impact on deductions. Taxpayers can use information from their 1095-A, such as premiums paid, to potentially claim deductions for health care expenses on Schedule A. While serving different functions, both forms contribute significantly to the calculation of taxable income and tax liability.
Filling out the IRS 1095-A form is a crucial step for many individuals during tax season, especially for those who have received health insurance through the Health Insurance Marketplace. Here is a guide to help you navigate the do's and don'ts of this process properly:
Things You Should Do:
Things You Shouldn't Do:
When discussing the IRS 1095-A form, misconceptions abound. This form is essential for managing your taxes if you've received health insurance through the Health Insurance Marketplace. Let's clarify some common misunderstandings.
You can file your taxes without the 1095-A form if you had Marketplace insurance. This is a misconception. If you got your health insurance through the Marketplace, you need the 1095-A form to file accurate taxes. It includes crucial information about your coverage and any subsidies you received.
The 1095-A form is only for the self-employed. This is not true. Anyone who enrolled in a health plan through the Health Insurance Marketplace, regardless of their employment status, will receive a 1095-A form. It's about where you got your insurance, not your job.
If you didn't get a subsidy, you don't need the form. Even if you didn't receive any financial help with your Marketplace plan, you still need Form 1095-A. It holds important information for your tax return, including the fact that you had coverage, which helps determine if you owe a penalty or qualify for exemptions.
You must wait for the IRS to send you the 1095-A form. Actually, the Health Insurance Marketplace, not the IRS, issues the Form 1095-A. Typically, it's sent to you by mail, or you can download it from your HealthCare.gov account. You don't need to wait for the IRS to send it.
The 1095-A form is too complicated to fill out on your own. While the form contains detailed information, you don't fill it out yourself. It's provided to you already completed by the Health Insurance Marketplace. Your responsibility is to use the information on the form to complete other parts of your tax return or verify the information with your records.
Understanding the facts about Form 1095-A can make tax season less stressful. It's a key document for anyone who's had Marketplace insurance during the tax year. Always ensure your information is accurate and reach out for help if you need clarity on how to use this form in your tax filing process.
The IRS 1095-A form, officially known as the Health Insurance Marketplace Statement, is a critical document for taxpayers who have obtained health insurance through the Marketplace. It serves multiple purposes, from assisting in filling out tax returns to ensuring individuals can claim premium tax credits. Here are four key takeaways regarding the handling and utility of this form:
Correctly utilizing the 1095-A form plays a pivotal role in maintaining compliance with tax laws and maximizing eligible tax benefits related to healthcare coverage. Taxpayers and tax preparers alike should give this document careful attention each tax season.
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