Form 1040 Instructions - 2015 Page 6

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Attach Form 8965 to claim an ex-
health insurance through the Market-
complete Form 8962. Attach Form 8962
place and advance payments of the pre-
to your return. Do not attach Form
emption from the requirement to have
mium tax credit were made to your in-
1095-A to your return.
health care coverage, or
surance
company
to
reduce
your
Make a shared responsibility pay-
Form W­2 verification code. The IRS
monthly premium payment, you must at-
ment if, for any month in 2015, you,
is testing the use of a 16-character code
your spouse (if filing jointly), or anyone
tach Form 8962 to your return to recon-
to verify certain Forms W-2. If you are
you can or do claim as a dependent
cile (compare) the advance payments
e-filing and your Form W-2 includes a
didn’t have coverage and do not qualify
with your premium tax credit for the
code in a box labeled “Verification
year, which you figure on Form 8962.
for a coverage exemption.
Code,” enter the code when prompted
The Marketplace is required to send
For more information, see the instruc-
by your software; disregard the prompt
Form 1095-A by February 1, 2016, list-
tions for line 61 and Form 8965.
if your Form W-2 doesn't have the code.
ing the advance payments and other in-
If you are filing a paper Form 1040, you
Requirement to reconcile advance
formation you need to figure your pre-
payments of the premium tax credit.
do not have to use the code.
mium tax credit. Use Form 1095-A to
If you or a family member enrolled in
-6-

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