Orlando Harmon
There are a few different ways to prove your health insurance coverage for tax purposes. If you have health insurance through a large employer or the marketplace, your insurance company or employer may send you a Form 1095-B or Form 1095-C, which provides information about your coverage. You can also download these forms or request a copy from your insurance provider. Form 1095-A is another option for those with marketplace health insurance, which provides more detailed information about your coverage and any discounts received. Additionally, your W2 form will show how much you paid for health insurance, but it is not as detailed as the 1095 tax forms.
| Characteristics | Values |
|---|---|
| How to get proof of health insurance for taxes | Download a 1095 form online through the member portal of your insurance company or through your online account with Medicare or Medicaid |
| Request a copy by contacting your insurance company, employer, or government agency responsible for your health insurance | |
| Receive it by mail | |
| Types of 1095 forms | Form 1095-A: For marketplace health insurance bought on HealthCare.gov or your state exchange |
| Form 1095-B: For plans bought directly from an insurance company, health insurance through the government (Medicare, Medicaid, or CHIP), or plans through your job if you work for a small business | |
| Form 1095-C: For workplace health insurance if you work for a large company | |
| What the forms include | Basic information about health insurance, including coverage dates and how much was paid for insurance |
| Information about who was covered and when |
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Proving health insurance for taxes
Proving your health insurance for taxes is a necessary step in the tax filing process. The specific steps you need to take depend on the type of health insurance you have. Here is some information on how to prove your health insurance for taxes, depending on your situation:
Health Insurance Marketplace Plan:
If you enrolled in a Health Insurance Marketplace plan, you must file a tax return. You will need to gather health care tax forms and supporting documents to report your coverage. You should expect to receive Form 1095-A, the Health Insurance Marketplace Statement, from your insurance provider. This form provides information about your coverage, including the effective date, premium amount, and any advance payments of the premium tax credit (APTC) made on your behalf. Wait to file your income tax return until you receive Form 1095-A. Then, use the information from this form to complete Form 8962, Premium Tax Credit (PTC), to reconcile your APTC with the premium tax credit you are allowed or to claim the credit on your tax return. Do not attach Form 1095-A to your tax return.
Non-Marketplace Health Insurance:
If you have non-Marketplace health insurance, you may receive Form 1095-B from your insurance provider or Form 1095-C from your employer, which provide information about your coverage. For tax years before 2019, Form 1095-B can be used to determine if you and your family members had health coverage that satisfies the individual shared responsibility provision. Form 1095-C can be used to determine your eligibility for the premium tax credit. Similar to Form 1095-A, you should not attach Forms 1095-B or 1095-C to your tax return.
Job-Based Health Coverage:
If you have health coverage through your job, a retiree health plan, COBRA, or the Small Business Health Options Program (SHOP), you will need to report this on your tax return. You may receive Form 1095-C from your employer, which provides information about the coverage they offered.
Medicare, Medicaid, or CHIP:
If you are enrolled in Medicare, Medicaid, or the Children's Health Insurance Program (CHIP), you will need to gather information about your coverage for your tax return. Specific forms related to these programs include Form 1095-B and Form 1095-C.
Remember to refer to the IRS website and seek professional guidance for the most up-to-date and accurate information regarding your specific situation.
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Form 1095-A
The purpose of Form 1095-A is to help individuals reconcile their premium tax credit. The Affordable Care Act, commonly known as Obamacare, requires most US residents to have health insurance. To offset the costs of health coverage, the Act offers a tax break in the form of a premium tax credit for those who qualify. This credit can be applied in advance to lower your insurance premiums throughout the year, or you can choose to claim the entire credit when filing your taxes.
It is important to carefully review your Form 1095-A for accuracy. If there are any errors or discrepancies, you should contact the Marketplace Call Center for assistance. Additionally, make sure to keep your Form 1095-A with your other important tax information, as it is necessary for filing your taxes accurately.
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Form 1095-B
For tax years before 2019, Form 1095-B can be used to determine whether you and your family members had health coverage that satisfies the individual shared responsibility provision. This form is sent by employers who offer health coverage, often referred to as "self-insured coverage", to the individuals they cover. It outlines who was covered and when.
You may not receive Form 1095-B from your coverage provider or employer by the time you are ready to file your tax return. However, you can still file your tax returns without this form. It is important to note that you should not attach this form to your tax return.
If you have Medicare Part A coverage, you can request that Medicare send you an IRS Form 1095-B. Generally, this form is not required for filing your federal taxes. However, it is recommended to keep Form 1095-B with your other important tax information, such as your W-2 form and other tax records.
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Form 1095-C
The purpose of Form 1095-C is to provide employees with information about their health insurance coverage offered by their employer. It helps employees understand their health insurance benefits and allows the marketplace to be aware of the offer of employer coverage. This form is particularly relevant during tax filing season, as it can impact an individual's tax obligations and eligibility for insurance subsidies.
While Form 1095-C is no longer required as of 2024 due to changes in the individual mandate, it still holds significance for employees. It provides transparency and assurance regarding their health insurance status and ensures they are informed about their coverage options. Additionally, it assists in confirming that ALE members have fulfilled their reporting obligations by providing information for all twelve months of the calendar year for each full-time employee.
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Form 8962
If you or a member of your family enrolled in health insurance coverage for 2024 through a Marketplace, you should have received Form 1095-A, the Health Insurance Marketplace Statement. This form shows the months of coverage purchased through the Marketplace and any APTC paid to your insurance company to help cover your monthly premium. Form 1095-A is essential for preparing your tax return if you received a premium subsidy or if you paid full price for coverage through the exchange and want to claim the premium subsidy on your tax return.
If APTC was paid on your behalf, or if you wish to take the PTC, you must file Form 8962 and attach it to your tax return (Form 1040, 1040-SR, or 1040-NR). You will need Form 1095-A to complete Form 8962. Use the information from your 1095-A form to complete Part II of Form 8962. On Line 26, you’ll find out if you used more or less premium tax credit than you qualify for based on your final 2024 income. This will affect the amount of your refund or tax due.
If you were covered under a Qualified Small Employer Health Reimbursement Arrangement (QSEHRA), your employer should have reported the annual permitted benefit in box 12 of your Form W-2 with code FF. If the QSEHRA is unaffordable for a month, you must reduce the monthly PTC (but not below zero) by the monthly permitted benefit amount and enter “QSEHRA” in the top margin on page 1 of Form 8962 to explain your entry and avoid delays in processing your return.
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Frequently asked questions
Form 1095-A is a Health Insurance Marketplace Statement that provides information about your health care coverage. It includes details such as the effective date, amount of the premium, and advance payments of the premium tax credit (APTC) paid for the year of coverage.
The Health Insurance Marketplace (either HealthCare.gov or your state's health care exchange) will send you Form 1095-A if you were enrolled in a marketplace plan during the previous tax year.
No, you should not attach Form 1095-A to your tax return. However, you should wait to file your income tax return until you receive this form. You will need the information from Form 1095-A to complete Form 8962, Premium Tax Credit (PTC), to reconcile your APTC with the premium tax credit you are allowed or to claim the credit on your tax return.
