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IRS Form 1095-A Health Insurance Marketplace Statement to consumers

Covered California

Feb 10, 2023

Tax Season-Form 1095-A

During tax season, Covered California sends the federal IRS Form 1095-A Health Insurance Marketplace Statement to consumers. Consumers will not receive FTB 3895 tax forms for the 2022 benefit year because consumers did not receive the California Premium Assistance Subsidy. FTB 3895 tax forms are available for 2020 and 2021 tax years.

IRS Form 1095-A is an important federal tax document that serves as proof of Minimum Essential Coverage and for individuals to claim the premium tax credit, to reconcile any Advanced Premium Tax Credit (APTC) received, and to file an accurate tax return for the 2022 tax year. The amount displayed on IRS Form 1095-A reflects how much was paid to Covered California Qualified Health Plans to help with the cost of a consumer’s health coverage. IRS Form 1095-A is generated for each enrolled plan (except minimum coverage plans), regardless of if APTC was applied. If a consumer changed plans or had a gap in coverage at any point in 2022, they may receive multiple 1095-A forms. All consumers can access their IRS Form 1095-A from their CalHEERS account Home Page, or under Documents & Correspondence.

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