FrequentlyAskedQuestionsfor2016TaxSeason
Help During Tax Season
Page1:
• WhatisForm1095-A?
• HowcanIfindmyForm1095-A?
• WhydoIneedForm1095-A?
• WhatshouldIdowithmyForm1095-A?
• WhatinformationisprovidedonForm1095-A?
Page2:
• Theinformationonmy1095-Aisn’tcorrect…?
• WhydidIreceivemorethanoneForm1095-A?
• OneofmyForm1095-AshasanXinthe
“Corrected”box.Whatdoesthismean?
• HowdoIgetanothercopyofmyForm1095-A?
• HealthSourceRIsenttheForm1095-Atomy
ex-spouse.CanIgetacopy?
• Iforgottoreportachangein2015inmyincome
ormyfamilysize…?
• MyForm1095-AsaysIreceivedataxcredit
duringamonthwhenIdidn’tpaymymonthly
premium.WhydoesthissayIreceivedatax
creditforamonththatIdidnotpayfor?
• CanmytaxpreparercallHealthSourceRIwith
questionsabouttheForm1095-Aonmybehalf?
Page3:
• Iwasapprovedforanexemptionfromcoverage
lastyear.DoIneedaForm1095-A?
• Iwasuninsuredforsomeof2015.DoIowe
anythingforthemonthsIwasuninsured?
• DoesForm1095-Ahaveanyimpactonmystate
incometaxes?
• Canmytaxpreparerhelpmeestimatemyincome
ortaxfamilysizeformy2016enrollment?
• CanItakelesstaxcreditinadvanceandstillget
howevermuchisowedtomewhenIfile
my2015taxes?
• CanHealthSourceRIhelpmecompletemy
incometaxreturn?
Page3(con’t):
• HowdoIuseForm1095-Atofilloutmy
Form8962?
• WherecanIfindForm8962?
• IreceivedacorrectedForm1095-AafterIfiled
mytaxes.DoIneedtoamendmyincome
taxreturn?
• WhatwillhappenifIreceivedanadvancetax
creditandIdonotcompleteForm8962withmy
federalincometaxreturn?
• I’vealwaysfiledusingForm1040EZ.CanIuse
1040EZifIreceivedapremiumtaxcredit?
Page4:
• MyincomeislessthanthefilinglimitbutIdid
receiveataxcredit.DoIhavetofile?
• MyForm1095-AshowsIhadcoverageforsix
monthsandreceivedataxcreditduringeachof
thosesixmonths.ButIdidn’thaveanycoverage
fortherestoftheyear.DoIhavetopaybackthe
taxcreditforthosesixmonths?
• Ican’tpaywhatIoweonmytaxesbyApril15.
WhatshouldIdo?
• Imighthavegottensomeinformationwrongon
myapplicationforcoverage.What’stheworst
thatcanhappenonmytaxes?
• WhatifImadeamistakeinreportingmyincome
andgottoomuchintaxcredit?Istherealimitto
howmuchIhavetopayback?
Page5:
• IammarriedandIgotataxcredit,butIfile
separatelyfrommyspouse.CanIstillfile
separately?
• WhatisanExemption?
• Whatisthepenaltyfornothavinghealth
insurance?
Q:WhatisForm1095-A?
A:Form1095-Aisaformyouwillneedinordertofill
outyourfederalincometaxes.Youshouldkeepitwith
allyourtaxrecordssoyoucanuseitwhenyouare
readytofile.
FrequentlyAskedQuestions
receivedorifyouwillreceivemoremoneywhenyou
getyourrefund.
Ifyouenrolledinhealthinsurancethrough
HealthSourceRIwithoutataxcredit(meaningyoupaid
thefullmonthlypremium),youmayuseForm8962to
determineifyouareeligibleforataxcreditwhenyou
fileyourtaxes.
Q:WhatshouldIdowithmyForm1095-A?
