What is IRS 1095-A?

The IRS 1095-A form is a health insurance marketplace statement that reports information about individuals who enrolled in health coverage through the Health Insurance Marketplace. This form is primarily used to assist taxpayers in filing their tax returns and to determine eligibility for the Premium Tax Credit. It is essential for individuals who have obtained healthcare coverage through a state or federal marketplace.
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Purpose of IRS 1095-A

The primary purpose of IRS 1095-A is to provide information regarding health coverage provided through the Health Insurance Marketplace. By reporting this information, the form facilitates the following:
  1. 1.
    Determining eligibility for premium tax credits, which help lower the cost of health insurance.
  2. 2.
    Providing details needed for filing federal income tax returns accurately.
  3. 3.
    Ensuring compliance with the Affordable Care Act (ACA) mandates regarding health coverage.
Including the information from Form 1095-A simplifies the tax preparation process and ensures that individuals correctly report their health coverage status.

Where is IRS 1095-A used and by whom?

IRS 1095-A is utilized primarily by individual taxpayers, specifically those who have enrolled in health insurance through the Health Insurance Marketplace directly. Here’s a breakdown of typical user groups:
  1. 1.
    Individuals: Taxpayers who purchased health insurance coverage via the marketplace need this form to document their coverage when filing tax returns.
  2. 2.
    Families: Households with multiple family members enrolled in marketplace coverage must consider the details of each member when reporting health insurance status.
  3. 3.
    Tax Professionals: Accountants and tax preparers rely on this form to help clients accurately file tax returns and claim any applicable credits.
  4. 4.
    Businesses: Some businesses may provide information on employees or their dependents if they are enrolled through the marketplace.
Those using IRS 1095-A should ensure they keep accurate records and maintain communications with the marketplace for any necessary updates or corrections.

Step-by-step: how to fill out IRS 1095-A

Filling out IRS 1095-A requires careful attention to detail. Here’s a step-by-step guide to assist you in completing the form:
  1. 1.
    Step 1: Access the form from the IRS website or use a service like pdfFiller for easy online editing.
  2. 2.
    Step 2: Fill in the applicants’ names and addresses at the top of the form.
  3. 3.
    Step 3: Enter the information for each covered individual, such as the person's name and Social Security Number (SSN).
  4. 4.
    Step 4: Provide the start and end dates of the coverage period for each individual.
  5. 5.
    Step 5: Input the monthly premium amounts for the coverage.
  6. 6.
    Step 6: Finally, review all information to ensure it is accurate before submitting.
Utilizing pdfFiller can streamline this process, providing tools for digital signing and seamless form management.

Who is required to complete IRS 1095-A?

IRS 1095-A must be completed by individuals who enrolled in a health plan through the Health Insurance Marketplace, particularly if they wish to claim premium tax credits on their tax returns. Here’s when specific groups are required to complete the form:
  1. 1.
    Individuals who enrolled in health coverage through the Marketplace during the year.
  2. 2.
    Anyone who received premium tax credits or subsidies to help pay for their insurance.
  3. 3.
    Dependents of individuals who had Marketplace coverage.
Failing to file IRS 1095-A when required could lead to complications when filing your taxes.

Information you need to complete IRS 1095-A

To fill out IRS 1095-A accurately, you’ll need specific information, including:
  1. 1.
    The names and Social Security Numbers of individuals covered under the policy.
  2. 2.
    The coverage start and end dates.
  3. 3.
    Monthly premium amounts for the coverage.
  4. 4.
    Any applicable marketplace identifiers.
Having this information ready before starting the form will help in lessening errors and ensuring more efficient completion.

How to submit IRS 1095-A

Submitting IRS 1095-A can be done through various channels:
  1. 1.
    Online: Use the IRS website to file electronically for faster processing.
  2. 2.
    Mail: Send a physical copy to the address designated by the IRS for Form 1095-A submissions.
  3. 3.
    IRS Systems: Some tax software allows direct submission integrated with IRS systems.
It’s crucial to meet submission deadlines, typically aligning with the overall tax filing season, to avoid penalties or complications.

