Form 1095-A: Health Insurance Marketplace Statement

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.

Form 1095-A: Health Insurance Marketplace Statement: FAQs

  • Form 1095-A is a form used to report certain information to the IRS about individuals who enroll in a qualified health plan through the Marketplace.

  • If you are expecting to receive a Form 1095-A, you should wait until you receive that form to file your income tax return before the filing deadline.

  • The Marketplace must provide you your Form 1095-A by January 31.

  • Individuals who enrolled in health coverage for themselves or their family members through the Marketplace should receive their Form 1095-A.

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