Form 1095-A is a document issued by Health Insurance Marketplaces to individuals who enrolled in a qualified health plan through the Marketplace. Its primary purpose is to report information to the Internal Revenue Service (IRS) and to assist individuals in claiming the premium tax credit on their tax returns. The form also enables taxpayers to reconcile advance payments of the premium tax credit (advance credit payments) with the actual credit they are eligible for based on their annual income and family size.
Purpose and Use
- Reports enrollment in a qualified health plan through the Health Insurance Marketplace.
- Enables individuals to claim the premium tax credit.
- Used to reconcile advance credit payments with the actual credit amount when filing taxes.
- Supports accurate tax return preparation for individuals enrolled in Marketplace plans.
Who Must File
- Health Insurance Marketplaces must file Form 1095-A for all enrollments in qualified health plans through the Marketplace.
- Form 1095-A is not required for catastrophic health plans or stand-alone dental policies.
When to File
- Marketplaces must file Form 1095-A with the IRS and furnish copies to individuals by January 31, 2026, for coverage in calendar year 2025.
- If the due date falls on a weekend or legal holiday, the filing is due on the next business day.
Furnishing Statements to Individuals
- A separate Form 1095-A must be provided for each policy, and it should only include information related to that policy.
- If multiple tax filers are enrolled in one policy, each receives a statement reporting coverage for their own tax family (including themselves, spouse if filing jointly, and dependents).
- Statements may be sent electronically if the recipient has consented; otherwise, they must be mailed to the recipient’s last known permanent or temporary address.
- SSNs on forms sent to individuals may be truncated (showing only the last four digits), but truncation is not allowed on forms filed with the IRS.
Corrections and Void Statements
- If incorrect information is reported, a corrected Form 1095-A must be filed, with the CORRECTED box checked.
- If a Form 1095-A was issued in error (e.g., for a stand-alone dental plan or catastrophic plan), a duplicate form with the VOID box checked must be sent to both the IRS and the recipient as soon as possible.
Source:
Form 1095-A Instructions (2025)
Disclaimer: Always verify details with current Federal or State Department of Revenue Forms and Instructions. Tax laws and regulations may change, and professional advice from a CPA or tax attorney is recommended for complex situations.