Here’s Some Info To Help…
If an employee (and others in their respective tax household) had health coverage for the entire year (employer sponsored, individual plan, Medicare, Medicaid, etc.,) they’ll only need to simply check the box on line 61 of Form 1040, line 38 of Form 1040-A, or line 11 of Form 1040-EZ and they’re done.
If an employee or a dependent purchased coverage on the Marketplace AND received a subsidy they’ll receive a Form 1095-A, Health Insurance Marketplace Statement from the government showing the amount of subsidy they received in 2014. They’ll need to file a Premium Tax Credit Form –
(Form 8962: www.irs.gov/pub/irs-access/f8962_accessible.pdf)
Three forms you may be asked about (or wondering about yourself):
- Form 1095-A — Issued by the federal government (CMS) to individuals who purchased a health insurance plan on the Marketplace and received and received a subsidy, formally referred to as an advanced premium tax credit (APTC).
- Form 1095-B — Issued by insurers to groups and individuals On/Off Marketplaced who did not receive a subsidy or APTC. The 1095-B Form is NOT REQUIRED for the 2014 tax year. Some carriers will be sending these forms to members, many will not since it isn’t required
- Form 1095-C – Issued by large employers self funding employee coverage. These are for members that obtained insurance through fully self funded employers programs. These forms NOT REQUIRED for 2014’s tax filings.
The following At-A-Glance chart from the IRS website explains how Obamacare affects individual tax returns. Individuals can use it to see how the law will affect them.
| IF YOU… | THEN YOU… |
| And everyone in your tax household had health coverage for the entire year | Will simply check the box on line 61 of Form 1040, line 38 of Form 1040-A, or line 11 of Form 1040-EZ |
| Enrolled in health insurance through the Marketplace | Should receive a Form 1095-A Health Insurance Marketplace Statement from the Marketplace |
| Received a Form 1095-A, Health Insurance Marketplace Statement, showing you received the benefit of advance payments of the premium tax credit in 2014 | Must file a tax return in 2015 and reconcile the advance payments with the amount of the premium tax credit allowed on your return |
| Need to reconcile the advance payments of the credit with the credit allowed | Make the calculations using IRS Form 8962 Premium Tax Credit (PTC) |
| Must repay any excess advance payments of the premium tax credit | Must report the information on line 46 Form 1040 or line 29 of Form1040-A, and cannot file Form 1040-EZ |
| Are claiming the premium tax credit and did not benefit from advance payments of the premium tax credit | Must file a tax return and IRS Form 8962, Premium Tax Credit (PTC) |
| Did not receive a Form 1095-A, Healthcare Insurance Marketplace Statement, from the Marketplace | Should contact the state or federal Marketplace through which you enrolled |
| Are claiming an exemption from the requirement to have health coverage for anyone on your tax return | Will complete Form 8965, Health Coverage Exemptions, and submit it with your tax return |
| Still need to obtain a religious conscience exemption or a hardship exemption that can only be granted by the Marketplace | Should file an application with the Marketplace and follow the instructions below about how to report exemptions from the Marketplace on your tax return |
| Obtained an exemption from the Marketplace, and received your unique Exemption Certificate Number | Will enter the Exemption Certificate Number in Part I of Form 8965, Health Coverage Exemptions, and submit the form with your return |
| Applied for an exemption from the Marketplace, but do not currently have an Exemption Certificate Number | Will enter ‘PENDING’ in Part I of Form 8965 Health Coverage Exemptions, and submit the form with your return |
| Are claiming an exemption that can be granted only from the IRS | Will not need an Exemption Certificate Number, but will complete Parts II and III of Form 8965, Health Coverage Exemptions, and submit the form with your return |
| Are able to obtain the exemption from either the IRS or the Marketplace | Should obtain the exemption from the IRS by completing Part II and III of Form 8965,Health Coverage Exemptions, and attach this form to your federal tax return when you file |
| Are making a shared responsibility payment because you did not have health coverage or qualify for an exemption for any month in 2014 | Will enter the payment amount on line 61 of Form 1040, line 38 of Form 1040-A, or line 11 of Form 1040-EZ |