1. Form 1095-A Health Insurance Marketplace Statement:
These are sent by Individuals who enrolled in health coverage for themselves or their family members through the Marketplace. These are sent by the Marketplace.
This form provides information about your Marketplace coverage. Use Form 1095-A to complete Form 8962 and reconcile advance payments of the premium tax credit or claim the premium tax credit on your tax return.
Use Form 1095-A for information on whether you and your family members had coverage that satisfies the individual shared responsibility provision.
If Form 1095-A shows coverage for you and everyone in your family for the entire year, check the full-year coverage box on your tax return.
If there are months when you or your family members did not have coverage, determine if you qualify for an exemption or must make an individual shared responsibility payment.
Do not attach Form 1095-A to your tax return ? keep it with your tax records.
2. Form 1095-B, Health Coverage
These Forms are sent to Individuals who had health coverage for themselves or their family members that is not reported on Form 1095-A or Form 1095-C.
They are sent by Health Coverage Providers such as
- Insurance companies outside the Marketplace
- Government agencies such as Medicare or CHIP
- Employers who provide certain kinds of health coverage (sometimes referred to as ?self-insured coverage?) but are not required to send Form 1095-C (see below).
- Other coverage providers
This form provides information about your health coverage.
Use Form 1095-B for information on whether you and your family members had health coverage that satisfies the individual shared responsibility provision.
If Form 1095-B shows coverage for you and everyone in your family for the entire year, check the full-year coverage box on your tax return.
If there are months when you or your family members did not have coverage, determine if you qualify for an exemption or must make an individual shared responsibility payment.
Do not attach Form 1095-B to your tax return - keep it with your tax records.
3. Form 1095-C, Employer-Provided Health Insurance Offer and Coverage.
These Forms are sent to Certain employees of applicable large employers.
These forms are sent by Applicable large employers ? generally those with 50 or more full-time employees, including full-time equivalent employees
Form 1095-C provides information about the health coverage offered by your employer and, in some cases, about whether you enrolled in this coverage.
Use Form 1095-C to help determine your eligibility for the premium tax credit.
If you enrolled in a health plan in the Marketplace, you may need the information in Part II of Form 1095-C to help determine your eligibility for the premium tax credit.
If you did not enroll in a health plan in the Marketplace, the information in Part II of your Form 1095-C is not relevant to you.
Use Form 1095-C for information on whether you or any family members enrolled in certain kinds of coverage offered by your employer (sometimes referred to as ?self-insured coverage?).
If Form 1095-C shows coverage for you and everyone in your family for the entire year, check the full-year coverage box on your tax return.
If there are months when you or your family members did not have coverage, determine if you qualify for an exemption or must make an individual shared responsibility payment.
Do not attach Form 1095-C to your tax return - keep it with your tax records.
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