[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-301520-105":53,"doc-detail-301520-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","covered-california-irs-form-1095-a-premium-tax-credit-letter","Covered California - IRS Form 1095-A - Premium Tax Credit Letter","","Notice from Covered California providing the IRS Form 1095-A needed for federal tax filing for the tax year. Explains that the form identifies enrolled members and the premium tax credit used, including instructions for those who received advance payments to file a federal return and IRS Form 8962. Includes guidance for married taxpayers, how to obtain a digital copy online, and where to get help without Covered California providing tax advice. Concludes with FAQs on premium tax credit basics, options, advance payments, and repayment avoidance.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/covered-california-irs-form-1095-a-premium-tax-credit-letter/301520/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/covered-california-irs-form-1095-a-premium-tax-credit-letter/301520.png","ImageObject",442,249,{"name":88,"@type":89},"Skyler","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-24","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":9},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is the federal premium tax credit?","Question",{"text":108,"@type":109},"It is financial help that lowers your monthly premium payment. The amount depends on your family's income, family size, and where you live.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What are my choices for taking the federal premium tax credit?",{"text":113,"@type":109},"You can take some or all of the premium tax credit you qualify for during the year. If you do not take all of it during the year, you may receive it when you file your federal tax return.",{"name":115,"@type":106,"acceptedAnswer":116},"How does taking the premium tax credit in advance affect my taxes?",{"text":117,"@type":109},"You must report the premium tax credit when filing federal taxes using IRS Form 8962. The IRS compares your final income, household size, and ZIP Code to confirm whether the advance payments were correct.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},301520,1790239486,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":9,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":73},2336464648746,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Covered California  \nPO BOX 989725  \nWest Sacramento, CA 95798-9725  \nYour destination for affordable healthcare, including Medi-Cal  \n{ MAIL_FIRST_NAME} {MAIL_LAST_NAME}{ADDRESS_LINE2}  \n{ADDRESS_LINE1}  \n{CITY} , {STATE_CD (FK)} {ZIPCODE}  \nYour federal tax form for {Tax Year}  \n{CURRENT_DATE} Case Number: {AHBX_CASE_ID}  \nDear {FIRST_NAME} {LAST_NAME} ,  \nIRS Form 1095-A  \nYou or someone in your household was enrolled in a Covered California health insurance plan in {Tax_Year} . Included in this letter is Internal Revenue Service (IRS) Form 1095-A for your federal income taxes. This form shows who was enrolled in a health plan in {Tax_Year} and how much premium tax credit (financial help) was used , if any. You need IRS Form 1095-A to file your federal tax return with the IRS.  \nIf you got advance payments of the premium tax credit you must:  \n• File a federal tax return. You must file even if you do not usually file a federal tax return or have not filed in the past.  \n• File IRS Form 8962 with your federal tax return. This form reports the premium tax credit you got each month. Use the information on your IRS Form 1095-A to fill out IRS Form 8962.  \nIf you did not use advance payments of the premium tax credit, you may be able to use this form to claim them now.  \nIf you are married and live with your spouse , you are required to file taxes as Married Filing Jointly. There are some exceptions. If you have questions, talk to your tax preparer.  \nIf you need a digital copy of your Form 1095-A:  \nLog in [to your account at ](to your account at CoveredCA.com. On)[CoveredCA.com](to your account at CoveredCA.com. On)[. On](to your account at CoveredCA.com. On) the homepage, click “View {Tax year} Federal Tax Form 1095-A.” To create an online account, follow the [instructions at ](instructions at CoveredCA.com/create)[CoveredCA.com/create](instructions at CoveredCA.com/create)account.  \nYou may get more than one form if your household had more than one health plan through Covered California, or if you changed plans during the year. Please wait until after January 31 to report a missing form.  \nNeed help with your taxes?  \nCovered California can answer questions about your IRS Form 1095-A but cannot give tax advice. For help with your taxes:  \n• Talk to a tax adviser or tax preparer  \n• Go to the IRS website. You can learn more about:  \no Filing your federal tax return at [irs.gov/Filing](irs.gov/Filing)  \no The Affordable Care Act, premium tax credits, and taxes at [irs.gov/aca](irs.gov/aca)  \no How to correct or amend a return at [irs.gov/help](irs.gov/help)  \n• You may also be able to get free tax help at a local Volunteer Income Tax Assistance (VITA) site or with the Tax Counseling for the Elderly (TCE) . VITA generally helps people who make up to $67,000 a year, people with disabilities, older adults, and taxpayers who speak limited English. TCE helps people 60 years of age or older. To find free help near you:  \no Go online to [irs.treasury.gov/freetaxprep](irs.treasury.gov/freetaxprep)  \n[o](o Call 1-800-906-9887)[ Call 1-800-906-9887](o Call 1-800-906-9887)  \nQuestions?  \nRead the Frequently Asked Questions in this letter. If you have other questions or think there is a mistake on your form:  \n• [Go online to ](Go online to CoveredCA.com/1095)[CoveredCA.com/1095](Go online to CoveredCA.com/1095)  \n• Call Covered California, Monday – Friday, [8 a.m. to 6 p.m. at](8 a.m. to 6 p.m. at {SERVICE_CENTER_PHONE})[ {SERVICE_CENTER_PHONE}](8 a.m. to 6 p.m. at {SERVICE_CENTER_PHONE})(TTY: 1-888-889-4500)  \nThank you,  \nCovered California  \nThis notice was sent to you in compliance with the Affordable Care Act implementing regulations: 26 Code of Federal Regulations,§1 .36B-5.  \nFrequently Asked Questions  \nQ: What is the federal premium tax credit?  \nA: The federal premium tax credit is financial help that lowers your monthly premium payment. The amount of help you get depends on your family's income, how many people are in your fam","cbCaisjKKYqrS7R2","https://ap.wps.com/l/cbCaisjKKYqrS7R2","pdf",1154417,6,"English","## IRS Form 1095-A purpose and what it shows\n## Filing requirements for advance premium tax credit payments\n## Married filing jointly requirement and exceptions\n## Getting a digital copy of Form 1095-A\n## When more than one form may be issued\n## Need help with your taxes\n## Frequently Asked Questions","[{\"question\":\"What is the federal premium tax credit?\",\"answer\":\"It is financial help that lowers your monthly premium payment. The amount depends on your family's income, family size, and where you live.\"},{\"question\":\"What are my choices for taking the federal premium tax credit?\",\"answer\":\"You can take some or all of the premium tax credit you qualify for during the year. If you do not take all of it during the year, you may receive it when you file your federal tax return.\"},{\"question\":\"How does taking the premium tax credit in advance affect my taxes?\",\"answer\":\"You must report the premium tax credit when filing federal taxes using IRS Form 8962. The IRS compares your final income, household size, and ZIP Code to confirm whether the advance payments were correct.\"}]","Covered California - IRS Form 1095-A - Premium Tax Credit Letter | PDF",1789783221]