Instructions For Form 8962 - Premium Tax Credit (Ptc) - 2017 Page 3

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c. If you were married at the end of 2017, generally you
health plan began after the 1st day of the month, you are not
must file a joint return. However, filing a separate return from
allowed a monthly credit amount for the coverage for that month.
your spouse will not disqualify you from being an applicable
However, if an individual in your tax family enrolled in a qualified
taxpayer if you meet certain requirements described under
health plan in 2017 and the enrollment was effective on the date
Married
taxpayers, later.
of the individual's birth, adoption, or placement for adoption or in
foster care, or on the effective date of a court order placing the
You are not entitled to the PTC for health coverage for an
individual with your family, the individual is treated as enrolled as
individual for any period during which the individual is not
of the first day of that month. Therefore, the individual may be a
lawfully present in the United States.
member of your tax family and coverage family for the entire
month for purposes of computing your monthly credit amount.
For additional requirements and more details, see
Applicable
Enrollment premiums. The enrollment premiums are the
taxpayer, later.
total amount of the premiums for the month, reduced by any
Terms You May Need to Know
premium amounts for that month that were refunded, for one or
more
qualified health plans
in which any individual in your
tax
Tax family. For purposes of the PTC, your tax family consists of
family
enrolled. Form 1095-A, Part III, column A, reports the
the individuals for whom you claim a personal exemption on your
enrollment premiums.
tax return (generally you, your spouse with whom you are filing a
You generally are not allowed a monthly credit amount for the
joint return, and your dependents). Your personal exemptions
month if any part of the enrollment premiums for which you are
are reported on your Form 1040 or Form 1040A, line 6d, or Form
responsible that month has not been paid by the due date of
1040NR, line 7d. Your family size equals the number of
your tax return (not including extensions). However, if you
individuals in your tax family (including yourself). If no one,
became eligible for APTC because of a successful eligibility
including you, claims a personal exemption for you, and you
appeal and you retroactively enrolled in the plan, the portion of
indicated to the Marketplace when you enrolled that you would
the enrollment premium for which you are responsible must be
claim your own personal exemption, see Pub. 974 for
paid on or before the 120th day following the date of the appeals
instructions on completing Form 8962.
decision. Premiums another person pays on your behalf are
treated as paid by you.
Household income. For purposes of the PTC, household
income is the modified adjusted gross income (modified AGI) of
If your share of the enrollment premiums is not paid, the
you and your spouse (if filing a joint return) (see
Line
2a, later)
issuer may terminate coverage. The termination is generally
plus the modified AGI of each individual whom you claim as a
effective no sooner than the second month of nonpayment. For
dependent and who is required to file an income tax return
any months you were covered but did not pay your share of the
because his or her income meets the income tax return filing
premiums, you are not allowed a monthly credit amount.
threshold (see
Line
2b, later). Household income does not
Applicable SLCSP premium. The applicable SLCSP
include the modified AGI of those individuals whom you claim as
premium is the second lowest cost silver plan premium offered
dependents and who are filing a 2017 return only to claim a
through the Marketplace where you reside that applies to your
refund of withheld income tax or estimated tax.
coverage family
(described earlier). The SLCSP premium is not
Modified AGI. For purposes of the PTC, modified AGI is the
the same as your
enrollment
premium, unless you enroll in the
AGI on your tax return plus certain income that is not subject to
applicable SLCSP. Form 1095-A, Part III, column B, generally
tax (foreign earned income, tax-exempt interest, and the portion
reports the applicable SLCSP premium. If no APTC was paid for
of social security benefits that is not taxable). Use
Worksheet
your coverage, Form 1095-A, Part III, column B, may be wrong
1-1
and
Worksheet
1-2, later, to determine your modified AGI.
or blank or may report your applicable SLCSP premium as -0-.
Taxpayer’s tax return including income of a dependent
Also, if you had a change in circumstances during 2017 that you
child. A taxpayer who includes the gross income of a
did not report to the Marketplace, the SLCSP premium reported
dependent child on the taxpayer’s tax return must include on
in Part III, column B, may be wrong. In either case you must
Worksheet 1-2 the child’s tax-exempt interest and the portion of
determine your correct applicable SLCSP premium. You do not
the child’s social security benefits that is not taxable.
have to request a corrected Form 1095-A from the Marketplace.
See
Missing or incorrect SLCSP premium on Form
1095-A, later.
Coverage family. Your coverage family includes all individuals
Monthly contribution amount. Your monthly contribution
in your
tax family
who are enrolled in a
qualified health plan
and
amount is used to calculate your monthly credit amount. It is the
are not eligible for
MEC
(other than coverage in the individual
amount of your household income you would be responsible for
market). The individuals included in your coverage family may
paying as your share of premiums each month if you enrolled in
change from month to month. If an individual in your tax family is
the
applicable
SLCSP. It is not based on the amount of
not enrolled in a qualified health plan, or is enrolled in a qualified
premiums you paid out of pocket during the year. You will
health plan but is eligible for MEC (other than coverage in the
compute your monthly contribution amount in Part I of Form
individual market), he or she is not part of your coverage family.
8962.
Your PTC is available to help you pay only for the coverage of
the individuals included in your coverage family.
Qualified health plan. For purposes of the PTC, a qualified
health plan is a health insurance plan or policy purchased
Monthly credit amount. The monthly credit amount is the
through a Marketplace at the bronze, silver, gold, or platinum
amount of your tax credit for a month. Your PTC for the year is
level. Throughout these instructions, a qualified health plan also
the sum of all of your monthly credit amounts. Your credit
is referred to as a policy. Catastrophic health plans and
amount for each month is the lesser of:
stand-alone dental plans purchased through the Marketplace,
The
enrollment premiums
(described next) for the month for
and all plans purchased through the Small Business Health
one or more
qualified health plans
in which you or any individual
Options Program (SHOP), are not qualified health plans for
in your
tax family
enrolled; or
purposes of the PTC. Therefore they do not qualify a taxpayer to
The amount of the monthly
applicable second lowest cost
take the PTC.
silver plan (SLCSP) premium
(described below) less your
monthly contribution amount
(described below).
Minimum essential coverage (MEC). A separate tax
provision requires most individuals to have qualifying health
To qualify for a monthly credit amount, at least one individual
coverage, qualify for a coverage exemption, or make a payment
in your tax family must be enrolled in a qualified health plan on
with their tax return. Health coverage that satisfies this
the 1st day of that month. Generally, if coverage in a qualified
-3-
Instructions for Form 8962 (2017)

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