A:YoushouldkeepyourForm1095-Awithallyourtax
recordsuntilyou’rereadytofileyourtaxes.Youor
yourtaxpreparershouldusetheinformationonthe
Form1095-AtocompleteForm8962.Form8962is
usedtocalculatetheamountoftaxcredityoushould
receivebasedonyourfinal,year-endinformation,
includingincomeandfamilysize.
Q:WhatinformationisprovidedonForm1095-A?
A:Form1095-Ahasthreeparts-
Form1095-AisproducedbyHealthSourceRIforany
individualorfamilywhoenrolledinhealthinsurance
foranyperiodoftimein2015.Ithasinformation
aboutthehealthinsuranceyouandyourfamily
membersreceivedthroughHealthSourceRI(thereis
moreinformationaboutform1095-Ainseveralofthe
questionsbelow).
YouwillnotgetaForm1095-Aifyoureceivedcoverage
throughyouremployerinHealthSourceRIorifyou
wereenrolledinMedicaid;peopleintheseplanswill
receiveForm1095-B.Formoreinformationabout
Form1095-B,pleasevisitwww.irs.gov/aca.
Q:HowcanIfindmyForm1095-A?
A:HealthSourceRImailedoutForm1095-AinFebruary
2016tothemailingaddressofanyindividualorfamily
whoenrolledinhealthinsurancethroughHealthSource
RIforanyperiodoftimein2015.Oncemailed,
HealthSourceRIalsopostedacopyofForm1095-Ain
youronlineaccount,whereyoucandownload/printit.
Q:WhydoIneedForm1095-A?
A:YouwillusetheinformationonForm1095-Ato
completeForm8962:PremiumTaxCredit.
1. PartIprovidesbasicinformationaboutyouand
yourfamily,andyourhealthinsurancestartand
enddates.
2. PartIIprovidesinformationabouteach
memberofyour“coveragehousehold”–those
membersofyourfamilywhoarealsocovered
underthesamepolicy.
3. PartIIIprovidesinformationforeverymonthof
theyearforthreeitems:
a. Themonthlycostofthehealthplanyou
selected
b. ThemonthlycostoftheSecondLowest
CostSilverPlan(SLCSP)availableon
HealthSourceRI
c. Thetaxcredityoureceivedtopayfor
yourmonthlyhealthinsurancebill.
Ifyouenrolledinhealthinsurancethrough
HealthSourceRIandchosetoreceiveataxcreditin
advancetohelppayyourmonthlypremiums,the
InternalRevenueServicewilluseyourForm8962,
alongwithotherinformationinyourtaxfiling(suchas
informationaboutyourincomeandfamilysize),to
makesureyoureceivedtherightamountoftaxcredit.
Pleasenotethattherewillalwaysbeaverysmall
differencebetweenthemonthlypremiumshownin
columnAfromForm1095-Aandyouractualmonthly
bill.Thisisbecausewearerequiredtoreportonlythe
“essentialhealthbenefits”portionofthepremiumon
Form1095-A.
Ifyoureceivedtoolittletaxcreditoverthecourseof
2015,youmaygetmoneybackwhenyoufileyour
taxes.Ifyoureceivedtoomuchtaxcredit,youmay
needtopaybackthedifference,eitherintheformofa
reducedrefundoranamountduewhenyoufileyour
taxes.WhenyoucompleteForm8962,youwilllearnif
youneedtopaybacksomeofthetaxcredityou
1
Ifthedifferenceexceeds$3.00permonth,pleasecall
usat1-855-408-1344.Thepremiumamountofthe
SecondLowestCostSilverPlan(SLCSP)isincluded
becausethelawrequiresthatweusethecostofthis
plantocalculateyourpremiumtaxcredit.
Q:Theinformationonmy1095-Aisn’tcorrect.How
canIgetitfixed?
