What is Form 1095-A?

The Affordable Care Act, also known as Obamacare, requires most U.S. residents to have health insurance, but it also offers a tax break, the Premium Tax Credit commonly known as APTC to help offset the costs of health coverage. If you bought coverage through one of the health insurance marketplaces, you should receive a copy of Form 1095-A, which provides information needed to claim the tax credit on your 2015 Tax Return.

Form 1095-A Health Insurance Marketplace Statement 

If enrolled in a health plan through the Health Insurance Marketplace in 2015 you will receive a Form 1095-A, Health Insurance Marketplace Statement from the Marketplace, not the IRS.

The Form 1095-A will tell you the dates of coverage, and the total amount of monthly premiums for your insurance plan.

If you set-up a HealthCare.gov account, Covered CA or Washington Healthplanfinder account, you can get a copy of the Form 1095-A, Health Insurance Marketplace Statement online.

*** you may receive multiple 1095-A forms for each policy ID

More information is available for Marketplace members at the following website:


Form 1095-A Disputes

If you dispute the coverage information provided from their 1095-A form(s) here is what you need to do:

The member will need to file a HICS Case.

  • FL, MI, NM, OH, TX, UT, and WI - the Member needs to contact the Marketplace Exchange directly.
  • CA - The member will contact Covered CA.
  • WA - The member will contact WA Healthplanfinder.

Once the HICS case is reviewed, a determination will be made.

The Marketplace is responsible for consumer outreach and the generation of a corrected 1095-A form back to the you.

Good Luck!

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