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What is a 1095-A or Health Insurance Marketplace Tax Form?

"are you insured?"

At efile.com, we cover all the health care tax forms in the following pages: 

  1. What is Form 1095-A-Health Insurance Marketplace Statement? (this page)
  2. What is Form 1095-B-Health Coverage?
  3. What is Form 1095-C-Employer-Provided Health Insurance Offer and Coverage?
  4. What is Form 8962-Premium Tax Credit?
  5. What is Form 8965-Health Coverage Exemptions?

When you prepare your tax return on efile.com, answer a few simple tax questions and your health insurance information is automatically reported on your return. There's no need to mail any of the forms above to the IRS!

What is a 1095-A?

A 1095-A, Health Insurance Marketplace Statement, is a form you receive from the Health Insurance Marketplace (or Health Insurance Exchange) at healthcare.gov if you and your family member(s) purchased health insurance through the Marketplace for some or all of the year. On efile.com, it's easy to report your 1095-A information. The efile software will automatically select the tax form(s) for you to complete in order to report your 1095-A information.

Why Did I Receive a Form 1095-A?

You received Form 1095-A because you, your spouse, or your dependent is enrolled for health insurance through the Marketplace. 

What Information is on the 1095-A?

This form lists the following information about a Health Insurance Marketplace policy: 

  • who is enrolled in the policy
  • details about the coverage
  • the months when the individual was covered by the policy

When Would I Receive More Than One 1095-A Form? 

You may receive more than one 1095-A form if any of the following situations apply to you: 

  • all the members of your household were not enrolled in the same health plan
  • you updated your healthcare information and/or your family's healthcare information during the year (i.e. switched from one plan to another)
  • you and/or your family members are enrolled in plans from different states

When Should I Receive Form 1095-A?

For Tax Year 2017, you should receive Form 1095-A from the Marketplace by February 1, 2018. 

What If I Don't Receive My Form 1095-A? Can I Get a Copy from the IRS?

The IRS does not issue nor cannot provide you a copy of your 1095-A. Visit your Marketplace's website for information on how to request a copy of your form online from the Marketplace. 

How Do I Use Form 1095-A? 

You use the information from that form to report your advance payments of the Premium Tax Credit on Form 8962. The payments are on lines 21-33 of Form 1098-A. When you prepare your tax return on efile.com, the software will help you report your payment information in the right section based on your answers to several tax questions. 

What is the Premium Tax Credit? 

The Premium Tax Credit is a refundable credit you can claim on your tax return if you and/or your family has a low or moderate income (between 100 and 400% of the federal poverty line) to help you afford health insurance purchased through the Marketplace. 

How Do I Find Out If I Qualify for the Premium Tax Credit?

Prepare and efile your tax return on efile.com! After you answer a few simple tax questions, the efile software will use your answers to determine your eligibility and calculate your credit amount.

Am I Required to File a Tax Return If I Receive a 1095-A Form? 

Yes, you will need to file a tax return reporting the advance Premium Tax Credit amounts from that form (even if you are not required to file a return otherwise). When you prepare your return, include Form 8962 listing the advance payment amounts. Not filing your return will cause a delay in your refund and may affect your future advance credit payments. On efile.com, it's easy to to report your advance payment amounts correctly on your tax return and efile it! 

Do I Need to Attach Form 1095-A to My Tax Return?

No, you can keep it with your tax records after you use the information from the form to prepare and efile your tax return on efile.com.

Can I File My Tax Return Without Form 1095-A?

The IRS recommends that you wait until you receive the form before preparing and filing your 2017 tax return. If you file your return before you receive the form, the IRS may delay your refund.

How Do I Report My 1095-A Information on My Tax Return?

During the Healthcare section of the efile.com tax interview, answer "Yes" for the first question on having health insurance for the entire year and "Yes" for the second question for having insurance through the Marketplace. The efile software will then recommend you to add Form 1095-A-Health Insurance Marketplace Statement to your tax return. 

On the Form 1095-A-Health Insurance Marketplace Statement screen, follow the on-screen prompts to complete the form using the information from the Form 1095-A you received from the Marketplace. Click the green "Save" button when you're done. The efile software will automatically check the full-year coverage box on the PDF copy of your return to report to the IRS that you had insurance during the year. It will also create and add Form 8962 to your return using the information you entered on the 1095-A screen.

What If I Was Not Covered By Insurance All Year?

You should figure out if you qualify for an exemption from the health insurance coverage requirement. Otherwise, you will owe an individual shared responsibility payment. 

More Information on Health Insurance and Taxes

How Does the Affordable Care Act/Obamacare Affect My Tax Return?

What is the Premium Tax Credit?

What are the Tax Payments and Exemptions for Not Having Insurance?

What Medical Expenses Can I Claim on My Tax Return?

How Do Health Savings Plans Benefit My Tax Return?