Instructions For Form 8962 - Premium Tax Credit (Ptc)

reported on your Form 1095-A, depending on your relationship

repay. To be eligible to make this election, you must meet either

to the other taxpayer.

of the following conditions.

You checked the “Yes” box on Form 8962, line 6, and you

Lines 30 through 33, column (c). Enter the first month you

answered “Yes” to all 5 questions in

Table

4, earlier.

are allocating policy amounts. For example, if you were enrolled

You checked the “No” box on Form 8962, line 6, and the

in a policy with your former spouse from January through June,

“Yes” box on line 14 of

Worksheet

3, earlier.

enter “01” in column (c).

If you, your spouse, or any individual in your tax family had

Lines 30 through 33, column (d). Enter the last month you

coverage under a qualified health plan for at least one month

are allocating policy amounts. For example, if you were enrolled

before your first full month of marriage, use the worksheets and

in a policy with your former spouse from January through June,

instructions necessary to complete the alternative calculation in

enter “06” in column (d).

Pub. 974.

Lines 30 through 33, column (e). If your allocation situation

Do not go to Pub. 974 until you have completed

Table

requires you to allocate the enrollment premiums on Form

earlier, to determine whether you meet the requirements

1095-A, lines 21 through 32, column A, enter your allocation

to elect the alternative calculation.

percentage for that policy in column (e). Enter your allocation

CAUTION

percentage as a decimal rounded to two places (for example, for

Line 35. Complete line 35, columns (a) through (d) as indicated

40%, enter 0.40). Otherwise, leave column (e) blank.

in Pub. 974 under Alternative Calculation for Year of Marriage.

Lines 30 through 33, column (f). If your allocation situation

Line 36. Complete line 36, columns (a) through (d) as indicated

requires you to allocate the applicable SLCSP premium on Form

in Pub. 974 under Alternative Calculation for Year of Marriage.

1095-A, lines 21 through 32, column B, enter your allocation

How To Avoid Common Mistakes in

percentage for that policy in column (f). Enter your allocation

percentage as a decimal rounded to two places (for example, for

Completing Form 8962

67%, enter 0.67). You will enter an allocation percentage in

column (f), in the following two circumstances.

Mistakes in completing Form 8962 can cause you to pay too

You allocated the policy amounts under

Allocation Situation 1.

much tax, delay the processing of your return or refund, or cause

Taxpayers divorced or legally separated in

2017, earlier.

you to receive correspondence from the IRS. To avoid making

You allocated the policy amounts under

Allocation Situation 4.

common mistakes on your Form 8962 and on your income tax

Other situations where a policy is shared between two tax

return, carefully review all of the following before attaching Form

families, earlier.

8962 to your tax return.

In all other situations, leave column (f) blank because you do

Entering amounts from Form 1095-A. Form 8962 and the

not allocate the applicable SLCSP premium reported in those

IRS electronic filing program provides for entries of dollars only.

situations. Instead, you must determine the correct applicable

Your Form 1095-A may include amounts in dollars and cents.

SLCSP premium for your coverage family and enter that amount

You should round the amounts on Form 1095-A to the nearest

on Form 8962, lines 12 through 23, column (b). See Pub. 974 for

whole dollar and enter dollars only on Form 8962. If you file a

information on determining the correct premium for the

paper return and do not round amounts to whole dollars, be

applicable SLCSP or, if you enrolled through the federally

sure to enter the decimal to separate dollars and cents.

facilitated Marketplace, go to HealthCare.gov/Tax-Tool/.

Check your math. Check your math, especially when

Lines 30 through 33, column (g). If your allocation situation

completing line 11, or lines 12 through 23, and entering the totals

requires you to allocate the APTC on Form 1095-A, lines 21

on lines 24 and 25. Review your entries on line 11 or lines 12

through 32, column C, enter your allocation percentage for that

through 23 if your entries on lines 24 and 25 seem higher than

policy in column (g). Enter your allocation percentage as a

expected (for example, greater than $25,000). Examples of math

decimal rounded to two places (for example, for 80%, enter

errors include the following.

0.80). Otherwise, leave column (g) blank.

Dollar and cents amounts from Form 1095-A entered as

dollars on Form 8962.

Line 34

Transposition of numbers or errors in amounts (for example,

If you have completed your required allocations of policy

line 12, column (a), monthly enrollment premium of $1,200

amounts shown on Forms 1095-A using lines 30 through 33,

entered as $12,000).

check the “Yes” box on line 34. If you must make more than four

Annual totals from Form 1095-A, line 33, entered as monthly

allocations of policy amounts shown on Forms 1095-A, check

amounts on Form 8962, lines 12 through 23.

the “No” box on line 34 and attach a statement to your return

Line 2b. Complete line 2b only if your dependent(s) are

providing the information shown on lines 30 through 33, columns

required to file an income tax return. You enter your and your

(a) through (g) for each additional allocation.

spouse's (if filing a joint return) modified AGI on line 2a. If you

If you got married in 2017 and APTC was paid for an

are not required to complete line 2b, enter your modified AGI

individual in your tax family, see

Table 4

under Line 9 in the

from line 2a on line 3.

instructions for Part II, earlier, to determine if you should

Line 5. Review your entries on

Worksheet 2. Household

complete Part V. If you do not complete Part V, check the “No”

Income as a Percentage of the Federal Poverty Line

for

box on Form 8962, line 10, skip line 11, and continue to

Lines 12

accuracy. An incorrect entry on this line will impact the amount of

through 23—Monthly Calculation

in the instructions for Part II,

your PTC.

earlier.

Line 11. Use the amounts shown on Form 1095-A, line 33

Part V—Alternative Calculation for

(columns A, B, and C), for completing line 11. Do not use

Year of Marriage

monthly amounts from Form 1095-A, lines 21–32 (columns A, B,

and C). If you are instructed to complete line 11, do not

Complete Part V to elect the alternative calculation for your

complete lines 12 through 23.

pre-marriage months. Electing the alternative calculation is

Lines 12 through 23. Use the monthly amounts from Form

optional, but may reduce the amount of excess APTC you must

1095-A, lines 12–32 (columns A, B, and C), when completing

lines 12 through 23. Do not use total amounts from Form

-19-

Instructions for Form 8962 (2017)

Instructions For Form 8962 - Premium Tax Credit (Ptc) - 2017 Page 19

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