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Healthcare

Fill out 1095-A (Health Insurance Marketplace Statement) online

Form 1095-A is issued by the Health Insurance Marketplace to individuals who enrolled in a qualified health plan. It reports the months of coverage, the monthly premium amounts, and any advance payments of the Premium Tax Credit received during the year.

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How to fill out 1095-A (Health Insurance Marketplace Statement)

1

Verify Marketplace and policy information

Check Part I for the Marketplace identifier, policy number, policy start and termination dates, and the names and SSNs of the covered individuals.

2

Review monthly enrollment premiums

Column A in Part III shows the monthly enrollment premium for each month of coverage. This is the total premium for the plan before any tax credit is applied.

3

Review the SLCSP premium

Column B shows the monthly premium for the second lowest cost silver plan (SLCSP) in your area. This benchmark is used to calculate the Premium Tax Credit on Form 8962.

4

Review advance credit payments

Column C shows the advance payments of the Premium Tax Credit paid directly to your insurer each month. Use these amounts on Form 8962 to reconcile with the actual credit you qualify for.

About 1095-A (Health Insurance Marketplace Statement)

Who needs this form

The Health Insurance Marketplace issues Form 1095-A to anyone who enrolled in a Marketplace health plan during the year. Individuals use it to complete Form 8962 and reconcile their Premium Tax Credit.

Where to submit

The Marketplace sends this form to enrollees by the deadline listed in the latest official instructions. Individuals do not file it separately but use the information to complete Form 8962, which is attached to their Form 1040.

Source and content freshness

Official source (www.irs.gov)
  • Reviewed: 2026-02-16
  • Check the latest official form instructions for the filing year that applies to you.
  • Filing deadlines may shift for weekends and holidays. Verify due dates with official instructions.

Common mistakes to avoid

  • Not checking the form for accuracy before filing your tax return
  • Forgetting to reconcile advance Premium Tax Credit payments on Form 8962
  • Not requesting a corrected 1095-A if information is wrong
  • Filing taxes without waiting for the 1095-A to arrive

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What do I do with Form 1095-A?
Use the information on Form 1095-A to complete Form 8962 (Premium Tax Credit) when filing your tax return. Form 8962 reconciles the advance credit payments you received with the actual credit based on your final income. You may owe money back or receive an additional credit.

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