A:VisitHealthSourceRI.com/get-help-tax-season/or
callusat1-855-408-1344.Itisimportanttounderstand
thatyourForm1095-Acannotbecorrectedoverthe
telephone.Youwillneedtotelluswhyyouthinkthe
formisincorrect.ReviewingyourForm1095-Amay
requireustoconductresearchonyouraccounthistory
andthismaytakeupto30daystocomplete.Ifwe
cannotcompleteourreviewwithinthistimeframe,we
willnotifyyou.OnlyHealthSourceRIcanreviewand
changeyourForm1095-A.
Q:WhydidIreceivemorethanoneForm1095-A?
A:Ifyouoramemberofyourtaxhouseholdenrolledin
morethanonehealthplan,youwillreceiveaForm
1095-Aforeachplan.Youshoulduseallofthe1095-A
formsyoureceivewhereyouarelistedasa“Covered
Individual”tofilloutForm8962.
Q:OneofmyForm1095-AshasanXinthe
“Corrected”box.Whatdoesthismean?
A:Thismeansthatyourformhasupdatedinformation
onitandyoushouldusethe“Corrected”Form1095-A
forminsteadoftheearlierversionthatwesentyou.
Q:IneverreceivedmyForm1095-AinthemailandI
don’thaveanonlineaccount.HowdoIgetanother
copyofmyForm1095-A?
A:AllHealthSourceRIcustomershaveanonline
account.Pleasecontactusat1-855-408-1344andwe
willhelpyouaccessyouraccount.
Q:HealthSourceRIsenttheForm1095-Atomyexspouse.CanIgetacopy?
A:Form1095-Awillbesenttothepersonidentifiedas
thetaxfiler.Itdoesn’tmatterwhoactuallypaidfor
your2015healthinsurance.Ifyourex-spouseis
identifiedasthetaxfiler,heorshewillreceivethe
1095-A,andyouwillneedtoworkwiththatpersonto
obtainacopyoftheformsothatyoucanproperlyfill
outyourForm8962.Insituationswhereanex-spouse
willnotcooperate,youmaycontacttheInternal
RevenueServicefortheinformationyouneedto
completeyourtaxes.
Q:Iforgottoreportachangeinmyincomeormy
familysize(suchas,gettingmarriedorhavingababy)
thathappenedin2015.WhatshouldIdo?
A:AfterDecember31,2015,HealthSourceRIcannot
makechangestoyour2015information.Anychange
thatyouforgottomakein2015willlikelybeaddressed
onForm8962andyouwillneedtotalkwiththe
InternalRevenueServiceoryourtaxpreparerwithany
questionsyouhave.
Ifthischangeisstillapplicablein2016,pleasecontact
HealthSourceRIsowehavethecorrectinformationfor
your2016healthinsurance.Youcanreportachangein
youronlineaccountorbycallingtheContactCenterat
1-855-840-4774.
Q:MyForm1095-AsaysIreceivedataxcreditduring
amonthwhenIdidn’tpaymymonthlypremium.
WhydoesthissayIreceivedataxcreditforamonth
thatIdidnotpayfor?
A:Ifyouarereceivingataxcredit,thelawrequires
yourinsurancecompanytokeepyoucoveredinyour
healthinsuranceforacertainperiodoftimeevenifyou
aren’tpayingpremiums.Thisiscalledagraceperiod.
Ifyoudon’tstartpayingyourpremiumsagainatthe
endofthegraceperiod(after90days),yourcoverage
iscanceled.
Evenifyourcoverageiscanceled,yourinsurance
companycountsyouascoveredduringthefirstmonth
youstoppedpaying.Ifyourcoverageisterminated
becauseyoudidnotpayyourmonthlybills,theInternal
RevenueServicewillholdyouresponsibleforthetax
credityoureceivedduringthefirstmonthyoustopped
paying.Youwillhavetopaythosetaxcreditbackwhen
youfileyourtaxes.
Q:CanmytaxpreparercallHealthSourceRIwith
questionsabouttheForm1095-Aonmybehalf?
