Form 1095-A. Health Insurance Marketplace statementShows your monthly premiums, the benchmark plan cost and any advance premium tax credit paid to your insurer. You use it to fill in Form 8962.
Tax forms › 1095-A
Forms you receive
Form 1095-A
Health Insurance Marketplace statement
What it is
Shows your monthly premiums, the benchmark plan cost and any advance premium tax credit paid to your insurer. You use it to fill in Form 8962.
Who it's for
Anyone with a plan from HealthCare.gov or a state marketplace.
Good to know
- If advance credit was paid, you must file a return with Form 8962, even if you otherwise wouldn't.
- Check the months and amounts against your own records; errors are common.
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The law behind it
Related forms
W-2Wage and tax statement from your employer1099-NECFreelance and contractor pay1099-KPayments through apps and card processors1099-INT, DIV and BInterest, dividends and investment sales
General information, not tax or legal advice. Check the current IRS instructions for the form before you file.