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Form 1095 is sent to the individual by whoever provides them with health insurance, be it the health insurance marketplace for Form 1095-A; a government program, small self-funded group, or small business for Form 1095-B; or by their (50+ full-time employees) employer for Form 1095-C. [5]
Tax-filers who obtain qualifying healthcare insurance receive a 1095 form from an employer, a healthcare insurance company, or a healthcare exchange (marketplace). The 1095 serves as proof that the individual has obtained healthcare insurance. For the tax year 2014 only Form 1095-A provided by a healthcare exchange is required by the IRS.
There are three types of 1095 forms: 1095-A: Health Insurance Marketplace Statement, is used to report policies obtained through the health insurance marketplace. This form includes a column listing the monthly advance payments of the premium tax credit, which is used to complete Form 8962 to claim that tax credit.
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The worksheets located in the instructions [15] to Form 8965, Health Coverage Exemptions, could be used to figure the shared responsibility payment amount that was due while still in effect. The annual payment amount was a percentage of the household income in excess of the return filing threshold or a flat dollar amount, whichever was greater.
Three forms: 1095-A, 1095-B, 1095-C will be issued, respectively, by a health exchange, insurance company or an employer to taxpayers. The taxpayer will rely on these forms for proof satisfying the individual mandate. [16] For the tax year 2014 only Form 1095-A provided by a health insurance exchange is required by the IRS. [17]
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All private health insurance plans offered in the Marketplace must offer the following essential health benefits: ambulatory care, emergency services, hospitalization (such as surgery), maternity and newborn care, mental health and substance abuse services, prescription drugs, rehabilitative and habilitative services (services to help people ...
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