A:No.Toprotectyourprivacy,wecannotacceptcalls
fromataxpreparer.Ifyourtaxpreparerhasgeneral
questionsaboutthe1095-Aprocess,heshouldvisitthe
section“HelpduringTaxSeason”onourwebsite.Tax
preparersarealsoencouragedtotakeadvantageofthe
extensiveinformationpreparedbytheInternal
2
RevenueServicetosupporttaxpreparersandtheir
understandingoftheAffordableCareAct.Tax
preparersshouldvisitIRS.gov/for-Tax-Prosformore
information.
Q:Iwasapprovedforanexemptionfromcoverage
lastyear.DoIneedaForm1095-A?
A:Ifyoureceivedanexemptionfromcoveragefor
everymonthin2015,youdonotneedaForm1095-A.
Tolearnmoreaboutqualifyingforanexemption,
visitwww.irs.com/aca.
Q:Iwasuninsuredforsomeof2015.DoIowe
anythingforthemonthsIwasuninsured?
During2015,everyonewasrequiredtohavehealth
insuranceduringeverymonthoftheyear.Ifyoudid
nothavehealthinsuranceforanymonth,youmay
havetopayapenalty.Youmaynothavetopaythe
penaltyifyouqualifyforanexemption.Tofindout
moreaboutexemptionsandhowtoapplyforone,visit
www.irs.gov/acaorhealthsourceRI.com/exemptions.
Q:DoesForm1095-Ahaveanyimpactonmystate
incometaxes?
A:No,thepremiumtaxcreditisafederalcreditand
onlyimpactsyourfederalincometaxes.
Q:Canmytaxpreparerhelpmeestimatemyincome
ortaxfamilysizeformy2016enrollment?
A:Yes.Youshouldseekoutwhateverhelpyouneedto
providethemostaccurateinformationaboutyour
incomeandtaxfamilysize.
Q:MyincomechangesthroughouttheyearandI
don’twanttogettoomuchintaxcredit.CanItake
lesstaxcreditinadvanceandstillgethowevermuch
isowedtomewhenIfilemy2015taxes?
A:Yes,youcantakeallorpartofyourestimatedtax
creditduringtheyearandreceiveanyremainingtax
creditwhenyoufile.Youalsohavethechoiceofnot
takinganytaxcreditduringtheyearandfilingforallof
itwhenyoufileyourtaxes.
Q:CanHealthSourceRIhelpmecompletemyincome
taxreturn?
A:No.HealthSourceRIcannothelpyoucompleteyour
taxreturn.Ifyouneedassistancecompletingyourtax
return,pleaseconsultaqualifiedtaxpreparer.Some
taxpreparerschargeafeefortheirservices,andthere
arealsoseveralsourcesoffreetaxpreparation
assistancetomoderateandlowerincometaxfilers.
Formoreinformationaboutthefreetaxassistance
organizedbytheInternalRevenueService,please
visit:www.irs.gov/Individuals/Free-Tax-ReturnPreparation-for-You-by-Volunteers.
ForalistofVolunteerIncomeTaxAssistance(VITA)
sitesinRhodeIsland,youmayalsocall1-800-906-9887.
Q:HowdoIuseForm1095-Atofilloutmy
Form8962?
A:Form8962isataxformandHealthSourceRIcannot
assistenrolleeswiththetaxfilingprocess.Pleaseask
forhelpfromtheInternalRevenueServiceora
qualifiedtaxpreparer.
Q:WherecanIfindForm8962?
A:YourtaxpreparerortheInternalRevenueService
canprovideyouwiththisform,oryoucanfinditwhere
federaltaxformsareavailabletothepublic(for
example,yourlocalpostofficeorlibrary).
HealthSourceRIdoesnothavecopiesoftheseforms,
andwecannotmailtheseformstoyou.
