Form 1095-A

IRS Form 1095-A (2025) is a Health Insurance Marketplace statement reporting qualified health plan enrollment and advance premium tax credit amounts used to complete Form 8962 with a federal tax return.

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Frequently asked questions

IRS Form 1095-A (2025), Health Insurance Marketplace Statement, is completed by a Health Insurance Marketplace to report a taxpayer’s qualified health plan enrollment. It lists recipient and spouse identifiers (name, SSN, date of birth, address), covered individuals and coverage dates, and monthly amounts for enrollment premiums, the applicable SLCSP premium, and any advance payment of the premium tax credit. The form is for records only and should not be attached to a tax return. Recipients use the completed statement to prepare Form 8962 to reconcile advance credits or claim the premium tax credit when filing Form 1040-series returns.

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