Health insurance marketplace coverage options and your health coverage form

See the chart below for information on how to contact the federally facilitated and state based marketplaces.

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Health Insurance Marketplace — also known as the Health Insurance Exchange — is the place where people without health care insurance can find information about health insurance options and also purchase health care insurance.

Information can also be found regarding eligibility for help with paying premiums and reducing out-of-pocket costs.

Each year the Marketplace has an open enrollment period. In addition to the federally-facilitated Marketplace, HealthCare. Whether you use the federally-facilitated Marketplace or a state-based Marketplace depends on the state in which you live. If you visit HealthCare. If you purchased health care insurance through the Marketplace, you should receive a Form A, Health Insurance Marketplace Statement , at the beginning of the tax filing season.

If Form A shows coverage for you and everyone in your family for the entire year, check the full-year coverage box on your tax return. Among other things, Form A reports the total monthly health insurance premiums paid to the insurance company you selected through the Marketplace. It lists the amount of premium assistance you received in the form of advance payments of the premium tax credit that were paid directly to your insurance company, if any.

If you received a Form A with incorrect information, see our Corrected, Incorrect or Voided Forms A for Tax Years , and questions and answers to find out how it affects your taxes.

If you chose to have advance payments of the premium tax credit paid directly to your insurance company, you must file a federal income tax return, even if you are otherwise not required to file. Even if you did not choose to receive advance payments, you must file a federal income tax return to claim the premium tax credit.

If you purchased coverage through the federally facilitated Marketplace and you set-up a HealthCare.

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The IRS reminds taxpayers who received advance payments of the premium tax credit that they should file their tax return timely to ensure they can receive advance payments next year from their Marketplace.

If advance payments of the premium tax credit were paid on behalf of you or an individual in your family, and you do not file a tax return reconciling those payments, you will not be eligible for advance payments of the premium tax credit or cost-sharing reductions to help pay for your Marketplace health insurance coverage in the next year.

This means you will be responsible for the full cost of your monthly premiums and all covered services. In addition, we may contact you to pay back some or all of the advance payments of the premium tax credit. Marketplaces will determine eligibility for advance tax credit payments and cost-sharing reductions for the coverage year in the fall before the new coverage year starts.

You will substantially increase your chances of avoiding a gap in receiving this help if you electronically file your tax return with Form by the due date of your return.

If you have a question about the information shown on your Form A, or about receiving Form A, or about a letter you received, contact your Marketplace as shown in the table below or visit HealthCare.

Visit our Health Insurance Marketplace Statements page for more information about Form A. Each year the Health Insurance Marketplace has an open enrollment period and special enrollment periods for eligible taxpayers.

For information about enrollment periods, visit HealthCare. If you enrolled in insurance coverage through the Marketplace, you should report any changes in your circumstances — like changes to your household income or family size — to the Marketplace when they happen. Changes in circumstances may affect your advance payments of the premium tax credit. When you report a change in circumstances, you may become eligible for a special enrollment period, which allows you to purchase health care insurance through the Marketplace outside of the open enrollment period.

Visit the Marketplace at HealthCare. To estimate the effect that changes in circumstances may have upon the amount of premium tax credit that you can claim - see the Premium Tax Credit Change Estimator on our Affordable Care Act Estimator Tools page.

Find out more about the Premium Tax Credit and other tax provisions of the Affordable Care Act at IRS.

health insurance marketplace coverage options and your health coverage form

The Small Business Health Options Program Marketplace - also known simply as SHOP - helps small businesses provide health coverage to their employees. While the SHOP Marketplace was previously only open to employers with 50 or fewer full-time equivalent employees, starting in , some states may make the SHOP Marketplace available to businesses with up to employees. If you have more than 50 employees and don't know if you can use the SHOP Marketplace, contact your state Department of Insurance or the SHOP Call Center.

health insurance marketplace coverage options and your health coverage form

The SHOP Marketplace - which is also open to non-profit organizations - allows you to offer health and dental coverage that meets the needs of your business and your employees. SHOP offers flexibility, choice, and online application and account management.

You can enroll in SHOP any time of year. Businesses that offer health coverage through the SHOP Marketplace may be eligible for the small business health care tax credit. Subscriptions IRS Guidewire IRS Newswire QuickAlerts e-News for Tax Professionals IRS Tax Tips More. Affordable Care Act Topics Individuals and Families Employers Information Returns AIR ALE Info Center Tax Professionals What's Trending Health Care Tax Tips Questions and Answers List of Tax Provisions Legal Guidance and Other Resources Affordable Care Act Tax Provisions Home.

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