The IRS 1095-A form is a document that provides information about health insurance coverage obtained through the Health Insurance Marketplace. This form is essential for individuals who want to claim premium tax credits or report their health coverage status when filing their taxes. Understanding the details of the 1095-A can help ensure accurate tax reporting and compliance.
The IRS 1095-A form plays a crucial role in the health insurance landscape, particularly for individuals who purchased coverage through the Health Insurance Marketplace. This form provides essential information about the health plans an individual or their family members enrolled in during the tax year. It details the months of coverage, the premiums paid, and any premium tax credits received. Understanding the 1095-A is vital for accurately completing your tax return, as it impacts your eligibility for certain tax credits and your overall tax liability. Failure to report the information correctly can lead to delays in processing your return or, worse, penalties. Thus, taxpayers should pay close attention to the details provided in this form, ensuring they align with their health insurance records. As the tax filing season approaches, being informed about the 1095-A can help individuals navigate their responsibilities and maximize their benefits under the Affordable Care Act.
What is the IRS 1095-A form?
The IRS 1095-A form is a document that provides information about your health insurance coverage obtained through the Health Insurance Marketplace. This form is important because it shows the months you had coverage, the amount of premium tax credits you received, and details about your health plan. You will need this form when filing your federal tax return to ensure you report your health coverage accurately and claim any premium tax credits you may be eligible for.
Who receives a 1095-A form?
If you purchased health insurance through the Health Insurance Marketplace, you should receive a 1095-A form. This includes individuals and families who enrolled in a plan during the open enrollment period or through a special enrollment period. The form is typically sent out by the Marketplace by the end of January each year, so be sure to check your mail or online account if you expect to receive one.
How do I use the 1095-A form when filing my taxes?
What should I do if I notice an error on my 1095-A form?
If you find any errors on your 1095-A form, such as incorrect coverage dates or premium amounts, you should contact the Health Insurance Marketplace where you obtained your coverage. They can issue a corrected form, known as a 1095-A, and provide guidance on how to proceed. It’s important to resolve any discrepancies before you file your taxes to avoid potential issues with the IRS.
The IRS 1095-A form is essential for individuals who enrolled in a health insurance plan through the Health Insurance Marketplace. It provides information needed to complete your federal tax return.
When filling out the form, ensure that all personal information is accurate. This includes your name, address, and Social Security number, as errors can lead to delays in processing your tax return.
The form includes details about the coverage you had, including the months you were covered. Review this information carefully to confirm it matches your records.
If you received premium tax credits, the 1095-A will help you reconcile these credits when filing your taxes. This is important to determine if you received the correct amount of assistance.
Keep a copy of the 1095-A form for your records. It serves as proof of health coverage, which may be required for future tax filings or other purposes.
The IRS 1095-A form is an important document for individuals who have health insurance through the Health Insurance Marketplace. However, several misconceptions about this form can lead to confusion. Here are four common misunderstandings:
This is not true. While the form is essential for those who received premium tax credits, it is also provided to anyone who enrolled in a health plan through the Marketplace, regardless of whether they received financial assistance.
In reality, the 1095-A form is crucial for accurately completing your tax return. It provides information about your health coverage, which you need to report when filing your taxes. Without it, you may face delays or issues with your tax return.
While the form is generally accurate, mistakes can happen. It is essential to review the information carefully. If you find any discrepancies, you should contact the Marketplace to request corrections.
Many individuals assume they will receive only one 1095-A form per year. However, if you changed your health plan during the year or had multiple enrollments, you may receive more than one form. Each form will provide details specific to each plan.
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.
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Incorrect Personal Information: One of the most common mistakes is providing inaccurate personal details, such as name, address, or Social Security number. Double-checking this information can save a lot of headaches later.
Misreporting Coverage Period: Individuals often fail to accurately report the months they had health coverage. It's crucial to ensure that the coverage period aligns with the months you were actually enrolled.
Confusing Premium Amounts: Many people misinterpret the premium amounts listed on the form. Ensure you understand which figures correspond to your monthly premiums and what might be applicable for tax credits.
Missing Information on Household Members: Omitting details about all household members who were covered can lead to issues. Every individual who was part of your health plan should be listed accurately.
Failing to Report Changes: If there were any changes in your coverage during the year, such as switching plans or losing coverage, these must be reported. Neglecting to do so can result in discrepancies.
Not Keeping a Copy: After submitting the form, some forget to keep a copy for their records. This can be problematic if the IRS has questions or if you need to reference it in the future.
Ignoring IRS Instructions: Many individuals overlook the specific instructions provided by the IRS for filling out the 1095-A form. Taking the time to read and follow these guidelines can prevent many errors.
Filling out the IRS 1095-A form can be a straightforward process if you follow some essential guidelines. Here’s a list of things you should and shouldn’t do to ensure accuracy and compliance.
By adhering to these guidelines, you can navigate the process of completing the IRS 1095-A form with confidence. Accurate information is crucial for a smooth tax filing experience.
The IRS 1095-B form is similar to the 1095-A in that both documents provide information about health insurance coverage. While the 1095-A is used for individuals who purchased health insurance through the Health Insurance Marketplace, the 1095-B is issued by health insurance providers to show that a person had minimum essential coverage. Both forms help taxpayers verify their health insurance status when filing taxes, ensuring compliance with the Affordable Care Act requirements.
Understanding the legalities and importance of the authority granted through a Power of Attorney document can be crucial for organizing one's personal affairs. This form allows you to appoint someone to make decisions on your behalf, particularly in financial or legal situations where you may not be able to act yourself. Having a clearly defined Power of Attorney can ensure that your interests are managed according to your wishes, providing peace of mind in times of need.
The IRS 1095-C form is another related document, primarily issued by applicable large employers. This form reports health coverage offered to employees and their dependents. Like the 1095-A, it serves to inform taxpayers about their health insurance status, but it focuses on employer-sponsored plans. If you work for a large employer, you may receive this form instead of the 1095-A, depending on your insurance situation.
The W-2 form, while primarily a wage and tax statement, shares similarities with the 1095-A in that both are essential for tax filing. The W-2 reports an employee's earnings and the taxes withheld, while the 1095-A provides information on health insurance coverage. Both forms are critical in determining tax obligations and ensuring compliance with federal regulations, particularly for those who received premium tax credits.
The 1099 form series, particularly the 1099-MISC and 1099-NEC, can also be compared to the 1095-A. These forms report various types of income other than wages, salaries, or tips. While they do not directly pertain to health insurance, they are all used during tax season to report different financial information. Each form helps the IRS track income and compliance, ensuring that taxpayers report all necessary information accurately.
Finally, the Schedule C form is relevant for self-employed individuals. It reports income and expenses related to a business. Similar to the 1095-A, it plays a crucial role in tax filing. While the 1095-A focuses on health insurance coverage, both forms ultimately help taxpayers provide the IRS with a complete picture of their financial situation, ensuring accurate tax reporting and compliance with federal laws.