- The task for calculating the premium tax credits associated with health insurance bought through either the federal exchange, Healthcare.gov, or a state exchange like Covered California, promises to be particularly challenging for some individuals and families. This page will act as a repository of links and documents that might prove useful for households attempting to calculate the premium tax credit for their federal taxes.
2015 Healthcare Coverage Documents and Guidance
1095-A, -B, -C, Publication 974, Premium Tax Credit form, Health Care Exemption Form
- 1095 A Form 2015 (83.7 KiB)
- 1095 A Instructions 2015 (139.8 KiB)
- 1095 B Form 2015 (290.8 KiB)
- 1095 B Instructions 2015 (197.8 KiB)
- 1095 C Form 2015 (282.7 KiB)
- 1095 C Instructions 2015 (277.6 KiB)
- 1095 Conflicts IRS Guidance (130.4 KiB)
- 8962 Form 2015 (114.8 KiB)
- 8962 Instructions 2015 (362.5 KiB)
- 8965 Form IRS 2015 (79.4 KiB)
- 8965 Instructions 2015 (465.7 KiB)
- 974 Premium Tax Credit Publication 2015 (2.5 MiB)
- F2210 (213.3 KiB)
- I2210 (252.2 KiB)
- IRS Premium Tax Credit Flow Chart (153.5 KiB)
IRS Premium Tax Credit Flow Chart 2015 to determine eligibility for the health insurance Premium Tax Credit on federal tax returns.
|Date:||February 4, 2016|
Covered California support documents
Support for finding the 1095-A, reporting inaccurate information, and how to use the 1095-A to complete Form 8962 Premium Tax Credit reconciliation
- 1095-A Accessing A Consumers Form Job Aid (1.3 MiB)
- 1095-A Quick Sheet Certified Enrollers (251.9 KiB)
- Covered Cal 1095-A 2015 Explanation Notice CalNOD62A (905.8 KiB)
- DOL IRS CC Final Presentation1 (2.6 MiB)
- Getting-ready-for-tax-season (1.1 MiB)
Medicare announcement of 1095-B to Medicare beneficiaries
Medicare introduction to minimum essential coverage notice 1095-B to Medicare Beneficiaries.
|Date:||January 26, 2016|
April 22, 2015, 1095-A Update
The IRS provided guidance that tax payers do not have to file an amended return if they filed with an incorrect 1095-A and subsequently received a corrected version. To read the full IRS text visit: Filing an amended IRS tax return with corrected 1095-A
Guidance from multiple agencies
In addition to the IRS, other state and federal agencies have published flyers and instruction regarding either the Advance Premium Tax Credit used to lower the monthly health insurance premium and the final calculation of the Premium Tax Credit on the federal tax forms. As forms, flyers, and instructions are published I’ll try to post them on this page under the respective state or department.
IRS Forms, Instructions, Publications
Publication 974 is a comprehensive review of ACA premium tax credits and reconciling Advance Premium Tax Credits (APTC) on federal tax returns. It was released in February 2015.
Form 8962 combines household Modified Adjusted Gross Income with any Advance Premium Tax Credit reported to the tax payer from the Marketplace on Form 1095-A. The calculated credit or overpayment is reported on federal tax returns 1040 or 1040A.
Instructions for completing Form 8962.
Form 8965 used to report an exemption from the individual mandate penalty or Shared Responsibility Payment.
Instructions for completing Form 8965 AND the instructions for calculating the individual mandate penalty or Shared Responsibility Payment for not having health insurance.
Form 1095-A is the statement tax payers will received from the Marketplace indication how much Advance Premium Tax Credits (APTC) were paid to their health insurance company on their behalf for the tax year. If the tax payer chose not to receive any APTC he or she will not receive the statement.
Instructions to the Marketplace on how to report the APTC on the 1095-A
Publication 5172 discusses the exemptions from the individual mandate to have health insurance.
Publication 5185 discusses the maximum Shared Responsibility Payment for 2014 and how it is calculated.
IRS Affordable Care Act Federal Register APTC Calculations.
Publication 525 outlines taxable income, some of which may be included when determining the household MAGI
IRS Notice 2015-9 Penalty Relief Related to Advance Payments of the Premium Tax Credits, 2014
Health Insurance Documentation
IRS Issue Number: HCTT-2015-11
Gathering documents and maintaining well-organized records make it easier to prepare a tax return. They can also help provide answers if the IRS needs to follow-up with you for more information.
You will not need to send the IRS proof of your health coverage. However, you should keep any documentation with your other tax records. This includes records of your family’s employer-provided coverage, premiums paid, and type of coverage. You should keep these – as you do other tax records – generally for three years after you file your tax return.
When preparing 2014 tax returns, most people will simply have to check a box to indicate they and everyone on their tax return had health care coverage for the entire year. You will not need to file any additional forms, unless you are claiming the premium tax credit or a coverage exemption.
You will attach Form 8965, Health Coverage Exemptions to your tax return to claim a coverage exemption. Do not attach supporting documentation to the tax return. If you applied for an exemption from the Marketplace and received an Exemption Certificate Number, or you have other documentation to support your exemption claim, keep these with your tax records.
You will attach Form 8962, Premium Tax Credit to your tax return to claim the credit. Do not attach the Form 1095-A, Health Insurance Marketplace Statement that you use to complete Form 8962. Keep Form 1095-A with your tax records.
CMS – Centers For Medicare and Medicaid
Guidance on determining financial hardship for the purposes of an exemption from the individual mandate or Shared Responsibility Payment.
Guidance from CMS on the initial open enrollment coverage gap and how that is a special exemption only for 2014.
U.S. Depart. of Health and Human Services
Two page flyer on looking for the 1095-A Marketplace Advance Premium Tax Credit statement and the need to use Form 8962 to complete the IRS calculations and Form 8965 to file and exemption.
The penalties of not having health insurance from the minimum to maximum amount and where to get the exemption certificate from the Marketplace.
On March 20th, the Treasury Department said they would not attempt to recover any excess APTC associated with tax returns that were filed using an incorrect 1095-A issued by Covered California. These Covered California talking points highlight which tax payers are affected by the decision.
List of potential consumer frequently asked questions and how to answer them about the Form 1095-A they received from Covered California.
- IRS Form 1095 Talking Points For Service Channels Rev 2 20
- IRS Form 1095 Talking Points For Service Channels CC
Lengthy document explaining what the 1095-A is and how it works with Form 8962 and Form 8965. It also discusses various scenarios such as mixed households, Medi-Cal and how to get a revised Form 1095-A.
Use this form to dispute the data on the 1095-A from Covered California, usually after you’ve requested a correction.
The Job Aid discusses consumer letter CalNOD62A explaining why the consumer received Form 1095-A and how it can be found in the member’s account under the Summary>Documents and Correspondence section.
Sample consumer letter CalNOD62A and the explanation of the Form 1095-A. This letter is also printed in Spanish, Vietnamese, Korean and Chinese and can be found in file download section of this website under Covered California > IRS Tax Credit Forms.
Frequently ask questions from individuals and families who were on Medi-Cal part or full year and how to report that on Form 8962 and federal income tax return as Minimum Essential Coverage.
UC Berkeley Labor Center MAGI
Insure Me Kevin IRS ACA Tax Credits
Blog posts I’ve written on various aspects of calculating the Premium Tax Credits, the various forms and the most recent guidance.