Form 1095-A

Form 1095-A, also known as the "Health Insurance Marketplace Statement," is a document provided to individuals who purchased health insurance through the Health Insurance Marketplace. It is used to report information about the health insurance policy, including the months of coverage, the amount of premiums paid, and any advance payments of the Premium Tax Credit received.

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Frequently asked questions

Form 1095-A is a document issued by the Health Insurance Marketplace that provides information about health insurance coverage for individuals or families enrolled in a qualified health plan through the Marketplace.
Individuals do not fill out Form 1095-A. Instead, it is completed by the Marketplace and sent to individuals who enrolled in Marketplace coverage.
Form 1095-A is not submitted to the IRS. Instead, individuals use the information on this form to complete Form 8962 (Premium Tax Credit) and file it along with their tax return (e.g., Form 1040, 1040-SR or 1040-NR).

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