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Industrial Insured Form Surplus Lines Stamping Office of Texas 805 Las Cimas Parkway, Suite 300 Austin, TX 78746 Form No.11.2 Policy Number: ___ Named Insured: ___ Policy Effective Date: ___ Buyer
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Gather your income information for the year, including W-2s and any other income documents.
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Determine your household size by counting the number of people who live with you and rely on your income.
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Visit the Health Insurance Marketplace website to complete your application.
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Review the premium tax credit eligibility criteria to see if you qualify.
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If eligible, fill out IRS Form 8962 when you file your taxes to claim the premium tax credit.

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The premium tax credit is a subsidy provided under the Affordable Care Act that helps eligible individuals and families pay for health insurance purchased through the Health Insurance Marketplace.
Individuals and families who purchase health insurance through the Health Insurance Marketplace and want to claim the premium tax credit must file Form 8962, Premium Tax Credit, with their federal tax return.
To fill out the premium tax credit, you need to complete Form 8962 by providing information about your coverage, your expected annual income, the number of people in your household, and the premium amounts you paid for health insurance.
The purpose of the premium tax credit is to make health insurance more affordable for individuals and families by lowering their monthly premium costs based on their income and family size.
You must report your household income, the number of eligible family members, the amount of premium assistance received, and any changes in income or family size during the tax year on Form 8962.
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