Form 1095-A

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Form 1095-A Page 1
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Updated Feb 4, 2025
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Form 1095-A becomes necessary whenever an individual has health insurance coverage through the Marketplace. This document provides a legal record of the coverage details, including premium amounts and advanced premium tax credits, and is used to reconcile the Premium Tax Credit when filing taxes. Add essential details to this form 1095-A template on Lawrina and get a complete PDF document, ready for your tax filing needs.
Form 1095-A

Form 1095-A, or Health Insurance Marketplace Statement, is given to individuals with health plans through the Health Insurance Marketplace, established under the Affordable Care Act.

When Is a Form 1095-A Used?

You must report any premium tax credits you used to reduce the cost of your health plan. Include them on your federal tax return. This helps show you met the health coverage rule to avoid penalties. The Health Insurance Marketplace sends you the form 1095A from the IRS. Use the information from it to fill out IRS Form 8962.

Parties Involved

  • Health Insurance Marketplace. Issues the form 1095-A.
  • Recipient (You). Uses the form details for tax filing.
  • IRS. Receives a copy of the form 1095 A from the Marketplace and expects accurate tax returns reflecting this information.

Key Terms

  • Premium Tax Credit. Helps people and families with low to moderate incomes. It makes health insurance more affordable for them.
  • Minimum Essential Coverage. The type of coverage an individual needs under the Affordable Care Act to meet the individual responsibility requirement.

Elements of a Form 1095-A

  1. Policy Holder Information. The 1095 A form includes details like your name and address.

  2. Covered Individuals. Information about everyone who had coverage under the policy.

  3. Marketplace Coverage Information. Lists the months you were covered.

  4. Premiums and Credits. Shows the amount of your monthly premiums and any advanced payment of the premium tax credit.

Steps After Receiving a Form 1095-A

  • Review the Health Insurance Tax Form upon Receipt. The Marketplace should send you A form 1095 each January. Open it immediately to verify all information. Errors should be rectified quickly with the Marketplace to avoid tax filing issues.
  • Reconcile Your Credits. Input the information received on IRS Form 8962 to process any tax credits. The IRS form 1095 process involves these steps to accurately reflect your health coverage and the financial elements during tax filing.