Form 1040 Instructions - 2015 Page 52

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2015 Form 1040—Lines 61 and 62
If you or someone in your household
health insurance options for you and
If you file Form 2555 or 2555-EZ, see
had minimum essential coverage in
your family, how to buy health insur-
Form 8960 and its instructions if the
2015, the provider of that coverage is re-
ance, and how you might qualify to get
amount on Form 1040, line 38, is more
quired to send you a Form 1095-A,
financial assistance to buy health insur-
than:
1095-B, or 1095-C (with Part III com-
ance.
$24,200 if married filing separate-
pleted) that lists individuals in your fam-
ly,
Premium tax credit. If you, your
ily who were enrolled in the coverage
$149,200 if married filing jointly
spouse, or a dependent enrolled in health
and shows their months of coverage.
or qualifying widow(er), or
insurance through the Marketplace, you
Individuals enrolled in health in-
$99,200 if single or head of house-
may be able to claim the premium tax
surance coverage through the Market-
hold.
credit. See the instructions for line 69
place generally receive this information
and Form 8962.
Check box b if you owe the tax.
on Form 1095-A, Health Insurance Mar-
Other taxes. For the following taxes,
Line 62
ketplace Statement.
check box c and, in the space next to
Individuals enrolled in health in-
that box, enter the amount of the tax and
Other Taxes
surance coverage provided by their em-
the code that identifies it. If you need
ployer generally receive this information
more room, attach a statement listing the
Use line 62 to report any taxes not re-
on either Form 1095-B, Health Cover-
amount of each tax and the code.
ported elsewhere on your return or other
age, or on Form 1095-C, Employer-Pro-
schedules. To find out if you owe the
1. Additional tax on health savings
vided Health Insurance Offer and Cov-
tax, see the form or publication indica-
account (HSA) distributions (see Form
erage.
ted. Enter on line 62 the total of all of
8889, Part II). Identify as “HSA.”
Individuals enrolled in a govern-
the following taxes you owe.
ment-sponsored health program or in
2. Additional tax on an HSA be-
other types of coverage generally re-
cause you didn't remain an eligible indi-
Additional Medicare Tax. See Form
ceive this information on Form 1095-B,
vidual during the testing period (see
8959 and its instructions if the total of
Health Coverage.
Form 8889, Part III). Identify as
your 2015 wages and any self-employ-
“HDHP.”
Even if you haven’t received one of
ment income was more than:
these forms, you may have had health
$125,000 if married filing separate-
3. Additional tax on Archer MSA
care coverage and can rely on other in-
ly,
distributions (see Form 8853). Identify
formation you have about your coverage
as “MSA.”
$250,000 if married filing jointly,
to complete line 61.
or
4. Additional tax on Medicare Ad-
$200,000 if single, head of house-
vantage MSA distributions (see Form
Your health care coverage provider
hold, or qualifying widow(er).
8853). Identify as “Med MSA.”
may have asked for your social security
Also see Form 8959 if you had railroad
number. To understand why, go to
5. Recapture of the following cred-
retirement (RRTA) compensation that
its.
was more than the amount just listed
Minimum essential coverage. Most
a. Investment
credit
(see
Form
that applies to you.
health care coverage that people have is
4255). Identify as “ICR.”
If you are married filing jointly and
minimum essential coverage.
b. Low-income housing credit (see
either you or your spouse had wages or
Minimum essential coverage in-
Form 8611). Identify as “LIHCR.”
RRTA compensation of more than
cludes:
$200,000, your employer may have
c. Indian employment credit (see
Most types of health care coverage
withheld Additional Medicare Tax even
Form 8845). Identify as “IECR.”
provided by your employer,
if you do not owe the tax. In that case,
d. New markets credit (see Form
Many types of government-spon-
you may be able to get a refund of the
8874). Identify as “NMCR.”
sored health care coverage including
tax withheld. See the Instructions for
Medicare, most Medicaid coverage, and
e. Credit
for
employer-provided
Form 8959 to find out how to report the
most health care coverage provided to
child care facilities (see Form 8882).
withheld tax on Form 8959.
veterans and active duty service mem-
Identify as “ECCFR.”
Check box a if you owe the tax.
bers,
f. Alternative motor vehicle credit
Certain types of health care cover-
(see
Form
8910).
Identify
as
Net Investment Income Tax. See
age you buy directly from an insurance
“AMVCR.”
Form 8960 and its instructions if the
company, and
amount on Form 1040, line 38, is more
g. Alternative fuel vehicle refueling
Health care coverage you buy
than:
property credit (see Form 8911). Identi-
through the Marketplace.
$125,000 if married filing separate-
fy as “ARPCR.”
See the instructions for Form 8965 for
ly,
h. Qualified plug-in electric drive
more information on what qualifies as
$250,000 if married filing jointly
motor vehicle credit (see Form 8936).
minimum essential coverage.
or qualifying widow(er), or
Identify as “8936R.”
Reminder ­ health care coverage. If
$200,000 if single or head of
6. Recapture of federal mortgage
you need health care coverage, go to
household.
subsidy. If you sold your home in 2015
to learn about
-52-
Need more information or forms? Visit IRS.gov.

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