Your 1095-A Statement

An Important Tax Return Document

Customers enrolled in a Qualified Health Plan last year through Washington Healthplanfinder have received a tax document called the 1095-A: Health Insurance Marketplace Statement. Sign in to your account and view it in your message center.

Washington Apple Health (Medicaid)

Customers enrolled in Washington Apple Health (Medicaid) will receive a 1095-B from the Washington State Health Care Authority. Learn more about the 1095-B.

How to Use the 1095-A Form

If you got a 1095-A, you must use it to complete IRS Form 8962: Premium Tax Credit. If you don’t file your taxes correctly and on time, you may not be eligible to get tax credits in future years.

You’ll use Form 8962 to:

• Figure out the amount of tax credit you’re eligible for, and
• Reconcile any tax credits you may have used to lower your monthly premium

Get answers to 1095-A frequently asked questions.

What’s on the 1095-A Form?

Your 1095-A has three parts:

• Part I – Information about you, your family, and your coverage start and end dates.
• Part II – Information about each household member also covered under the same plan.
• Part III – Information for every month of the year for three items:
  • The monthly premium amount
  • The premium amount of the second-lowest cost Silver plan available in your area (this is used to calculate your tax credit)
  • The tax credit amount