To estimate the effect that changes in circumstances may have upon the amount of premium tax credit that you can claim - see the Premium Tax Credit Change Estimator on our Affordable Care Act Estimator Tools page.įind out more about the Premium Tax Credit and other tax provisions of the Affordable Care Act at IRS.gov Small Business Health Options Program Marketplace ![]() Visit the Marketplace at for more information about reporting changes in circumstances and special enrollment. When you report a change in circumstances, you may become eligible for a special enrollment period, which allows you to purchase health care insurance through the Marketplace outside of the open enrollment period. ![]() Changes in circumstances may affect your advance payments of the premium tax credit. If you enrolled in insurance coverage through the Marketplace, you should report any changes in your circumstances - like changes to your household income or family size - to the Marketplace when they happen. For information about enrollment periods, visit or contact your state-based Marketplace. Purchasing health care coverage through the Marketplace and reporting changesĮach year the Health Insurance Marketplace has an open enrollment period and special enrollment periods for eligible taxpayers. Visit our Health Insurance Marketplace Statements page for more information about Form 1095-A. If you have a question about the information shown on your Form 1095-A, or about receiving Form 1095-A, or about a letter you received, contact your Marketplace as shown in the table below or visit /taxes. You will substantially increase your chances of avoiding a gap in receiving this help if you electronically file your tax return with Form 8962 by the due date of your return. Marketplaces will determine eligibility for advance tax credit payments and cost-sharing reductions for the coverage year in the fall before the new coverage year starts. In addition, we may contact you to pay back some or all of the advance payments of the premium tax credit. This means you will be responsible for the full cost of your monthly premiums and all covered services. If advance payments of the premium tax credit were paid on behalf of you or an individual in your family, and you do not file a tax return reconciling those payments, you will not be eligible for advance payments of the premium tax credit or cost-sharing reductions to help pay for your Marketplace health insurance coverage in the next year. The IRS reminds taxpayers who received advance payments of the premium tax credit that they should file their tax return timely to ensure they can receive advance payments next year from their Marketplace. Failing to file tax returns will prevent advance payments in the next year You can use either the information from your online account, if it is available, or the Form 1095-A that is mailed to you to complete your tax return. Visit your Marketplace’s website to find out the steps you need to follow to get a copy of your Form 1095-A online. If you purchased coverage through the federally facilitated Marketplace and you set-up a account, you can get a copy of Form 1095-A, Health Insurance Marketplace Statement online from your account. See below for more information regarding the effect of failing to reconcile advance payments of the premium tax credit. Filing your return without reconciling your advance payments will delay your refund and may affect future advance credit payments. ![]() Even if you did not choose to receive advance payments, you must file a federal income tax return to claim the premium tax credit. You are required to reconcile - or compare - these payments to the premium tax credit you’ll compute for your tax return. If you chose to have advance payments of the premium tax credit paid directly to your insurance company, you must complete Form 8962, Premium Tax Credit and file a federal income tax return, even if you are otherwise not required to file. If you received a Form 1095-A with incorrect information, see our Corrected, Incorrect or Voided Forms 1095-A questions and answers to find out how it affects your taxes. It lists the amount of premium assistance you received in the form of advance payments of the premium tax credit that were paid directly to your insurance company, if any. Among other things, Form 1095-A reports the total monthly health insurance premiums paid to the insurance company you selected through the Marketplace. ![]() If Form 1095-A shows coverage for you and everyone in your family for the entire year, check the full-year coverage box on your tax return. The information shown on Form 1095-A helps you complete your federal individual income tax return. If you purchased health care insurance through the Marketplace, you should receive a Form 1095-A, Health Insurance Marketplace Statement, at the beginning of the tax filing season. Health care insurance purchased through the Marketplace
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