When to update or refile IRS 1095-A

Changes in your circumstances may require you to update or refile IRS 1095-A. Here are some common scenarios:
  1. 1.
    If you experience a change of address that could affect your health coverage.
  2. 2.
    In case of changes in the coverage period or if family members become eligible or ineligible for coverage.
  3. 3.
    If there are corrections needed due to errors in the original form submission.
Keeping your information updated ensures that your tax records reflect your accurate health coverage status.

What happens if you don’t file IRS 1095-A?

Failing to file IRS 1095-A can lead to several negative consequences, including:
  1. 1.
    Inability to claim premium tax credits, leading to higher tax liabilities.
  2. 2.
    Potential penalties from the IRS for not providing required documentation.
  3. 3.
    Delays in processing your tax return, which could defer any refunds you anticipate.
It’s critical to prioritize filing this form if you are required to do so to avoid these complications.
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Frequently Asked Questions About the IRS 1095-A

What is the IRS 1095-A form?

The IRS 1095-A form is a crucial document that provides information about health insurance coverage obtained through the Health Insurance Marketplace. It lists the months that you were covered, the amount of premium tax credits you received, and other essential details. Understanding the IRS 1095-A is vital for accurately filing your taxes, especially if you received financial assistance.

Who needs to file the IRS 1095-A form?

Individuals who enrolled in a health plan through the Health Insurance Marketplace receive the IRS 1095-A form and must include it in their tax return. Specifically, if you used a Marketplace to obtain health insurance and received premium tax credits or cost-sharing reductions, you need to file the IRS 1095-A. Failure to include this form could lead to delays in processing your tax return or adjustments to your reported health coverage.

How can I obtain my IRS 1095-A form?

You can typically obtain your IRS 1095-A form from the Health Insurance Marketplace where you enrolled for coverage. The form is usually available online through your Marketplace account, or it may be sent to you by mail. If you cannot find your IRS 1095-A form online or in your mailbox, consider contacting the Marketplace from which you purchased your insurance.

What information is included in the IRS 1095-A form?

The IRS 1095-A form includes key details such as the months of coverage, the minimum essential coverage provided, and the amount of premium tax credits for which you qualify. Additionally, it contains information about your health insurance issuer and the plan. This information is essential when completing your tax return and determines eligibility for premium tax credits.

What should I do if my IRS 1095-A form has errors?

If you notice errors on your IRS 1095-A form, such as incorrect names or coverage periods, you should contact the Health Insurance Marketplace for corrections. It is critical to resolve inaccuracies before filing your tax return to avoid potential penalties and delays. Ensure that you have the correct form with accurate information reflecting your coverage before submission.

How does the IRS 1095-A affect my tax return?

The IRS 1095-A form directly affects your tax return by reporting the amount of premium tax credits you received throughout the year. This information is used to determine if you received the correct amount of financial assistance and if you need to pay any excess credits back when filing your taxes. Keeping your IRS 1095-A form handy will help ensure that your tax filing is accurate and compliant.

Can I file my taxes if I haven't received my IRS 1095-A?

You can still file your taxes even if you haven't received your IRS 1095-A form, but it is advisable to wait for it to ensure accuracy. If you file without the form, you may have to estimate the information, which could lead to complications later. If your IRS 1095-A is delayed, you might want to file for an extension to receive the correct detailing.

What happens if I lost my IRS 1095-A form?

If you lose your IRS 1095-A form, you can retrieve a copy from your Health Insurance Marketplace account or request a duplicate from them. It's important to keep this form for your records, as it is necessary for preparing your tax return. Losing the IRS 1095-A can complicate the tax filing process, so always keep a backup digital or physical copy.

Is the IRS 1095-A form the same as the IRS 1095-B or 1095-C?

No, the IRS 1095-A form is different from the IRS 1095-B and 1095-C forms, which are used for different types of health coverage. The IRS 1095-B is typically issued by insurance providers to report Minimum Essential Coverage, while the 1095-C is provided by large employers regarding their health insurance offerings. Understanding these differences is important for accurate tax filing.

When should I expect to receive the IRS 1095-A form?

You should expect to receive your IRS 1095-A form by early February, as the Health Insurance Marketplace is required to issue it by the end of January for all enrolled individuals. If you have not received your form by this deadline, it is advisable to check your Marketplace account or contact customer service. The timely receipt of the IRS 1095-A is essential to help you prepare for accurate tax filing.

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