Q:IreceivedacorrectedForm1095-AafterIfiledmy
taxes.DoIneedtoamendmyincometaxreturn?
A:Generally,yes.IfyoureceivedacorrectedForm
1095-Aafteryousubmittedyourtaxfiling,youmay
needtoamendyourtaxreturn.Toanswerthe
questionbasedonyourspecificcircumstances,we
recommendthatyouseekassistancefromtheInternal
RevenueServiceoryourtaxpreparer.
Q:WhatwillhappenifIreceivedanadvancetaxcredit
andIdonotcompleteForm8962withmyfederal
incometaxreturn?
IfataxpayersubmitshisorherreturnwithoutForm
8962,theInternalRevenueServicesisexpectedtosend
itbacktothetaxpayer,resultinginaprocessingdelay
ofanyowedrefund.Forthisreasonitisimportantfor
taxpayerstowaituntiltheyhavereceivedallnecessary
taxformsbeforebeginningthetaxpreparationprocess.
PleasecontacttheInternalRevenueServiceoryourtax
preparerforinformationonwhatmighthappenifyou
don’tfileForm8962whenyouarerequiredtodoso.
3
Q:I’vealwaysfiledusingForm1040EZ.CanIuse
1040EZifIreceivedapremiumtaxcredit?
A:No.The1040EZFormcannotbeusedwithForm
8962.Ifyoureceivedapremiumtaxcredit,itisvery
likelythatyoumustfileForm1040orForm1040A.For
moreinformation,pleasecontacttheInternalRevenue
Serviceoryourtaxpreparer.
Q:MyincomeislessthanthefilinglimitbutIdid
receiveataxcredit.DoIhavetofile?
A:Yes.Youmustfileafederaltaxreturnifyoureceived
ataxcredit,nomattertheamountofyourincome.For
moreinformation,pleasecontacttheInternalRevenue
Serviceoryourtaxpreparer.
Q:MyForm1095-AshowsIhadcoverageforsix
monthsandreceivedataxcreditduringeachofthose
sixmonths.ButIdidn’thaveanycoveragefortherest
oftheyear.DoIhavetopaybackthetaxcreditfor
thosesixmonths?
A:Generally,ifyouwereeligibleforthetaxcredit
duringthesixmonthsyouwerecovered,youwouldnot
havetopaybackthetaxcredit.However,theInternal
RevenueServicewillreviewyouryear-endinformation
(suchasyourincomeandfamilysize)todetermine
whetheryoureceivedtherightamountoftaxcredit
duringthosesixmonths.
Iftheycalculatethatyoureceivedmoreorlessthanis
owedtoyou,thedifferencemaybeaddedor
subtractedfromtheamountofyourtaxrefunddueto
you.Youmayalsooweapenaltyforthesixmonths
whenyouwerenotinsured.
Q:Ican’tpaywhatIoweonmytaxesbyApril15.
WhatshouldIdo?
A:HealthSourceRIcannothelpyouwiththisquestion.
PleasecalltheInternalRevenueServiceat
1-800-829-1040orvisitIRS.gov/aca.Assistanceis
availableinbothEnglishandSpanish.TheIRShasalso
preparedanumberofYouTubevideosinEnglishand
Spanishtohelppeopleunderstandhealthcarerelated
changesinthetaxlaws.Youmightalsowishtotalkto
aqualifiedtaxpreparerortaxattorneyforhelp.
4
Q:Imighthavegottensomeinformationwrongonmy
applicationforcoverage.What’stheworstthatcan
happenonmytaxes?
A:HealthSourceRIcannothelpyouwiththisquestion.
PleasecallorvisittheInternalRevenueService(IRS)for
guidanceneeded(call1-800-829-1040orvisit
IRS.gov/aca).AssistanceisavailableinbothEnglishand
Spanish.TheIRShasalsopreparedanumberof
YouTubevideosinEnglishandSpanishtohelppeople
understandhealthcarerelatedchangesinthetaxlaws.
