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Understanding Your Letter 5858

We are sending you this letter because we received a copy of the Form 1095-A, Health Insurance Marketplace Statement, your Health Insurance Marketplace sent you. Form 1095-A shows advance payments of the premium tax credit were made to your or your family's health insurance company to reduce your premium costs in 2015. To protect your eligibility for assistance with paying for your or your family’s Marketplace health insurance coverage in 2017, you need to file your 2015 federal tax return with Form 8962, Premium Tax Credit, to reconcile these advance payments as soon as possible.


What you need to do

  • Read your letter carefully.
  • Review the situation to see if you agree with the information in the letter.
  • File your 2015 tax return with Form 8962 as soon as possible, even if you don’t normally have to file.
  • Use the Form 1095-A that you received from your Marketplace to complete Form 8962. If you need a copy of your Form 1095-A, log in to your HealthCare.gov or state Marketplace account or call your Marketplace call center.
  • If you have already filed your 2015 tax return with Form 8962, please disregard this notice.

You may want to

  • Visit IRS.gov/aca for more information on filing a 2015 tax return with Form 8962.
  • File electronically to ensure you file a complete and accurate tax return.
  • Visit IRS.gov/filing for more information about electronic filing options, or call us at 1-866-682-7451, extension 569.

Answers to Common Questions

What is the Premium Tax Credit?
If you, your spouse, or any dependent you can claim on your tax return enrolled in 2015 health insurance coverage through the Health Insurance Marketplace, you may be eligible for the premium tax credit. This tax credit helps make health insurance coverage more affordable for people with moderate incomes.

What is the Form 1095-A?
You receive a Form 1095-A when you or a family member enroll in health insurance coverage through the Health Insurance Marketplace. Form 1095-A provides the information you need to complete Form 8962, Premium Tax Credit. If you or your family members enrolled in the Marketplace in more than one qualified health plan policy, you will receive a Form 1095-A for each policy. If you receive a Form 1095-A, check the information on the form carefully. Please contact your Marketplace if you have questions about its accuracy.

What happens if I received advance payments of the Premium Tax Credit and don’t file a tax return?
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 2017. This means you will be responsible for the full cost of your monthly premiums and all covered services. In addition, the IRS may contact you to pay back some or all of the advance payments of the premium tax credit.

Page Last Reviewed or Updated: 25-Aug-2016

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