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  • 2023 Form 1095-a

Get 2023 Form 1095-a

CAUTION: NOT FOR FILING Form 1095-A is provided here for informational purposes only. Health Insurance Marketplaces use Form 1095-A to report information on enrollments in a qualified health plan.

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How to fill out the 2023 Form 1095-A online

Form 1095-A is a vital document for individuals who enrolled in health insurance through the Health Insurance Marketplace. This guide provides step-by-step instructions for filling out the form accurately online, ensuring you have the necessary information to file your tax return.

Follow the steps to complete the 2023 Form 1095-A online.

  1. Click ‘Get Form’ button to obtain the form and access it for editing. This will allow you to begin filling out the necessary information.
  2. In Part I, fill in your recipient information, including the marketplace identifier and your policy number assigned by the Marketplace. Also, provide your name, social security number, date of birth, and your address details.
  3. For any spouse information, enter their name, social security number, and date of birth in the designated fields if they are applicable for the coverage.
  4. In Part II, include the information of covered individuals. Fill in the name, social security number, and date of birth, as well as the coverage start and termination dates for each person included under your policy.
  5. In Part III, complete the coverage information by entering the monthly enrollment premiums, the monthly second lowest cost silver plan (SLCSP) premium, and the monthly advance payment of premium tax credit for each applicable month.
  6. Review all the entered information for accuracy. Ensure that all fields are completed correctly based on the guidelines provided by the Marketplace and the IRS.
  7. Once you have completed the form, you can save your changes, download a copy for your records, print it if needed, or share it according to your requirements.

Complete your Form 1095-A online to assist in accurately filing your tax return.

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If you purchased coverage through the federally facilitated Marketplace and you set-up a HealthCare.gov account, you can get a copy of Form 1095-A, Health Insurance Marketplace Statement online from your account.

How to find your 1095-A online Log in to your HealthCare.gov account. Under "Your Existing Applications," select your 2022 application — not your 2023 application. Select “Tax Forms” from the menu on the left. Download all 1095-As shown on the screen.

Your proof of health coverage form (1095-B) will arrive soon Health Net will mail Form 1095-B to our members starting January 31, 2023. This form is not required when you file your federal or state 2022 tax return. But, we do suggest that you keep this form with your tax information.

If you enrolled in coverage through the Marketplace you will need the information on Form 1095-A to complete Form 8962 to reconcile any advance payments of the premium tax credit or claim the premium tax credit, and to file a complete and accurate tax return.

If you have not received your Form 1095-A or you received an incorrect 1095-A, you should contact the Marketplace from which you received coverage. If you receive a corrected or voided Form 1095-A, you may need to amend your return.

By Jan. 31 of each year, Covered California sends the federal IRS form 1095-A Health Insurance Marketplace statement to members. This form is used to: Provide information for your federal taxes.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232