1095 A & FTB 3895 Covered CA Statement of Coverage & Subsidies
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Covered CA will send you Form 1095 A – Instructions * HTML & Cover Letter so that you can fill out Form 8962 to reconcile Premium Tax Credit – Subsidy. In addition this form will give you proof of coverage so that you don’t have to pay the California mandate penalty of 2.5% of income.
If you don’t get the form in the mail, just log into your Covered CA Account and get it.
For personal year around service from Covered CA, just appoint us as your agent, by completing this form.
CA Franchise Tax Board FTB form # 3895 is proof of coverage so that you can claim the 600% Premium Assistance Subsidy (state subsidy) beyond the 400% Federal Subsidy and reconcile any advanced state subsidy received, form 8962 and to file an accurate tax return to avoid paying the state individual mandate penalty of 2.5% of income.. The amount displayed on the Form FTB 3895 reflect how much was paid to your Health Insurance Company Insurance as a subsidy, besides what you paid as Net Premium
Email us [email protected] for the “Toolkit” or questions on this new form.
See our webpage on the California Mandate Penalty
2016 Revised 1095? Insure Me Kevin.Com
If you got the WRONG 1095 A form, you don’t have to refile taxes per
About 50% of people who got subsidies will have to return a portion of the $$$ CA Healthline 3.25.2015
Related and Child Pages
#Form8962 Premium Tax Credit
Reconciliation Form attaches to 1040
Subsidy is IMHO hocus pocus - smoke & mirrors
it all comes out when you file taxes!
- H & R Block
- Estimate the Subsidy for Health Insurance, benefits, premiums, etc.
- 8962 ONLINE Calculator