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Form 1095-A Request

Request your Form 1095-A from us!

The 2023 tax season is upon us, it is vital that you file your tax return and to include critical information from your 1095-A form.  Please be on the lookout for mailings from the federal Marketplace or state exchanges (i.e. Pennie for PA, GetCoveredNJ for NJ, Maryland Health Connect for MD, etc.) which will contain the needed form called 1095-A. See the sample below.

To request your Form 1095-A, use this link.

Once you've filled out the form, we will send your Form 1095-A to you.

Why do I need Form 1095-A?
Form 1095-A contains the amount of APTC paid by the government to your health plan to reduce your monthly premium. The amount of APTC is based on your reported estimated annual income on your health insurance application. When filing a tax return, because you are reporting your actual annual income, you will be calculating how this premium tax credit compares to the amount of APTC you were eligible for.
  • If your actual income for the year was lower than what you estimated, you are eligible for a larger premium tax credit and can claim this difference as a refund.
  • If your actual income for the year was higher than what you estimated, you are eligible for less premium tax credit and might have to pay back some or all of the difference.

If you have any additional questions, call us at (888) 500-2578.