For Paperwork Reduction Act Notice see your tax return instructions. Cat. No. 37784Z Form 8962 2015 Page Shared Policy Allocation Complete the following information for up to four shared policy allocations. Form OMB No* 1545-0074 Premium Tax Credit PTC Department of the Treasury Internal Revenue Service Name shown on your return Attach to Form 1040 1040A or 1040NR* Information about Form 8962 and its separate instructions is at www*irs*gov/form8962. Attachment Sequence No* 73 Your social...
2015 8962

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Making Healthcare Affordable with IRS Form 8962

IRS Form 8962 - the Premium Tax Credit

Following on Form 8962 for those of you claiming the Premium Tax Credit.

What is the purpose of Form 8962?

The premium tax credit, or PTC, is a refundable credit that helps eligible individuals and families with low or moderate income afford health insurance purchased through a Health Insurance Marketplace.  

The purpose of the Form 8962 is for the taxpayer to figure the amount of (Premium Tax Credit) and reconcile it with advance payment of the premium tax credit (APTC).

 

Who needs the Form 8962?

Individuals need an 8962 Form if they filed the Form 1040, Form 1040A, or Form 1040-NR, and if either of the following conditions apply:

• The individual is taking the PTC.

• APTC (Advanced Premium Tax Credit) was paid the taxpayer or another individual in the taxpayer’s tax family.

• APTC was paid for an individual including taxpayer for whom the taxpayer told the Marketplace that he or she would claim a personal exemption, and neither the taxpayer nor anyone else claims a personal exemption for that individual.

Is the Form accompanied by other forms?

If necessary, the Form 8962 is filed with Form 1040. While the Form 1095-A does not have to be attached the tax return, information from the Form 1095-A is used to complete the Form 8962.

When is the Form 8962 due?

The Form 8962 is attached to your tax return. The general filing date for an individual tax return is April 15th. If an extension is filed, the extended filing due date is generally October 15th.

How is the Form 8962 completed?

The Form 8962 is divided into five parts. Part I, (Annual and Monthly Contribution Amount), Part II, (Premium Tax Credit Claim and Reconciliation of Advance Payment of Premium Tax Credit), Part III, (Repayment Excess Advance Payment of the Premium Tax Credit)., Part IV, (Shared Policy Allocation), Part V, (Alternative Calculation for Year of Marriage).

Part I:

Line 1: Enter the number of exemptions from your Form 1040 or Form 1040 A, (line 6d), or Form 1040 NR (line 7d).

Line 2a: Enter your modified AGI (Adjusted Gross Income).

Line 2b: Enter the combined modified AGI for your dependents who are required to file an income tax return because their income meets the income tax return filing threshold.

Line 3: Add the amounts on lines 2a and 2b.

Line 4: Check the box to indicate your state of residence for the current tax year.

Line 5: Figure your household income as a percentage of the federal poverty level guidelines.

Line 6: If the amount on 5 is at least 100%, but no more than 400%, check the box “No” on line 6 and continue to line 7.

Line 7: Enter the decimal number from Table 2 (page 8 of form instructions) that applies to the amount you entered on line 5.

Line 8a: Line 3 by line 7 and enter the result on line 8a rounded to the nearest whole dollar amount.

Line 8b: Divide line 8a by 12.0 and enter the result on line 8b, rounded to the nearest whole dollar amount.

Part II:

Line 9: Refer to form instructions.

Line 10: Refer to form instructions.

Line 11: Annual Totals (Columns A-F), refer to form instructions. If you checked the “Yes” box on line 6, or you are using the filing status, married filing separately and exception 2 – Victim of domestic abuse or spousal abandonment, earlier, does not apply to you, skip columns (a) through (e) and complete only column (f) later.

Lines 12-23: Monthly Calculation.

Refer to form instructions.

Line 24: Enter the amount from line 11 (e) or add lines 12 (e) through 23 (e) and enter the total.

Line 25: Enter the amount from line 11 (f) or add lines 12 (f) through 23 (f) and enter total.

Line 26: Net Premium Tax Credit. Refer to form instructions.

Part III:

Line 27: If line 25 is greater than line 24, subtract line 24 from line 25 and enter the result.

Line 28: Refer to form instructions.

Line 29: Enter the smaller of line 27 or line 28. If Line 28 is blank, enter the amount from line 27 on Line 29. Also the amount from Form 1040NR, line 44.

Part IV:

Lines 30-34: Refer to form instructions.

Part V:

Complete this section to elect the alternative calculation for your pre-marriage months. Electing the alternative calculation is optional, but may reduce the amount of excess APTC you must pay. Refer to form instructions for more details.

Line 35: Complete columns (a) through (d) as indicated in Publication 974 (Premium Tax Credit) under Alternative Calculation for Year of Marriage.

Line 36: Complete columns (a) through (d) as indicated in Publication 974 under Alternative Calculation for Year of Marriage.

Where do I file form 8962? 

You should send form 8962 along with your 1040 to the following mailing address: Department of the Treasury Internal Revenue Service Center Ogden, UT 84201-0027

Video instructions and help with filling out and completing 2015 8962
Instructions and Help about irs 8962 form 2015

Welcome everyone this video explains completion of the forum 89-62 the forum on which the premium tax credit is reconciled and/or calculated we'll also go over the ACA worksheet a little bit it's primarily addressed though in the video on exemptions the form eighty nine sixty five so please do look at that video also keep in mind that in order to prepare this form the 8960 to you must be advanced certified looking at the ACA worksheet which is titled ACA page one and two in your tree when you answer the question the first question on this worksheet did anyone purchase insurance through the marketplace answer yes to that and tax wise will automatically load a form 89-62 in your tree I want to point out here this first section at the top where asked about if you're applying for relief as you know when you file married filing separately return you're not eligible for the premium tax credit there is an exception however for survivors of domestic violence are those who experienced some type of coercion they can file a separate return from their spouse and still be eligible for the premium tax credit so if your client happens to fall in one of those categories this is the Box you will check notice here on line two B is where dependent income is entered it doesn't state so on the form itself but the dependent income is entered only if the dependent is required to file a tax return so if the dependent files a returns simply to get a refund of their withholding and but they don't meet the filing threshold then you do not need to enter dependent income online to be this is only for those dependents who have a filing requirement tax wise also defaults when you first open this form it defaults the household income the the percentage of federal poverty line as four hundred and one percent when you check the state of residence for the taxpayer it then calculates their FPL amount based on their annual income based on their AGI so you will see here that Mis test is it a hundred and seventeen percent if a person is over four hundred percent of the federal poverty level they are not eligible for the premium tax credit if they received it then they will have to repay the credit the advanced credit that they received there are a couple of exceptions to being under a hundred percent or of federal poverty level if this figure had been under under a hundred percent then you would need to answer these questions here in number six the two exceptions are for aliens who are lawfully present in the u.s. they when someone enters the country lawfully for the first five years of their presence they're not eligible for Medicaid however they are entitled to purchase health insurance through the marketplace and receive the premium tax credit that's one exception the second exception is if their household income was above a hundred percent of the federal poverty level at the time they enrolled in insurance through the marketplace the marketplace does a lot of vetting they do...

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