Youmightalsowishtocontactaqualifiedtaxpreparer
ortaxattorneyforhelp.
Q:WhatifImadeamistakeinreportingmyincome
andgottoomuchintaxcredit?Istherealimittohow
muchIhavetopayback?
A:Inmost,butnotallcases,theInternalRevenue
Servicelimitshowmuchyouhavetopaybackifyou
receivedtoomuchintaxcredit.Themaximumyou
mustpayistiedtoyourincomeandwhetheryouare
filingasanindividualorfamily.Formoreinformation,
seebelow:
RepaymentAmountsunderCurrentFederal
LawbyIncomeLevel
Income(%
Maximum Maximum
FederalPoverty repayment repayment
Level)
amountfor amountfor
asingle
couples/
individual
families
Lessthan200%
$300
$600
FPL
200%–lessthan $750
$1,500
300%FPL
300%–lessthan $1,250
$2,500
400%FPL
400%FPLor
FullAmount Full
greater
Amount
Source:2012-24InternalRevenueBulletin,§
1.36B–4.
ToestimatehowyourincomelinesupwiththeFederal
PovertyLevel(FPL),usethischart:
Income%
IncomeRangeinDollars
Federal
forthe2015benefityear
PovertyLevel SingleIndividual Familyof
Four
Under100%
Lessthan
Lessthan
$11,670
$23,850
100%–133% $11,670–
$23,850–
$15,521
$31,721
133%–150% $15,521–
$31,721–
$17,505
$35,775
150%–200% $17,505–
$35,775–
$23,340
$47,700
200%–250% $23,340–
$47,700–
$29,175
$59,625
250%–300% $29,175–
$59,625–
$35,010
$71,550
300%–400% $35,010–
$71,550–
$46,680
$95,400
Over400%
Morethan
Morethan
$46,680
$95,400
Source:KaiserFamilyFoundation
Q:IammarriedandIgotataxcredit,butIfile
separatelyfrommyspouse.CanIstillfileseparately?
A:Generallyspeaking,youmustfilejointlytoobtaina
taxcredit.Therearetwoexemptionsrecognizedbythe
InternalRevenueService.Ifyouareavictimof
domesticviolenceorspousalabandonment,youmay
beeligibletofileseparately.Toanswerthequestion
basedonyourspecificcircumstances,pleasetalktothe
InternalRevenueServiceoryourtaxpreparer.
Otherrelatedquestions:
Q.WhatisanExemption?
A.TheAffordableCareActrequiresindividualstocarry
healthinsurancecoveragethatqualifiesas“minimum
essentialcoverage”orpayataxpenalty.However,
underafewspecialcircumstances,someuninsured
individualsmaybe“exempt“frompayingataxpenalty,
meaningtheydonothavetopayataxpenalty.For
morequestionsregardingexemptions,viewour
frequentlyaskedquestionsat
HealthSourceRI.com/exemptions.
Q.Whatisthepenaltyfornothavinghealth
insurance?
A.Mostpeoplearerequiredtohavehealthinsurance.
Thosewhodon’thaveinsurancewillpayapenalty
whentheyfiletheirtaxes.
YOUARENOTrequiredtohavehealthinsuranceif:
Youhavetopaymorethan8%ofyour
householdincomeforthelowestcosthealth
insuranceplan
• Yourincomeistoolowforyoutopaytaxes
• Yourreligionexemptsyou
• Youareinjail
• YouareNativeAmerican
Ifyouarenotexempt,thetaxpenaltyfornothaving
healthinsurancein2016willbe$695peradult,
$347.50perchild,upto$2,085perfamilyOR2.5%of
yourincome,whicheverisMORE.
•
Formoreinformation,pleasevisitHealthSourceRI.comorcall1-855-408-1344forassistance.
Hours:Monday,Wednesday,Thursday,andFriday8:30am-5:00pm,Tuesdayshours8:30am–7pm 5