IRS 1095-A Health Insurance Form

  • 30 October 2023

Health matters can be complex and difficult to understand, especially involving bureaucratic paperwork such as IRS Form 1095-A. This is a document you receive if you've purchased medical coverage through the US government's Health Insurance Marketplace. Understanding how the IRS 1095-A health insurance form works is crucial for accurately completing your tax return and complying with federal law.

Who Cannot Use the 1095-A Insurance Form?

Not everyone qualifies to use the Health Insurance 1095-A form in the USA. People with other types of health coverage, such as employer-sponsored insurance, Medicaid, and Medicare, are not required to fill out this specific form. Moreover, if you're insured through private insurance, not purchased through the Health Insurance Marketplace, you won't receive this form either.

  • People with employer-sponsored insurance
  • People insured through Medicaid or Medicare
  • Individuals with private insurance, not bought in the Marketplace

Form 1095-A in Work: An Example of Use

Let's say John, a self-employed graphic designer, purchased a medical coverage policy from the Health Insurance Marketplace early last year. He did not have any other source of health insurance coverage. John would receive a 1095-A insurance form from the Marketplace. This form would detail the monthly premiums John paid, the premium of the Second lowest cost Silver plan in his area (also known as the "benchmark" premium), and the amount of advance premium tax credit or subsidies he received if any.

IRS Tax Form 1095-A: Common Problems and Their Solutions

Issue Solutions
I didn't receive my medical insurance 1095-A form Usually, the Marketplace mails this form to your last known address. If you didn't receive it, you could log in to your Marketplace account and download an electronic copy, or you could call the Marketplace Call Center.
I found an error on my 1095-A health insurance form
Contact the Marketplace as soon as possible to make a correction. You should wait until the corrected form arrives before you file your income tax return.
I'm not sure how to fill out the 1095-A health insurance statement On our website, there is a detailed guide on how to complete this form. You can also consult a qualified tax preparer or tax software program that can guide you through the process.

As you can see, the medical insurance 1095-A form is not a typical tax document, but understanding it can help you maximize your health care benefits while ensuring you stay compliant with tax laws.

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