Check the box for FULL YR coverage (12 months of coverage)

OR

If there was a gap in coverage, check the boxes for EACH month individual had coverage under an employer plan, marketplace plan and/or government sponsored plan. Every month a member had insurance for “at least 1 day”, check box for that month. Any month there was NO insurance, leave it blank.

In addition to completed checklist, ALL taxpayers must provide proof of insurance coverage which may include:

Any Form 1095 (A,B,C),
Medical Insurance Card(s)
Medical Insurance Statement
Employer Statement confirming health coverage

Visit the following link for more info on Proof of coverage

Starting January 2014, the Affordable Care Act (ACA) required that you and each member of your household must either:

• - Have qualified health insurance coverage, aka minimum essential coverage.
• - Qualify for an exemption from coverage
• - Pay a penalty when you file your federal income tax return; the payment is called the “Individual Shared Responsibility Payment”.

Therefore ALL taxpayers are required to complete the Affordable Care Act Checklist and Provide Proof of Health Insurance Coverage to complete your tax preparation.

Below are some additional items that may apply to your current year health coverage situation:

• - Provide proof of insurance coverage which may include: any Form 1095 (A,B,C), Insurance card(s), Medical Insurance Statement, Employer Statement confirming health coverage.
• - If you purchased insurance through the Marketplace (i.e. Healthcare.gov, Covered CA), Form 1095-A is required to prepare your returns. You can obtain this form online.
• - If you had a Marketplace plan and qualified for premium tax credits (also known as “subsidies), we have to “reconcile” these payments on your federal taxes. Since the premium tax credit was based on your estimated annual income when you signed up for coverage, you now need to calculate the actual credit you're allowed. If your actual income was lower than what you estimated, you may be entitled to an additional tax credit, giving you a larger tax refund or a smaller tax owed. If your income was higher, you may have to repay some or all of the credit.

Please be advised that your tax prep fees may increase based on the additional calculations required to prepare the health insurance tax forms required when purchasing thru Marketplace or for additional work required to qualify you for non-health insurance/penalty exemptions.

For more information on ACA, refer to the IRS ACA web page, Healthcare.gov or Google it.