www.wahbexchange.org/1095A

This year there are changes to federal You are getting this 1 tax returns because of the Affordable 2 information because you or one Care Act. of your family members were covered by a Healthplan nder Quali ed Health Plan during 2014.

You have received an 8962 3 important NEW tax return Use the information document called the from your 1095-A to 1095-A: complete the NEW IRS Marketplace Statement. Form 8962: Premium Tax Credit. 1095-A

Keep it safe with 1040 1040 A your tax records so you can use it when you le taxes.

1040 NR 1040 EZ If you took advantage of premium tax credits or want to claim tax credits, you cannot le with form 1040 EZ.

More information is available at: If something doesn’t seem 4 5 right on your 1095-A, www.irs.gov call Washington Healthplan nder customer and support at 1-855-923-4633. www.wahexchange.org/1095A

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www.wahealthplanfinder.org Q: I signed up for a Qualified Health Plan through Washington Healthplanfinder. What forms will I need to submit with my federal tax return? A: If you enrolled in a Qualified Health Plan through Washington Healthplanfinder, you have received an important tax return document called the 1095-A: Health Insurance Marketplace Statement. You will need to use the information on your 1095-A to complete the IRS Form 8962: Premium Tax Credit.

If you want to claim Premium Tax Credits or if you took Advanced Premium Tax Credits, you must file an income tax return and attach Form 8962. You will need to file your federal taxes using the IRS Form 1040, Form 1040A, or Form 1040NR. You cannot file with Form 1040 EZ.

If you have more questions about this process, please contact a tax professional, broker, your local library, or the IRS. More information can also be found at www.irs.gov/uac/Affordable-Care-Act-Tax-Provisions-for-Individuals- and-Families

Q: What are Health Insurance Premium Tax Credits (HIPTC), Premium Tax Credits (PTC) or Advanced Premium Tax Credits (APTC)? A: This tax credit can be used to lower the health insurance premium costs of Washington Healthplanfinder Qualified Health Plans. If you qualified when you applied through Washington Healthplanfinder, you could either reduce the amount of your monthly health insurance premium, or get all of the tax credit when you file your annual tax return. Advance payments of tax credits are paid for you by the IRS directly to the health insurance company providing your health coverage.

Q: What is the IRS Form 8962 and what do I need to do with it? A: IRS Form 8962 is used to reconcile the Health Insurance Premium Tax Credit you may have used each month to lower your monthly premium and determine if you received the right amount. You will use the information on your 1095-A to complete Form 8962.

Q: How can I get my 1095-A? A: You have been sent a paper version of your 1095-A statement. You can also get a digital copy of your 1095- A statement by signing in to your Washington Healthplanfinder online account and clicking “My 1095-A Tax Form” under Quick Links. You can download a PDF and print the statement from this screen.

Q: Who will receive a 1095-A from Washington Healthplanfinder? A: All individuals who enrolled in a Qualified Health Plan during 2014 through Washington Healthplanfinder will receive a 1095-A, including those who received tax credits and those who did not. People who were enrolled in more than one plan during 2014 will get a 1095-A for each plan.

Enrollees in catastrophic health plans will not receive a 1095-A. Also, customers covered under Washington Apple Health will not receive a 1095-A. These customers will check a box on their tax return to confirm that they have minimum essential coverage.

Q: I forgot to report a change in my income or my family size (such as, getting married or having a baby) that happened in 2014. What should I do? A: After December 31, 2014, Washington Healthplanfinder cannot make changes to your 2014 information. Any change that you forgot to make in 2014 that impacts your tax credits will be addressed on Form 8962 and adjusted on your tax return. You will need to work with the IRS or your tax preparer on any tax-related questions or options you may have. If this change still applies in 2015, update your application online or by calling Washington Healthplanfinder Customer Support Center at 1-855-923-4633.