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Form 1095-A: Unveiling Its Significance and Practical Use

Last updated 03/18/2024 by

Silas Bamigbola

Edited by

Fact checked by

Summary:
Form 1095-A is a vital document for Americans who obtain health insurance coverage through a Health Insurance Marketplace carrier. This article provides a detailed overview of Form 1095-A, its significance, and how to handle it during tax season. Discover the key takeaways and more in this comprehensive guide.

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Understanding Form 1095-A: Health insurance marketplace statement

Form 1095-A is a crucial document sent to Americans who obtain health insurance coverage through a Health Insurance Marketplace carrier. This form does not need to be returned to the government but serves as a record of an individual’s health insurance coverage.

Key Information included in Form 1095-A

Form 1095-A includes essential information, such as:
  • The effective date of the coverage
  • Premium amounts paid monthly
  • Any advance payments of the premium tax credit or subsidy
This form was created as part of the Affordable Care Act (ACA), commonly known as Obamacare. Individuals who receive coverage from the Marketplace created by this law may be eligible for subsidized coverage or a tax credit. It’s important to note that the penalty for taxpayers who are not covered by health insurance was abolished at the beginning of 2019.
You do not have to submit Form 1095-A itself. You have to provide information from the form or acknowledge that you have received one on the federal tax return. If you are eligible for a premium tax credit, you may have to attach a related form, Form 8962: Premium Tax Credit.
Thanks to the American Rescue Plan of 2021, all taxpayers with insurance bought on the ACA Marketplace are now eligible for this credit. Previously, filers were ineligible if their income exceeded 400% of the federal poverty line.

How to file Form 1095-A: Health insurance marketplace statement

When preparing your tax return, you or your tax preparer will use Form 1095-A to fill out Form 8962: Premium Tax Credit if you are eligible to receive the credit.
According to the IRS, if you are expecting to receive Form 1095-A, you should wait to file your income tax return until you receive it. Because it deals with claiming or reporting of tax credits, which in turn affects the amount of income tax you owe or any refunds you are due, Form 1095-A is crucial in the filing process.
Taxpayers should receive Form 1095-A by mid-January of the year following the coverage year, either by mail or in their HealthCare.gov accounts. Individuals who don’t receive their forms or see inaccuracies in them can contact HealthCare.gov directly.
The form lists each month for which you received coverage and the amount you paid in premiums. It also contains personal information, including your name, address, and Social Security Number. Your policy number and insurance company name also appear on the form.
Form 1095-A is a crucial document for Americans who obtain health insurance coverage through a Health Insurance Marketplace carrier.

How to fill out Form 8962

  1. Gather your Form 1095-A and other tax documents.
  2. Complete the required sections of Form 8962.
  3. Double-check your entries for accuracy.
  4. Attach Form 8962 to your income tax return.
Weigh the Risks and Benefits
Here is a list of the benefits and drawbacks to consider:
Pros
  • Pay back less than what you owe
  • Become debt-free in less time
  • Avoid bankruptcy
Cons
  • Negative impact on credit score
  • Additional fee accrual
  • Remains on your credit history for 7 years

Common mistakes to avoid with Form 1095-A

While Form 1095-A is essential for understanding and managing your health insurance coverage, there are common mistakes that taxpayers often make. Avoid these pitfalls to ensure a smooth tax-filing experience:

Omitting Form 1095-A from your tax return

One of the most significant errors is failing to include Form 1095-A when you’re eligible for a premium tax credit or subsidy. To prevent this, double-check your eligibility and ensure that you transfer the necessary information to Form 8962 when filing your tax return.

Ignoring inaccuracies in your form

It’s crucial to review your Form 1095-A for inaccuracies, such as incorrect premium amounts or coverage periods. If you identify any errors, contact HealthCare.gov directly to rectify the situation. Filing your taxes with incorrect information can lead to discrepancies in your tax credit or subsidy.

How Form 1095-A impacts your taxes

Understanding the tax implications of Form 1095-A is essential for accurate tax filing. Let’s explore how this form can affect your taxes:

Calculating your premium tax credit

Form 1095-A provides the information necessary to calculate your premium tax credit. This credit can significantly reduce the amount of income tax you owe or increase your potential refund. To ensure you receive the correct amount, transfer the data accurately to Form 8962 and file your taxes accordingly.

Impact of the American rescue plan

The American Rescue Plan of 2021 had a significant impact on Form 1095-A. Under this plan, all taxpayers with insurance purchased on the ACA Marketplace became eligible for premium tax credits. Previously, eligibility was limited if your income exceeded 400% of the federal poverty line. Be aware of these changes when filing your taxes, as they can result in substantial savings.

What to do with form 1095-A

Form 1095-A should be kept for your records. You don’t need to send it to the government with your tax return. However, if you are eligible for a subsidy or tax credit, you need to copy the relevant information to Form 8962 and include it with your tax return.
You don’t need to send Form 1095-A as part of your tax return. However, if you are eligible for a subsidy or tax credit, you need to copy the relevant information to Form 8962 and include it with your tax return.

The bottom line

Form 1095-A is a valuable document for those obtaining health insurance through a Health Insurance Marketplace carrier. It not only provides essential information about your coverage and premiums but also plays a crucial role in determining your eligibility for premium tax credits or subsidies. To ensure a smooth tax-filing process, carefully review your form for accuracy, and if eligible, transfer the necessary information to Form 8962. With the American Rescue Plan’s changes, more taxpayers can benefit from these credits, making Form 1095-A a vital part of tax season.
Form 1095-A is a vital document for Americans who obtain health insurance coverage through a Health Insurance Marketplace carrier. It is a record of key information about your health insurance coverage, and you should receive it by mid-January of the year following your coverage year.

Frequently asked questions

Is Form 1095-A the same as other 1095 forms?

No, Form 1095-A is specific to health insurance coverage obtained through a Health Insurance Marketplace carrier. It differs from other 1095 forms, such as 1095-B and 1095-C, which are related to different types of health insurance coverage.

What should I do if I receive an incorrect Form 1095-A?

If you receive a Form 1095-A with inaccuracies, it’s essential to take action. Contact HealthCare.gov directly to rectify the situation and ensure that your tax return reflects accurate information. Filing your taxes with incorrect data can lead to discrepancies in your tax credit or subsidy.

How can I check my eligibility for a premium tax credit or subsidy?

To determine your eligibility for a premium tax credit or subsidy, you should review your Form 1095-A. This form contains critical information about your coverage, including premium amounts and advance payments of the premium tax credit. If you meet the eligibility criteria, you can transfer this data to Form 8962 when filing your tax return.

Do I need to send Form 1095-A with my tax return?

No, you don’t need to send Form 1095-A to the government with your tax return. However, if you are eligible for a subsidy or tax credit, you must transfer the relevant information to Form 8962 and include it with your tax return. Form 1095-A is primarily for your records and to assist in accurate tax filing.

What is the deadline for filing Form 1095-A?

Form 1095-A is typically sent to taxpayers by mid-January of the year following the coverage year. While there is no specific deadline for receiving the form, it’s advisable to wait until you have it before filing your income tax return. Filing your taxes without this essential document can affect the accuracy of your tax credits and potential refunds.

Key takeaways

  • Form 1095-A is a vital document for Americans obtaining health insurance through a Health Insurance Marketplace carrier.
  • It provides essential information about coverage, premiums, and potential tax credits.
  • Form 1095-A does not need to be sent to the government but should be retained for your records.
  • If eligible for a subsidy or tax credit, you must transfer information to Form 8962 for your tax return.

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