Review your 1095-A carefully — errors are common, especially for mid-year changes

If information is incorrect, contact the Marketplace to request a corrected 1095-A

You need a 1095-A for EACH Marketplace policy you had during the year

Tax-Related Healtheasy

Health Insurance Marketplace Statement

Form 1095-A · Health Insurance Marketplace

Shows months of Marketplace coverage, premiums, and APTC paid. Sent to enrollees by mid-February. Used to complete Form 8962.

Form Details

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Where to Submit This Form

🌐

Access through your HealthCare.gov or state marketplace account

https://www.healthcare.gov/tax-form-1095/

Form 1095-A is available in your marketplace account by January 31.

Filing Deadline

The Marketplace sends this to you by January 31. You need it to file Form 8962 with your tax return.

Required Attachments

📎 No submission required — this is an informational form you receive from the Marketplace

Processing Time

N/A — this form is provided to you, not submitted by you.

What Happens Next

Use Form 1095-A to complete Form 8962 (Premium Tax Credit) when filing your tax return. The 1095-A shows your monthly enrollment, premiums, and advance payments made on your behalf.

Tips for This Form

✓ Review your 1095-A carefully — errors are common, especially for mid-year changes
✓ If information is incorrect, contact the Marketplace to request a corrected 1095-A
✓ You need a 1095-A for EACH Marketplace policy you had during the year
✓ Do NOT file your tax return until you have received all 1095-A forms — filing without it can cause delays and IRS notices

More Tax-Related Health Forms

Premium Tax Credit (PTC)

Form 8962 · Internal Revenue Service

Reconciles advance premium tax credit (APTC) payments with actual PTC eligibility based on final income. Required if you or a family member received APTC through the Marketplace. Failure to file blocks future APTC.

Health Coverage (1095-B)

Form 1095-B · Health insurance companies / Medicaid agencies

Shows who was covered and which months. Sent by insurers and Medicaid agencies. Not filed with tax return but should be kept as a record of coverage.

Employer-Provided Health Insurance Offer and Coverage

Form 1095-C · Large employers (50+ FTE)

Reports health coverage offered by employer. Sent to employees by March 2. May be used to determine PTC eligibility.

Health Savings Accounts (HSA)

Form 8889 · Internal Revenue Service

Reports HSA contributions and distributions. Must be filed if you had any HSA activity during the year. Part 1 covers contributions (potential tax deduction).

FSA Enrollment Form

Employer-specific · Employer / FSA administrator

Election to participate in a Flexible Spending Account during open enrollment. Specifies annual pre-tax contribution amount. Use-it-or-lose-it rules apply (with possible carryover or grace period).

FSA / HSA Reimbursement Claim

Administrator-specific · FSA/HSA administrator

Request for reimbursement of qualified medical expenses from FSA or HSA. Requires documentation of expenses (receipts, EOBs).

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the Health Insurance Marketplace or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.