DC Health Link - 1095-A Cover Letter - Important information for 2014 taxes

Sep 19, 2026

DC Health Link provides an explanation letter for Form 1095-A, required for 2014 taxes. It clarifies that the IRS needs the statement showing the time coverage existed in DC Health Link and, if applicable, the monthly premium assistance received. The letter explains how Form 1095-A data supports completing IRS Form 8962, including when premium assistance was received or if eligibility should be checked. It also covers how the form is organized, what columns mean, and steps to request a corrected statement if information is inaccurate, with contact details for help and updates.

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Important information for 2014 taxes

Understanding Form 1095-A

If You Think We Made A Mistake

Questions and contact information

DC Health Link 1095-A Processing Unit 1225 Eye Street NW, Suite 400 Washington DC 20005 «First Name» «Last Name»«Address Line 1» «Address Line 2»«City» «State» «Zip» 􀁸 If you need help understanding this notice, please call 1-855-532-5465. We will explain it to you in your preferred language. You can also Fax us at 202-671-4400. 􀁸 ይህንን ማሳሰቢያ ለመረዳት እርዳታ የሚፈልጉ ከሆነ፣ እባኮን በ 1-855-532-5465 ይደውሉ። በሚመርጡትቐንቐ እናብራራሎታለን :: በተጨማሪም፣ በ 202-671-4400 ፋክስ ሊያደርጉልን ይችላሉ። 􀁸 Si necesita ayuda para entender este aviso, por favor llamar al 1-855-532-5465. Leexplicaremos en el idioma de su preferencia. También puede enviar un fax al 202-671- 4400. 􀁸 Si vous avez des difficultés à comprendre cet avis, n’hésitez pas à appeler le 1-855-532- 5465. Nous vous donnerons des explications dans votre langue préférée. Vous pouvez également nous atteindre par fax au 202-671-4400. 􀁸 본 내용을 이해하는 데 도움이 필요하신 경우, 1-855-532-5465번으로 연락해 주십시오 . 담당직원이 원하시는 언어로 해당내용을 설명해드릴 것입니다 . 202-671-4400번으로 팩스를보내실 수도 있습니다 .如果您需要帮助以理解本通知，请致电1-855-532-5465。我们将采用您的首选语言向您解释本通知。您还可向我们发送传真： 202-671-4400。 􀁸 如果您需要幫助以理解本通知，請致電1-855-532-5465。我們將採用您的首選語言向您解釋本通知。您還可向我們發送傳真： 202-671-4400。 􀁸 Nếu cần được giúp đỡ để hiểu rõ thông báo này, xin gọi số 1-855-532-5465. Chún tôi sẽ giải thích thông báo này cho quý vị bằng ngôn ngữ quý vị chọn. Quý vị cũng có thể gởi điện sao (fax) đến chúng tôi theo số 202-671-4400. «Date_of_Notice» «First Name» «Last Name»«Address Line 1» «Address Line 2»«City» «State» «Zip» Important information for 2014 taxes Dear «First Name» «Last Name»: You are receiving the attached Form 1095-A because you or someone in your household enrolled in a private health insurance plan through DC Health Link – the District’s Health Insurance Marketplace. The IRS requires DC Health Link to provide you with Form 1095-A. As required by federal law, information about your health insurance coverage has also been provided to the IRS. Please keep your Form 1095-A for your records. Form 1095-A is an IRS form. It is also called the Health Insurance Marketplace Statement. Form 1095-A shows how long you had individual (or family) health insurance through DC Health Link in 2014. If you received any premium assistance, Form 1095-A will also show how much premium assistance you received each month. If you received premium assistance in 2014, you will need the information on Form 1095-A to complete the IRS Premium Tax Credit Form 8962. The IRS requires you to report the amount of advanced premium tax credit you claimed in 2014. You may be entitled to additional premium tax credit or you may have to pay back to the IRS if your claimed amount exceeds IRS guidelines. If you did not receive premium assistance but want to see if you qualify, you will need Form 1095-A to complete IRS Premium Tax Credit Form 8962, which will help you to determine if you qualify for the federal premium tax credit. You may receive more than one Form 1095-A if you: 􀁸 Also had a plan from another health insurance marketplace during 2014. 􀁸 Changed from one plan offered by DC Health Link to another during 2014. 􀁸 Had family members enrolled in different plans through DC Health Link in 2014 Understanding Form 1095-A IRS Form 1095-A has three sections: Part I includes information about you, the primary health insurance subscriber, and any spouse enrolled in the same plan. It also lists when the 2014 policy started and ended. Part II includes information about everyone in your household who was enrolled in the plan during 2014. It lists the date each person’s coverage started and ended. Part III lists information about each month that your family was covered by the plan: 􀁸 Column A shows the amount of your monthly premium that covered the ten Essential Health Benefits. The premium amount you see here may be a few dollars lower than what you paid each month because IRS asks us not to include the part of your premium that went to pay for additional benefits. 􀁸 Column B show

FAQs

Why are recipients getting Form 1095-A from DC Health Link?

Recipients receive Form 1095-A because they (or someone in their household) enrolled in a private health insurance plan through DC Health Link, and the IRS requires DC Health Link to provide this form.

How does Form 1095-A relate to completing IRS Form 8962?

If recipients received premium assistance in 2014, they use information on Form 1095-A to complete IRS Form 8962 and report the advanced premium tax credit claimed. If no premium assistance was received, Form 1095-A is still needed to check qualification for the federal premium tax credit.

What are the three parts of Form 1095-A?

Part I includes information about the primary subscriber and any spouse on the same plan, including when the 2014 policy started and ended. Part II lists everyone in the household enrolled during 2014 and their coverage dates. Part III provides monthly coverage details, including premiums covering essential health benefits, the second lowest cost silver plan cost when premium assistance was received, and the premium assistance paid each month.

Sep 19, 2026

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