Instructions For Form 8962 - Premium Tax Credit (Ptc) - 2017 Page 2

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Who Must File
for part or all of the premiums for a qualified health plan covering
you or an individual in your tax family. Your APTC eligibility is
You must file Form 8962 with your income tax return (Form
based on the Marketplace’s estimate of the PTC you will be able
1040, Form 1040A, or Form 1040NR) if any of the following
to take on your tax return. If APTC was paid for you or an
apply to you.
individual in your
tax
family, you must file Form 8962 to reconcile
You are taking the PTC.
(compare) this APTC with your PTC. If the APTC is more than
APTC was paid for you or another individual in your
tax
family.
your PTC, you have excess APTC and you must repay the
APTC was paid for an individual (including you) for whom you
excess, subject to certain limitations. If the APTC is less than
told the Marketplace you would claim a personal exemption and
the PTC, you can get a credit for the difference, which reduces
neither you nor anyone else claims a personal exemption for that
your tax payment or increases your refund.
individual. See
Individual you enrolled for whom no taxpayer will
Note. The Marketplace determined your eligibility for and the
claim a personal exemption
under Lines 12 through 23—Monthly
amount of your 2017 APTC using projections of your income and
Calculation, later.
your number of personal exemptions when you enrolled in a
qualified health
plan. If this information changed during 2017 and
If any of the circumstances above apply to you, you must file
you did not promptly report it to the Marketplace, the amount of
an income tax return and attach Form 8962 even if you are not
APTC paid may be substantially different from the amount of
otherwise required to file. You must use Form 1040, Form
PTC you can take on your tax return. See
Report changes in
1040A, or Form 1040NR. For help determining which of these
circumstances when you re-enroll in coverage and during the
forms to file, see Tax Topic 352 at IRS.gov/TaxTopics.
year, earlier, for changes that can affect the amount of your PTC.
If you are filing Form 8962, you cannot file Form
Deductions for health insurance premiums. You cannot
1040EZ, Form 1040NR-EZ, Form 1040-SS, or Form
!
deduct the portion of your health insurance premium on your tax
1040-PR.
CAUTION
return that is paid for by the PTC or APTC (after you determine
how much of any excess APTC you must repay). If you are
If someone else enrolled an individual in your tax family in
deducting medical expenses as an itemized deduction, see Pub.
coverage, and APTC was paid for that individual’s coverage, you
502, Medical and Dental Expenses. If you are claiming the
must file Form 8962 to reconcile the APTC. You need to obtain a
self-employed health insurance deduction, see Pub. 974,
copy of the Form 1095-A from the person who enrolled the
Premium Tax Credit.
individual.
Form 1095-A, Health Insurance Marketplace Statement.
If you are claimed as a dependent on another person's
You will need Form 1095-A to complete Form 8962. The
tax return, the person who claims you will file Form 8962
TIP
Marketplace uses Form 1095-A to report certain information to
to take the PTC and, if necessary, repay excess APTC
the IRS about individuals who enrolled in a
qualified health plan
for your coverage. You do not need to file Form 8962.
through the Marketplace. The Marketplace sends copies to
individuals to allow them to accurately file a tax return taking the
Who Can Take the PTC
PTC and reconciling APTC. For coverage in 2017, the
Marketplace is required to provide or send Form 1095-A to the
You can take the PTC for 2017 if you meet the conditions under
individual(s) identified in the Marketplace enrollment application
(1) and (2) below.
by January 31, 2018. If you are expecting to receive Form
1. For at least one month of the year, all of the following
1095-A for a qualified health plan and you do not receive it by
were true.
early February, contact the Marketplace.
a. An individual in your
tax family
was enrolled in a
qualified
Under certain circumstances, for example, where two
health plan
offered through the Marketplace on the first day of
spouses enroll in a qualified health plan and divorce during the
the month.
year, the Marketplace will provide Form 1095-A to one taxpayer,
b. That individual was not eligible for minimum essential
but another taxpayer also will need the information from that
coverage (MEC) for the month, other than coverage in the
form to complete Form 8962. The recipient of Form 1095-A
individual market. An individual is generally considered eligible
should provide a copy to other taxpayers as needed.
for MEC for the month only if he or she was eligible for every day
VOID BOX. If you received a Form 1095-A with the void box
of the month (see
Minimum essential coverage
(MEC), later).
checked at the top of the form, that means you previously
c. The portion of the
enrollment premiums
(described later)
received a Form 1095-A for the policy shown in Part I that was
for the month for which you are responsible was paid by the due
sent in error. You should not have received a Form 1095-A for
date of your tax return (not including extensions). However, if
the policy shown in Part I of the Form 1095-A. Do not use the
you became eligible for APTC because of a successful eligibility
information on the Form 1095-A with the void box checked or the
appeal and you retroactively enrolled in the plan, then the
previously received Form 1095-A to complete Form 8962.
portion of the enrollment premium for which you are responsible
CORRECTED BOX. If you receive a Form 1095-A with the
must be paid on or before the 120th day following the date of the
corrected box checked at the top of the form, use the information
appeals decision.
on the Form 1095-A with the corrected box checked to figure the
PTC and reconcile any APTC on Form 8962. Do not use the
2. You are an
applicable taxpayer
for 2017. To be an
information on the original Form 1095-A you received for the
applicable taxpayer, you must meet all of the following
policy shown in Part I of the corrected Form 1095-A.
requirements.
a. Your
household income
for 2017 is at least 100% but no
Additional information. For additional information on the PTC,
more than 400% of the federal poverty line for your family size
see Pub. 974, Premium Tax Credit. You also can visit
IRS.gov
(see the instructions for
Line
4, later). However, having
and enter “premium tax credit” in the search box.
household income below 100% of the federal poverty line will not
Also see
How To Avoid Common Mistakes in Completing
disqualify you from taking the PTC if you meet certain
Form 8962
at the end of these instructions.
requirements described under
Household income below 100%
of the federal poverty
line, later.
b. No one can claim you as a dependent on a tax return for
2017.
-2-
Instructions for Form 8962 (2017)

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