1095-A Form Information
What is Form 1095-A?
The Affordable Care Act, also known as Obamacare, requires most U.S. residents to have health insurance. It also offers a tax break, the Premium Tax Credit commonly known as APTC to help offset the costs of health coverage. You should receive a copy of Form 1095-A if you bought your plan from a state exchange. If you bought your plan direct from a carrier, you’ll receive a Form 1095-B. These forms provide information needed to claim the tax credit on your tax return.
Form 1095-A Health Insurance Marketplace Statement
If enrolled in a health plan through the Health Insurance Marketplace in 2015 you will receive a Form 1095-A, Health Insurance Marketplace Statement from the Marketplace, not the IRS.
The Form 1095-A will tell you the dates of coverage, and the total amount of monthly premiums for your insurance plan.
If you set-up a HealthCare.gov account, Covered CA or Washington Healthplanfinder account, you can get a copy of the Form 1095-A, Health Insurance Marketplace Statement online.
*** you may receive multiple 1095-A forms for each policy ID
More information is available for Marketplace members at the following website:
Form 1095-A Disputes
If you dispute the coverage information provided from their 1095-A form(s) here is what you need to do:
The member will need to file a HICS Case.
- FL, MI, NM, OH, TX, UT, and WI - the Member needs to contact the Marketplace Exchange directly.
- CA - The member will contact Covered CA.
- WA - The member will contact WA Healthplanfinder.
Once the HICS case is reviewed, a determination will be made.
The Marketplace is responsible for consumer outreach and the generation of a corrected 1095-A form back to the you.