That Form 1095-A was sent in error. You shouldn t have received a Form 1095-A for this policy. Don t use the information on this or the Form 8962. Cat. No. 60703Q Form 1095-A 2017 Instructions for Recipient You received this Form 1095-A because you or a family member enrolled in health insurance coverage through the Health Insurance Marketplace. For example if you indicated to the Marketplace at whom you won t claim a personal exemption deduction that child will receive a separate Form 1095-A...and won t be listed in Part II on your enrolled individuals aren t individuals for whom you intend to claim a personal exemption deduction your Form 1095-A will include coverage information in Part III that is applicable solely to the individuals listed on your Form 1095-A and separately issued Forms 1095-A will include enrollment the individuals for whom you intended to claim a personal exemption deduction Form 1095-A will list all enrolled individuals in Part II on your Form 1095-A. CAUTION...NOT FOR FILING Form 1095-A is provided here for informational purposes only. Health Insurance Marketplaces use Form 1095-A to report information on enrollments in a qualified health plan in the individual market through the Marketplace. Don t use the information on the original Form 1095-A you received for this policy. Part I. Recipient Information lines 1 15. VOID box. If the VOID box is checked at the top of the form you previously received a Form 1095-A for the policy described in Part I. For...additional information related to Form 1095-A go to www.irs.gov/ Affordable-Care-Act/Individuals-and-Families/Health-InsuranceMarketplace-Statements. As the form is to be completed by the Marketplaces individuals cannot complete and use Form 1095-A available on IRS.gov. Individuals receiving a completed Form 1095-A from the Health Insurance Marketplace will use the information received on the form and the guidance in the instructions to assist them in filing an accurate tax return. Form 1095-A...Department of the Treasury Internal Revenue Service Part I VOID Do Go not attach to your tax return. Keep for your records. to www*irs*gov/Form1095A for instructions and the latest information* OMB No* 1545-2232 CORRECTED Recipient Information 1 Marketplace identifier 2 Marketplace-assigned policy number 3 Policy issuer s name 4 Recipient s name 5 Recipient s SSN 6 Recipient s date of birth 7 Recipient s spouse s name 10 Policy start date 11 Policy termination date 12 Street address including...apartment no. 13 City or town 14 State or province 15 Country and ZIP or foreign postal code Covered Individuals A. Covered individual name date of birth D. Coverage start date E* Coverage termination date Coverage Information Month A. Monthly enrollment premiums B. Monthly second lowest cost silver plan SLCSP premium C. Monthly advance payment of premium tax credit 21 January 22 February 23 March 24 April 25 May 26 June 27 July 28 August 29 September 30 October 31 November 32 December 33 Annual...Totals For Privacy Act and Paperwork Reduction Act Notice see separate instructions.
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To edit the IRS 1095-A form, use a PDF editor such as pdfFiller. Start by uploading the PDF version of the form. Once uploaded, you can easily fill in the necessary information, modify existing entries, or make corrections as needed. Be sure to save your changes regularly to avoid losing any data.
How to fill out IRS 1095-A
Filling out the IRS 1095-A form involves several steps. First, gather necessary information such as the marketplace coverage details and personal information of all individuals covered under the plan. Then, ensure that you accurately report the monthly premium amounts for coverage. Follow the structure of the form carefully, as incorrect data can lead to filing delays or penalties.
About IRS 1095-A 2020 previous version
What is IRS 1095-A?
IRS 1095-A is a tax form used to report information about health insurance coverage obtained through the Health Insurance Marketplace. This form provides details necessary for taxpayers to accurately prepare their federal tax returns and comply with the Affordable Care Act (ACA) requirements.
Who needs the form?
Individuals who enrolled in a health insurance plan through a Health Insurance Marketplace need IRS 1095-A. If you received a premium tax credit or had coverage under a plan purchased via the marketplace, you must include this form when filing your federal tax return.
Components of the form
The IRS 1095-A form consists of three main parts: Part I provides information about the taxpayer and their marketplace coverage, Part II details each month of coverage, and Part III outlines premium tax credits received. Each section must be accurately completed to ensure proper tax reporting.
What information do you need when you file the form?
When filing IRS 1095-A, you will need information including the names of individuals covered, the health plan's policy number, monthly premium amounts, and details about any premium tax credits received. This information will be critical when completing your federal tax return.
Where do I send the form?
Form 1095-A is not submitted with your tax return but is kept for your records. When filing your federal tax return, report the relevant information from Form 1095-A on your return. If filing electronically, your tax software will likely prompt you for this information accordingly.
What is the purpose of this form?
The primary purpose of the IRS 1095-A form is to inform taxpayers of their health insurance coverage status and any premium tax credits received during the year. The data reported on this form aids in determining eligibility for the Premium Tax Credit and ensuring compliance with ACA mandates.
When am I exempt from filling out this form?
You are exempt from filing IRS 1095-A if you did not obtain health insurance through the Health Insurance Marketplace. Additionally, if you had other forms of qualifying health coverage, such as employer-sponsored coverage or government programs like Medicare or Medicaid, you do not need this form.
What are the penalties for not issuing the form?
Failure to issue the IRS 1095-A form when required can result in penalties for both the tax filer and the marketplace. Taxpayers may face delays in processing their tax returns, and they could be subject to additional taxes if they do not report the premium tax credit accurately due to missing information.
Is the form accompanied by other forms?
IRS 1095-A is typically accompanied by IRS Form 8962, the Premium Tax Credit (PTC) form. Taxpayers use Form 8962 to calculate the premium tax credit they are eligible for based on the information reported on Form 1095-A.
FAQ about IRS 1095-A
What should I do if I realize I made an error on my IRS 1095-A after filing?
If you discover an error on your IRS 1095-A, it’s crucial to submit a corrected form. You can do this by filing an amended return with the updated information. It's advisable to include a letter explaining the corrections made. Doing this promptly can help prevent any issues with the IRS regarding your health coverage.
How can I verify if my IRS 1095-A has been processed?
To verify the processing status of your IRS 1095-A, you can check the IRS online portal or call the IRS directly for assistance. Be sure to have your details ready, such as your Social Security Number and the details from your form, to facilitate the inquiry. This helps ensure any potential issues are identified quickly.
What should I consider regarding the confidentiality of my IRS 1095-A information?
When handling your IRS 1095-A, it's important to be aware of privacy concerns. Ensure that you only submit your form via secure methods, and if e-filing, use trusted software that complies with IRS regulations. Maintaining records securely is crucial for avoiding unauthorized access to sensitive personal information.
How do service fees for e-filing the IRS 1095-A work?
When e-filing your IRS 1095-A, some providers may charge service fees for their assistance. It's important to review pricing and compare different e-filing services to choose one that fits your needs. Additionally, inquire whether they offer refunds if your submission is rejected or needs to be corrected.
What should I do if I receive correspondence from the IRS regarding my IRS 1095-A?
If you receive a notice from the IRS related to your IRS 1095-A, read it carefully to understand the specifics of the inquiry or issue. Prepare any necessary documentation and respond promptly to ensure you meet the IRS's deadlines. Keeping organized records will aid in resolving any discrepancies effectively.
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