Form 1095-A information

Need a Copy?

If you haven’t received your 1095-A or are having trouble locating it, we can assist you!

Give us a call and we can email it over to you.

How it works:

We will need to speak directly with the primary applicant. To verify your identity, we will ask for your first and last name as well as your date of birth.

What is a 1095-a form?

A 1095-A, also known as the Health Insurance Marketplace Statement, is a tax form sent to individuals who purchased health insurance through the Marketplace. It details:

The months you had coverage.
The amount of premium tax credits you received.
The cost of your health plan.

This form is essential for filing your taxes and reconciling any premium subsidies you received.

What It Looks Like:

Download Example 1095-A Form (PDF)

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Form 1095-A information

Need a Copy?

How it works:

What is a 1095-a form?

What It Looks Like:

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