Form 1095-A is a form mailed from the Marketplace because you or a family member enrolled in health insurance through the Marketplace during the tax year.
The form should be available online in January, and should also be sent to you by early-mid February (by email, regular mail, or both, depending on the preference you indicated when you enrolled). Use this form to complete Form 8962, Premium Tax Credit.
A copy of this information was also sent to the IRS. You must file a return if you received any advance payments of the premium tax credit.
Part I - Recipient Information -
Part I of Form 1095-A contains the recipient, insurance company, and Marketplace information.
Part II - Covered Individuals -
Part II of Form 1095-A contains coverage information for each individual covered on your policy. If you have more than 5 individuals on your policy, you will receive one or more additional 1095-A Forms that contain Part II information. At the time of enrollment, if you indicated that a family member will not be a dependent on your taxable year return, that person will receive their own 1095-A.
Part III - Coverage Information -
Part III of Form 1095-A contains information about your insurance coverage needed to complete Form 8962, Premium Tax Credit, if applicable.
For a complete list of instructions, please visit the IRS website.
Receive more than one 1095-A? Click here for instructions.