Instructions For Form 8962 - Premium Tax Credit (Ptc)

Line 5

You do not meet the requirements under

Estimated

household income at least 100% of the federal poverty

Figure your household income as a percentage of the federal

line

if:

poverty line using Worksheet 2 below.

CAUTION

No APTC was paid for your or your family's coverage, or

Worksheet 2. Household Income as a Percentage

You, with intentional or reckless disregard for the facts,

provided incorrect information to a Marketplace for the year of

of the Federal Poverty Line

coverage. See Pub. 974 for more information.

1. Enter the amount from line 3 of Form

Alien lawfully present in the United States. Certain aliens

8962

with household income below 100% of the federal poverty line

. . . . . . . . . . . . . . . . . . . . . . .

2. Enter the amount from line 4 of Form

are not eligible for Medicaid because of their immigration status.

8962

. . . . . . . . . . . . . . . . . . . . . . .

You may qualify for the PTC if your household income is less

3. Multiply the amount on line 2 by 4.0

than 100% of the federal poverty line if you meet all of the

. . . . . .

following requirements.

4. Is the amount on line 1 more than the amount

on line 3?

You or an individual in your tax family enrolled in a qualified

Yes. The amount on line 1 above is more

health plan through a Marketplace.

than 400% of the federal poverty line. Enter 401

The enrolled individual is lawfully present in the United States

here and on line 5 of Form 8962.

and is not eligible for Medicaid because of immigration status.

No. Divide the amount on line 1 above by

You otherwise qualify as an

applicable taxpayer

(except for

the amount on line 2 above. Do not round;

the federal poverty line percentage).

instead multiply this number by 100 (to express

it as a percentage) and then drop any numbers

If you meet all of the requirements under either

Estimated

after the decimal point. For example, for 0.9984,

household income at least 100% of the federal poverty line

enter the result as 99; for 1.8565, enter the

Alien lawfully present in the United

States, check the “No” box

result as 185; and for 3.997, enter the result as

on line 6 and continue to line 7.

399*. Enter the result here and on line 5 of Form

8962

If your household income is less than 100% of the federal

. . . . . . . . . . . . . . . . . . . . . . .

poverty line and you do not meet the requirements under

*If line 4 is below 100, see

Household income below 100% of the federal poverty

line,

next.

Estimated household income at least 100% of the federal

poverty line

Alien lawfully present in the United

States, you

are not an applicable taxpayer and you are not eligible to take

the PTC. If APTC was paid for any individuals in your tax family,

Line 6

check the “Yes” box on line 6, skip lines 7 and 8, and go to

If the amount on line 5 is at least 100% but no more than 400%,

line 9. However, if no APTC was paid for any individuals in your

check the “No” box on line 6 and continue to line 7. If the

tax family, stop; do not complete Form 8962.

amount on line 5 is less than 100%, see

Household income

Household income above 400% of the federal poverty line.

below 100% of the federal poverty line

next to determine if you

If the amount on line 5 is 401%, you cannot take the PTC. You

qualify for the PTC. If the amount on line 5 is 401%, you are not

generally must repay all APTC paid for individuals in your tax

eligible for the PTC. Check the “Yes” box and see

Household

family (but see below for two exceptions). Skip lines 7 and 8, and

income above 400% of the federal poverty line

below for

complete lines 9 and 10 (and Part IV and/or Part V, if applicable).

instructions on how to repay any APTC paid for your or your

Complete only column (f) of line 11 or lines 12 through 23.

family's coverage.

Enter -0- on line 24, and enter the amount from line 11, column

Household income below 100% of the federal poverty line.

(f) or the total of lines 12 through 23, column (f), on lines 25, 27,

If the amount on line 5 is less than 100%, you can take the PTC if

and 29. Enter the amount from line 29 on your Form 1040,

you meet the requirements under

Estimated household income

line 46; Form 1040A, line 29; or Form 1040NR, line 44.

at least 100% of the federal poverty line

next or

Alien lawfully

If your household income is above 400% of the federal

present in the United States

below.

poverty line but you qualify for the alternative calculation for the

Estimated household income at least 100% of the federal

year of marriage (see the instructions for

Line

9, later), you may

poverty line. You may qualify for the PTC if your household

be able to reduce the amount of APTC you have to repay.

income is less than 100% of the federal poverty line and you

If you enrolled an individual for whom another taxpayer will

meet all of the following requirements.

claim a personal exemption, the other taxpayer may be

You or an individual in your tax family enrolled in a qualified

responsible to repay all or part of the APTC (see the instructions

health plan through a Marketplace.

for

Line

9, later).

The Marketplace estimated at the time of enrollment that your

household income would be at least 100% but not more than

Line 7

400% of the federal poverty line for your family size for 2017.

APTC was paid for the coverage for one or more months

Enter on line 7 the decimal number from

Table 2

next that

during 2017.

applies to the amount you entered on line 5. This number is used

You otherwise qualify as an

applicable taxpayer

(except for

to calculate your contribution amount.

the federal poverty line percentage).

-8-

Instructions for Form 8962 (2017)

Instructions For Form 8962 - Premium Tax Credit (Ptc) - 2017 Page 8

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