Fill out your Form 1095-A, Health Insurance Marketplace Statement with AI

Get a fillable Form 1095-A, Health Insurance Marketplace Statement PDF to complete and submit this form accurately. Includes instructions, requirements, and easy download.

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Form 1095-A, Health Insurance Marketplace Statement Frequently Asked Questions

What is Form 1095‑A used for?

It provides information about your health insurance coverage purchased through the Marketplace, including premium amounts and advance premium tax credits.

Who receives a Form 1095‑A?

Individuals or families who enrolled in Marketplace health insurance plans will receive a Form 1095‑A from the Marketplace.

What information is included in Part I of Form 1095‑A?

Part I lists information about you and your household, the Marketplace policy number and coverage start and end dates.

What does Part II of Form 1095‑A report?

Part II details the monthly premiums for the plan and any advance payments of the premium tax credit on your behalf.

Why is Form 1095‑A important for filing taxes?

You use the information on Form 1095‑A to complete Form 8962 to reconcile advance premium tax credits and claim any additional credits due.

Where can I find instructions for Form 1095‑A?

Instructions are available on the back of the form and on IRS.gov; they explain how to use the information on your tax return.

What should I do if the VOID box is checked on my Form 1095‑A?

If the VOID box is checked, disregard the form; it indicates that the Marketplace sent a corrected form and you should use the replacement form instead.

What is the purpose of Part III of Form 1095‑A?

Part III lists each family member covered under the policy, including their coverage start and end dates and allocation of advance payments.

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