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 if any amount other than zero is shown in Part III, column
C, of this Form 1095-A or if you want to take the premium tax credit.