What is a 1095-A form and who issues it?

• A. A form from health coverage providers showing the individual had qualifying health coverage during the year.
• B. A summary of medical expenses for the year.
• C. A form from employers detailing offered health coverage to employees; used for tax purposes.
• D. A Health Insurance Marketplace Statement issued to Marketplace enrollees; used to reconcile Premium Tax Credits.

Answer: (D)

A 1095-A is a Health Insurance Marketplace Statement issued to Marketplace enrollees and is used to reconcile Premium Tax Credits on your tax return. It’s issued by the Health Insurance Marketplace, not by an employer or a health plan provider.

This form shows, for each month you had Marketplace coverage, the plan’s monthly premium and the second lowest cost silver plan (SLCSP) premium used to determine the credits, along with the amount of any advance Premium Tax Credit that was paid to your insurer on your behalf. When you file your taxes, you use these amounts on Form 8962 to compute the actual Premium Tax Credit for the year and to reconcile any differences between the advance payments and the credit you’re eligible for.

Other forms serve different purposes: a form from health coverage providers showing qualifying coverage is 1095-B, and a form from employers detailing offered coverage is 1095-C. The Marketplace statement specifically pertains to enrollees in the Marketplace and premium credits.