How to get 1095 a from marketplace

At the end of the year, we start getting a lot of questions from Covered California members about their 1095-A Form. People start getting their paperwork ready to do their income taxes and want to know when and how they will be receiving this form. Below, we are providing answers to common questions about IRS Form 1095-A.

What is a 1095-A Form?

The 1095-A Form is a Covered California statement that is needed to file your Federal Income Tax Return. It shows how many months you had health insurance and how much Advanced Premium Tax Credit (APTC) you received. It is your proof that you had health insurance in place so that you won’t be subject to a tax penalty. It also helps to reconcile the amount of APTC that you received to the amount of income that you actually earned for the benefit year.  For more details on IRS Form 1095-A Form check out What is Form 1095-A?

When will I receive my 1095-A Form?

Covered CA sends out IRS 1095-A Forms by January 31st each year.   

How do I get my 1095-A Form?

Covered CA members will receive their 1095-A Forms either by postal mail or by a secure message on their Covered CA online account, depending on how they indicated on their application how they would like to be contacted by Covered CA. It is important for consumers who have indicated that e-mail is their preferred contact method, to watch for an e-mail notice from Covered CA near the end of January. The e-mail will inform the member that they have a secure message that will only be viewable when they log in to their Covered CA on-line account. Once logged in, they can view letters from Covered CA in their in-box.

What if I don’t get my 1095-A Form?

If you don’t receive your 1095-A Form shortly after Jan. 31st, you can log in to your on-line account and look under “Documents and Correspondence” to view and print it out. If you have never logged in or created a user name and password for your Covered CA account, you can check out How to Access Your Covered CA Application Online.

If you still are unable to find your 1095-A Form, or if you need assistance accessing it on-line, you may call Covered CA for assistance at 1-800-300-1506 or contact your insurance agent who assisted you with your enrollment.

What do I do if my 1095-A Form has errors?

If you find errors on your 1095-A Form, you can call Covered CA at 1-800-300-1506 to correct it, or you can file a 1095-A Dispute Form. It can take up to 60 days for Covered CA to respond with a corrected form.

Health for California Insurance Center

We are a Certified Covered California Agency. If you applied or received assistance through our agency with your Covered CA enrollment, we will have access to your Covered CA account and would be happy to assist you with your 1095-A questions. Please call us at 1-877-752-4737.

What if my 1095-A has incorrect information?

It is important to understand that the 1095-A will reflect your enrollment information from 2022, and if there is an error, it may take time to coordinate with your health plan to ensure your enrollment history is correct. Please contact us as rapidly as possible to share what you feel is incorrect, as it may take up to 30 days to complete research and correction. The Pennie Call Center can be reached at 1-844-844-8040.  

What if I didn’t receive advance tax credits?

If you enrolled in coverage through Pennie but did not receive advance premium tax credits, you may complete Form 8962 to determine if you are eligible to receive a premium tax credit. The law allows you to take the tax credit in advance or when you file your federal taxes–it’s your choice.  You can also choose to take part of the credit in advance and receive any balance when you file your taxes. 

What if I received a larger amount of tax credits than I should have, but I can’t pay it back?

If you received too much in advance tax credit, the law limits the maximum payback for most people. The amount you must pay back to the IRS is based on your final income—the lower your income, the lower the amount of the payback. When you complete Form 8962, you will find out if a maximum payback amount applies to you. If you are entitled to a larger tax credit than you received in advance, you will receive the full amount as part of your refund.  

The maximum payback amounts help protect you from incorrect estimates, changing circumstances, and mistakes. If you do find that you owe money this year, Pennie can work with you now to help avoid this happening again next year. You can call us at 1-844-844-8040 to learn more. 

What if I received tax credits but don’t file a return?

Pennie reports all tax credits to the IRS.  Failure to file is a very serious matter and may impact your eligibility to receive tax credit in the following year.   

Do I need Form 1095-B if I had Medicaid coverage in 2022?

Yes. Form 1095-B, for healthcare coverage provided for one or more family members in the Medicaid program will be mailed out for tax year 2022 as you need it to complete your state tax return.  

How to Get Help: IRS and Tax Preparers

The IRS has developed helpful information on how the Affordable Care Act (ACA) may impact your federal tax return.  Please visit www.irs.gov/aca for an extensive list of questions and answers and other resources you may find useful.  You can also call the IRS at 1-800-829-1040.