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Screen 1095A - Form 1095-A, Health Insurance Marketplace Statement (1040)
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Form 8962, Premium Tax Credit uses the information on this screen and additional information from the PTC screen. Enter dependent modified adjusted gross income (MAGI) included in household income on the Coverage screen in the Health Care folder.
note
- Married filing separately returns will limit Form 8962, unless the taxpayer is a victim of domestic abuse or spousal abandonment.
- If the taxpayer is a victim of domestic abuse, complete Form 8857 information on the 8857, 8857-2, and 8857-3 screens, in the Separate Filings folder.
- To calculate the premium tax credit for insurance established through the Health Insurance Marketplace without a Form 1095-A or similar statement, enter the monthly premiums paid in column A. The Marketplace should provide information on the second lowest-cost silver plan (SLCSP) premium which you can enter in column B. If the taxpayer did not receive any advance payments, leave column C blank. A look-up tool is available for the SLCSP premium at https://www.healthcare.gov/tax-tool/.
- When filing Form 8962 with Part 5, Alternative Calculation for Year of Marriage, enter data for only one 1095A screen for the taxpayer and one for the spouse. Enter the details for the alternative calculation in the fields in theAlternative Calculation for Year of Marriageon the PTC screen.
- When filing both Form 8885, Health Coverage Tax Credit (HCTC), and Form 8962, Premium Tax Credit (PTC), enter only PTC eligible premiums in the 1095A screen,Monthly Premium Amountcolumn. Enter all SLCSP and Advance payments in theMonthly SLCSP PremiumandMonthly Advance Premiumcolumns.
- UltraTax CS automatically transfers net out-of-pocket premiums from Form 8962 to Schedule A, after any deductions for self-employed health insurance.
Source data entry
Use the UltraTax CS Source Data Entry utility to enter data on facsimile versions of forms your clients submit for the preparation of their tax returns. After you complete the facsimile forms, you can export the data to UltraTax CS and use the data sharing feature to transfer it to the client data files. For more information, including the available facsimiles, see UltraTax CS Source Data Entry overview.
Form 1095-A, Health Insurance Marketplace Statement
Policy issuer's name
This field is required.
Marketplace-assigned policy number
If the policy number exceeds 15 digits, enter only the last 15 digits of the policy number, per Form 1095-A instructions.
Self-employed activity identification - Form/Schedule/Unit
For premiums related to self-employment (SE) income, enter the activity's form and unit number. Enter
X
in the SE Health Ins column for the applicable months. Net SE income transfers from the plan's related activity and calculates the SE health insurance deduction for Schedule 1 (Form 1040). This field is mandatory when claiming premiums as a deduction.note
- If you enter an allocation percent, the Self-Employment Health Insurance Deduction and PTC Worksheets default to using only the allocated portion. If the taxpayer pays to the Marketplace premiums that are eligible for the self-employment health insurance deduction but that are not eligible to be included in Form 8962, enter then in theHealth insurance premiumsfield for the respective activity.
- UltraTax CS produces the PTC Worksheets W, X, Simplified Calculation, and Y and Z if applicable, from IRS Publication 974, Premium Tax Credit, to determine the appropriate self-employed health insurance deduction. As indicated in the publication, using the Simplified Calculation Method to determine the deduction and credit amounts is optional. If the taxpayer is eligible for both a self-employed health insurance deduction and PTC for the same premiums, you can use any calculation method that satisfies each set of rules, as long as the sum of the deduction claimed for the premiums and the calculated PTC (taking the deduction into account) is less than or equal to the premiums. If you use a method other than the Simplified Calculation Method, do not enterXin theSE Health Inscolumn on the 1095A screen, and enter the appropriate amount in theHealth insurance premiumsfield on the input screen for the relevant activity.
- If the related self-employed activity is a K-1 S corporation, enter the type code, form, and unit on the related W2 box 14 to link the 1095A amounts with the correct activity. Any amounts entered on W2, box 14 for medical insurance are treated as nonspecified premiums, so if all premiums are paid to the Marketplace, the W2 box 14 code 3 amount should be blank.
For allocated policies, enter Social Security number of individual sharing the policy
If the Form 1095-A represents a policy that is shared with another taxpayer who is not in the same tax family, enter the Social Security number of the taxpayer and enter an allocation percentage. Form 8962, Part 4, Shared Policy Allocation uses this information.
Premium Amount
The annual total calculates automatically. If the amount is the same each month for the entire year, complete only the
Annual total
field.SLCSP Premium
For each applicable month, enter the premiums for the benchmark Second lowest-cost Silver Plan (SLCSP) from Form 1095-A, Column B. If Column B is blank, you need to determine the applicable SLCSP. If the taxpayer's coverage household or state of residence changed during the year and the Marketplace was not notified, you may need to redetermine the SLCSP. Enter the applicable SLCSP if it is different from what is reported on Form 1095-A. If the amount is the same for each month for the entire year, only the
Annual total
field is required.note
If there is more than one Form 1095-A and they are for health plans in the same state for the same family for the same months of coverage, enter the amounts from Column B on only the first Form 1095-A. If the health plans are in different states or different months or for different families, enter the amounts from Column B on all Forms 1095-A.
Adv Payment
If the amount is the same for each month for the entire year, complete only the
Annual total
field.Alloc percent
You may need to allocate the health insurance information on Form 1095-A among more than one tax family. If any individual in the tax family was enrolled in a health plan by someone outside the tax family, or if an individual on Form 1095-A is not part of the tax family, or if the taxpayer was divorced during the year, an allocation may be required.
Enter the percent of the policy that applies to the taxpayer. If the amount for each month is the same for the entire year, complete only the
Annual total
field. UltraTax CS produces the Premium Tax Credit Shared Policy Allocation Worksheet as an audit trail when allocating policies. If the taxpayer did not receive a Form 1095-A, you can enter shared policy allocation information on the PTC screen, Part 4, Shared Policy Allocation statement. This allocation completes Form 8962, Part 4, Shared Policy Allocation.SE Health Ins
If the health insurance premiums are attributable to self-employment income, enter the form and unit number of the related activity in the
Self-employed activity identification
fields. Also enter X
in this column for any month the premiums should be attributable to self-employment income, or enter X
in the Annual total row if all months apply.