What is a Form 1095-A and how do I use it?
If your income qualified you for a government subsidy that made your health insurance premiums cheaper last year, you should receive a Form 1095-A in the mail. This form comes from the Marketplace and provides information about your insurance plan and monthly premiums last year.
You’ll use the information on your 1095-A to fill out Form 8962, Premium Tax Credit while filing your taxes. This is the form you’ll use to “reconcile your premium tax credit” and find out if there’s any difference between the government subsidy you received and the amount you qualify for.
- Total monthly premiums: lines 21-32, column A
- Second lowest cost Silver Plan (SLCSP) monthly: lines 21-32, column B
- Advance payment of premium tax credit monthly: lines 21-32, column C
If you purchased health insurance through us in 2016, send our team a quick note at firstname.lastname@example.org or give us a call at 415-930-9110 M-F 8am-6pm PT and we’ll be happy to pass along your 1095-A, or detailed instructions on where to find it!