2014 1095 a form-2025

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  1. Click 'Get Form' to open it in the editor.
  2. Begin with Part I, filling in your recipient information. Enter the marketplace identifier, policy number, and issuer's name. Ensure your name, SSN, and date of birth are accurate.
  3. Continue to lines 7-9 for spouse details if applicable. Fill in the policy start and termination dates on lines 10 and 11.
  4. Complete your address on lines 12-15.
  5. Move to Part II for each covered individual. Provide their names, SSNs, dates of birth, and coverage start/termination dates.
  6. In Part III, enter the monthly premium amounts for your policy and the second lowest cost silver plan (SLCSP) for each month from January to December.
  7. Finally, review all entries for accuracy before printing or downloading the completed form. You can also share it directly from our platform.

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2023 4.2 Satisfied (59 Votes)
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2021 4.8 Satisfied (115 Votes)
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2019 4.4 Satisfied (400 Votes)
2018 4.3 Satisfied (132 Votes)
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2014 4.4 Satisfied (64 Votes)
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If you or anyone in your family receives a Form 1095-A from the Marketplace, you will use the information on the form to complete a Form 8962 to reconcile any advance payments of the premium tax credit or to claim the premium tax credit. Do not file these forms with your tax return.
How to find your 1095-A online Log into your Marketplace account and select your 2024 application not your 2025 application. Select Tax Forms from the menu. Under Your Form 1095-A, select Download PDF. If a form has a Corrected status, download this corrected form instead of a previous version.
You will need Form 1095-A before you file your taxes. You can use Form 1095-A to reconcile the advance premium tax credits you received with the amount you were eligible to receive. If you fail to file a tax return reconciling those payments, you will not be eligible for premium tax subsidies in the next year.
If you still are unable to find your 1095-A Form, or if you need assistance accessing it on-line, you may call Covered CA for assistance at 1-800-300-1506 or contact your insurance agent who assisted you with your enrollment.
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