Understanding Form 1095-A: Definition, Filing Requirements, and How to Get One

Jan 07, 2024 By Triston Martin

Form 1095-A, also known as the Health Insurance Marketplace Statement, is a crucial document for taxpayers in the United States who have purchased health coverage through the Health Insurance Marketplace. This form is integral to the process of filing your federal tax return, as it provides the necessary information to claim the premium tax credit or reconcile the credit on your return if you've already received it. Understanding Form 1095-A, its filing requirements, and how to procure it is essential. The following discussion aims to provide clarity on these aspects, empowering taxpayers to navigate this important aspect of their financial health effectively.

Definition of Form 1095-A

Form 1095-A is a document that taxpayers receive from the Health Insurance Marketplace each year they have enrolled in a qualified health plan (QHP). This form provides information on the health insurance coverage they and their household members had during the previous year. It also includes details such as the monthly premiums paid, any advance payments of the premium tax credit, and information about enrollment in a QHP.

Who issues Form 1095-A?

The Health Insurance Marketplace is responsible for issuing Form 1095-A to taxpayers who have enrolled in a QHP. This form is sent out by the Marketplace no later than January 31st of each year. Taxpayers can access their Form 1095-A online through their Marketplace account or by mail if they have not opted for electronic delivery.

What is the purpose of Form 1095-A?

Form 1095-A serves two purposes:

  1. It provides information to taxpayers about their health insurance coverage, including the premium amounts paid and any advance payments of the premium tax credit received.
  2. It assists taxpayers in filing their federal individual income tax return by providing the necessary information to claim or reconcile the premium tax credit.

Filing Requirements for Form 1095-A

If you or anyone in your household has enrolled in a QHP through the Health Insurance Marketplace, you will receive Form 1095-A. It is essential to note that this form is not required for tax filing purposes, but the information it contains is necessary for accurately completing your federal tax return.

Conditions under which you need to file Form 1095-A

You will need to file Form 1095-A if any of the following conditions apply:

  • You received advance payments of the premium tax credit for yourself or anyone in your household.
  • You or anyone in your household is enrolled in a QHP through the Health Insurance Marketplace.
  • You are claiming an exemption from the individual shared responsibility provision for yourself or anyone in your household.

Filing deadlines for Form 1095-A

The Health Insurance Marketplace is required to issue Form 1095-A by January 31st of each year. Taxpayers are encouraged to wait until they receive their Form 1095-A before filing their federal tax return, as this form contains crucial information necessary for accurate tax filing. However, if you do not receive your Form 1095-A by early February, you can contact the Marketplace for assistance.

How to file Form 1095-A?

Filing Form 1095-A is relatively straightforward. Taxpayers can either use a tax software or work with a tax professional to file their federal tax return. The information on Form 1095-A will be used to complete Form 8962, which is required for claiming the premium tax credit. Taxpayers should ensure that all the information on Form 1095-A is accurate and report any errors to the Marketplace for correction.

Procuring a copy of Form 1095-A

If you lose or misplace your original Form 1095-A, there are steps you can take to obtain a copy:

  1. Contact the Health Insurance Marketplace: You can request a copy of your Form 1095-A by contacting the Marketplace through their website, phone number, or in-person assistance.
  2. Access your online account: If you have opted for electronic delivery of your Form 1095-A, you can log in to your Marketplace account and download a copy.
  3. Contact your tax software provider: If you used a tax software to file your federal tax return, you may be able to access a copy of your Form 1095-A through the software.

It is crucial to have a copy of your Form 1095-A for future reference and tax filing purposes. Taxpayers should keep this form in their records, along with other important tax documents.

Common Mistakes to Avoid When Filing Form 1095-A

When filing their federal tax return, taxpayers should ensure that the information on Form 1095-A is accurate and complete. Here are some common mistakes to avoid when filing Form 1095-A:

  • Not waiting for the form: It is important to wait until you receive your Form 1095-A before filing your federal tax return. Filing without this form can result in errors and delays in processing.
  • Not reporting changes in coverage: If there were any changes to your health insurance coverage during the year, it is essential to report them on Form 1095-A. Failure to do so can result in incorrect information being reported on your tax return.
  • Not reporting errors: If you notice any errors on your Form 1095-A, it is important to report them to the Marketplace for correction. Failing to do so can result in incorrect information being reported on your tax return.

Conclusion

Form 1095-A is a crucial document that taxpayers receive from the Health Insurance Marketplace each year they have enrolled in a QHP. It provides necessary information about health insurance coverage and assists in accurately filing federal income tax returns. Taxpayers should ensure that they receive and review their Form 1095-A for accuracy, report any errors to the Marketplace, and keep a copy for future reference. By understanding the purpose and filing requirements of Form 1095-A, taxpayers can effectively navigate this aspect of their financial health with confidence.

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