Do I need to file Form 1095-A?

You’ll receive this tax form if you bought coverage from the health insurance marketplace.

Elissa

Elissa Suh

Published August 28, 2019

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KEY TAKEAWAYS

  • Form 1095-A details how much you paid in monthly premiums and claimed in advance tax credits

  • If you purchased health insurance on the marketplace, you will receive this form

  • You do not fill out Form 1095-A yourself, you just use it to file your taxes

Everyone who bought a health plan on the health insurance marketplace will receive a copy of Form 1095-A, which is officially called the Health Insurance Marketplace Statement. It details how much you paid in monthly premiums and any premium tax credits you claimed. This information on this form is important when you file your federal income tax return, but you do not fill out 1095-A yourself. The health insurance marketplace will fill it out and send you a copy, usually by the end of January.

In this article:

What is Form 1095-A?

If you don’t have insurance coverage through your employer, you can buy a health plan on the healthcare.gov marketplace during Open Enrollment. When you get a qualified health plan (anything other than a stand-alone dental plan or catastrophic coverage), the marketplace is required to report the details of your coverage to the Internal Revenue Service (IRS). That includes recording how much you paid in premiums and any tax credit payments you took. It does this by preparing and filing Form 1095-A. Individuals do not file this form, but use it for tax filing purposes.

What is on my 1095-A form?

Form 1095-A includes the following information:

  • Personal details: Your basic information, including Social Security number, address and birth date.
  • Covered individuals: Other people who get health insurance through your plan, like family members. If you and your spouse are covered by one plan, you will only receive one 1095-A form.
  • Policy details: Insurance provider, coverage start date, and end date if applicable
  • Monthly premiums: How much you paid in premiums each month, or the cost to have access to your insurance.
  • Second lowest cost silver plan (SLCSP): This is monthly premium costs for this plan in your area. The SLCSP determines the amount of tax credit you’re eligible for. If you didn’t qualify for one, then these figures might not apply to you.
  • Advance premium tax credit: If you qualified for the premium tax credit and claimed it in advance during the calendar year, it will be listed here.

How do I get Form 1095-A?

Individuals will receive the form either in the mail or electronically from their health insurance marketplace. The marketplace should send you the form by January 31. If that is a weekend or holiday, they have until the following business day. Receiving the form in the mail takes longer than receiving it electronically.

If you opted for a physical copy and don’t get it within two to three weeks of the January 31 deadline, you can contact healthcare.gov. You can also reach out to them if you need a second copy, or download the form again from your online account if you received it electronically.

Form 1095-A and tax credits

In the past, this form was used to assess whether or not you would pay the Affordable Care Act’s individual mandate penalty for not having health insurance. While the individual mandate has been lifted, Form 1095A is still important for income tax filing.

If your household income is below a certain amount, you may qualify for a subsidy, like the premium tax credit, or PTC. You can receive this tax credit in one of two ways: either by claiming it at the end of the year, or by having the government make advance payments directly to the insurance company (this is called the advanced premium tax credit).

(Learn more about the advance premium tax credit and other health insurance subsidies.)

If you claimed more of your premium tax credit than you were allowed for that calendar year, then you may end up owing more income tax. If you used less, then you could have a bigger tax refund. (In either case, you will need all of the information found in the 1095-A form to fill out your tax documents, including Form 8962.)

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Form 1095-A vs 1095-B vs 1095-C

Depending on what type of health coverage you have, you may receive different types of tax forms.

Form 1095-B

All individuals enrolled in a non-marketplace health plan will receive Form 1095-B from their insurance providers. This form report whether or not you met the minimum requirement for health coverage. As mentioned, there is no longer a penalty for failing to have the minimum. The mandate been lifted starting in the 2019 tax year, but if you’re still filing taxes for the 2018 tax year, then you will need this form.

Form 1095-C

If you have employer-sponsored health insurance (and your workplace has more than 50 employees), then you will receive Form 1095-C. Similar to the other forms, 1095-C details the health coverage provided by your work.

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