# Form 1095-A

URL: https://pdf.net/pdf-forms/tax-forms/form-1095-a
Category: Tax Forms
Attributes: Trusted by healthcare pros, Official IRS form, Filled annually

IRS Form 1095-A reports Health Insurance Marketplace coverage information used for premium tax credit reconciliation and accurate tax filing.

With our PDF editor and fillable Form 1095-A, you can complete everything in a few clicks online. After that, simply download the form to your device.

## Versions

- 2025 — [download PDF](https://cdn.sanity.io/files/i16te7yp/production/bfd71130602d07c9bdcafb188fc103312a2f97eb.pdf)

## How to Fill Out Form 1095-A

1. Open the editable Form 1095-A.
2. Enter Marketplace details.
3. Add recipient SSN, address, and spouse information.
4. Enter coverage start and termination dates.
5. List covered individuals in Part II.
6. Report monthly premiums and SLCSP amounts.

## Facts

### What Is Form 1095-A Used For?

Form 1095-A is used to report information about individuals enrolled in a qualified health plan through the Health Insurance Marketplace to the IRS.** **Recipients use the information on Form 1095-A to complete Form 8962, Premium Tax Credit, which is attached to their federal income tax return to claim or reconcile premium tax credit payments.

### Who Should Use Form 1095-A?

Health Insurance Marketplaces issue Form 1095-A to individuals enrolled in qualified health plans and file it with the IRS. The form should not be issued for catastrophic health plans or separate stand-alone dental plans. Recipients use the information on the form to complete Form 8962 and reconcile any advance premium tax credit payments on their federal tax return.

### When Is Form 1095-A Due?

Form 1095-A due date is by January 31st of the year following the tax year you received coverage. If the due date falls on a weekend or federal holiday, the next business day becomes the filing deadline. Also, recipients should receive their Form 1095-A by January 31st, giving them sufficient time to use it when filing their federal tax return by the April 15th deadline.

### What Happens If Form 1095-A Is Not Submitted?

If Form 1095-A is not submitted, you may have trouble claiming the premium tax credit or reconciling advance premium tax credit payments on your federal tax return. Missing information can also delay tax return processing or result in IRS notices requesting corrections.

### How and Where Do I File Form 1095-A?

Form 1095-A is filed with the IRS by the Health Insurance Marketplace on your behalf through the Department of Health and Human Services Data Services Hub. As a recipient, you do not file Form 1095-A directly—instead, use the information it contains to complete Form 8962, which you attach to your federal income tax return.