Form 1095-A - Health Insurance Marketplace Statement printable pdf download

Form 1095-A - Health Insurance Marketplace Statement

CAUTION: NOT FOR FILING

Form 1095-A is provided here for informational purposes only.

Health Insurance Marketplaces use Form 1095-A to report information on

enrollments in a qualified health plan in the individual market through the

Marketplace. As the form is to be completed by the Marketplaces,

individuals cannot complete and use Form 1095-A available on IRS.gov.

Individuals receiving a completed Form 1095-A from the Health Insurance

Marketplace will use the information received on the form and the guidance

in the instructions to assist them in filing an accurate tax return.

Form 1095-A - Health Insurance Marketplace Statement