The Affordable Care Act (ACA) is a federal law that requires almost everyone in the United States to have medical coverage or pay a penalty. Starting in tax year 2015, people who did not have at least a minimal level of coverage may have had to pay a fine to the Internal Revenue Service (IRS).
This year, you may receive one or more forms that provide information about your 2017 health coverage. These forms (similar to a W2) are 1095-A, 1095-B and 1095-C. They contain information that is required for completing your taxes. You are likely to get more than one form if:
- You had coverage from more than one provider
- You changed coverage or employers during the year
- If different members of your family received coverage from different providers
What is the 1095-A form?
Form 1095-A is a tax statement sent to consumers who purchase health insurance directly from the Health Insurance Marketplace at healthcare.gov or a state-based marketplace. This form is mailed by the Marketplace to households where any household member was enrolled in a Marketplace plan during 2017. This form is issued by the Marketplace no later than mid-February.
: On-Exchange Members on a Safe Harbor (a.k.a. Catastrophic) plan will not receive a 1095-A form from the Health Insurance Marketplace. Health Options will send a 1095-B form in mid-February.
Important: You must have your 1095-A before you file your taxes.
You will use information from Form 1095-A to fill out IRS Tax Form 8962, when completing your tax filing. This is how you will find out if there’s any difference between the premium tax credit you used and the amount you qualify for. Be sure to carefully read the instructions on Form 1095-A.
If you have questions or concerns about this form, contact the Marketplace at 1-800-318-2596. Community Health Options is not able to assist you with your 1095-A form.
If anyone in your household was covered by a Marketplace plan in 2017, you’ll get Form 1095-A, the Health Insurance Marketplace Statement, from the Health Insurance Marketplace. The 1095-A is sent by the Marketplace, not the IRS or Community Health Options. The 1095-A includes 2017 information for all Marketplace plans held by people in your household, including:
- Premiums paid
- Premium tax credits used
- A figure called ‘second lowest cost silver plan’ or SLCSP
More information on Form 1095-A is available here: https://www.healthcare.gov/tax-form-1095/
If you have questions, do not agree with the information on your 1095-A, or did not receive a 1095-A and you think you should have, please contact the Marketplace 1-800-318-2596.
What is the 1095-B form?
The 1095-B form is sent to consumers who purchase health insurance directly from a health insurance issuer (like Community Health Options) or who were covered through their employer who purchased insurance directly from a health insurance issuer or the Federal or State Small Business Marketplace. This form is sent by the health insurance issuer and contains information about your health care coverage.
More information on Form 1095-B is available here: https://www.irs.gov/affordable-care-act/individuals-and-families/heres-what-you-need-to-do-with-your-form-1095b
Call Member Services if:
- You have received your 1095-B and you believe there is an error
- If you haven’t received your 1095-B by February 15th
Note that Community Health Options will not have the ability to print copies of the 1095-B forms until we receive the file from our vendor, which we expect will occur in late February at the earliest.
What is the 1095-C form?
Form 1095-C is sent to consumers directly from their employer. Most consumers in a group plan will receive this form depending on the type of insurance provided by their employer.
Questions related to form 1095-C should be directed to your employer.