Instructions For Form 8885 - Health Coverage Tax Credit - Internal Revenue Service - 2016 Page 5
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5Efiled return. If you e-file, you can
monthly payment program. Your health
required documents. You don’t need to
attach a copy of any required documents
plan administrator received an advance
attach documents for your July coverage.
to an electronically filed return as a PDF if
payment of $543.75 (72.5% of the $750
Example 2. You checked March and
your tax software supports it, or you must
premium) from the IRS for your July
April on line 1. Your insurance coverage
attach those documents to Form 8453,
coverage . You received a Form 1099-H
for each month cost $750 ($500 for you
U.S. Individual Income Tax Transmittal for
showing an advance payment of $543.75
and $250 for your qualifying family
an IRS e-file Return, and mail them to the
for your July coverage. You would include
members). You paid $750 directly to your
IRS according to the instructions for that
the $750 you paid for your June coverage
health plan for each month. You would
form.
on line 2. You would not include any part
include $1,500 on line 2 for the March and
of the July coverage premium on line 2
Example 1. You checked June and
April coverage. You must attach copies of
because you already received the benefit
July on line 1. Your insurance coverage for
your health insurance bills and proofs of
of the advance monthly payment program
each month cost $750 ($500 for you and
payment for the March and April coverage
for July. You must attach copies of your
$250 for your qualifying family members).
for you and your qualifying family
health insurance bills and proofs of
You paid $750 directly to your health plan
members totaling $1,500 ($750 for each
payment for the June coverage for you
for your June coverage. You then paid
month), along with any other required
and your qualifying family members
$206.25 (27.5% of the $750 premium) for
documents.
totaling $750, along with any other
your July coverage as part of the advance
Instructions for Form 8885 (2016)
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