Get the up-to-date 2024 Form 3895 California Health Insurance Marketplace Statement-2025 now

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The document is the California Form 3895 for the taxable year 2024, which serves as a Health Insurance Marketplace Statement. It includes information about covered individuals, their coverage details, and premium assistance subsidies for each month of the year.

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Do I need both the 1095-A and 3895?

The forms IRS Form 1095-A and FTB 3895 are important forms that you will need to process (or provide to your tax preparer) when filing taxes if you had health insurance on the marketplace and received subsidies.

Is form 3895 being discontinued?

Covered California consumers will not get an FTB Form 3895 for tax year 2022 because they did not receive the California Premium Assistance Subsidy (state subsidy) in 2022. This subsidy has been discontinued. Want to get started with Covered California?

How to get Form 1095-a Health Insurance Marketplace Statement?

Members of Covered CA can access their 1095-A Forms via mail or through a secure online portal, depending on their chosen method of communication with Covered CA.

Do I need to report 1095-A on my tax return?

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.

What is form 3895 used for?

Form FTB 3895 is used to report certain information to the Franchise Tax Board (FTB) about individuals who enroll in a qualified health plan through the California Health Insurance Marketplace (Marketplace).

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How to get a copy of 3895 form from Covered California?

They will not receive their Form FTB 3895 in the mail. If a consumers communication preference is mail, they will receive their Form FTB 3895 in the mail. All consumers can access their Form FTB 3895 in their CalHEERS account home page, or under Documents Correspondence, even if their preference is mail.

Why do I have two 1095-A forms?

Q: Why did I get more than one Form 1095-A? You may receive more than one Form 1095-A if members of your household were not all enrolled in the same health plan, you updated your family information during the year, you switched plans during the year, or you had family members enrolled in different states.

Get the up-to-date 2024 Form 3895 California Health Insurance Marketplace Statement-2025 now

Here's how it works

How to modify 2024 Form 3895 California Health Insurance Marketplace Statement in PDF format online

Complete this form in 5 minutes or less

Got questions?

Do I need both the 1095-A and 3895?

Is form 3895 being discontinued?

How to get Form 1095-a Health Insurance Marketplace Statement?

Do I need to report 1095-A on my tax return?

What is form 3895 used for?

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People also ask

How to get a copy of 3895 form from Covered California?

Why do I have two 1095-A forms?

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