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
Check out the analysis of #1095 Form from our Friendly Competitor insure me kevin.com ♦ Tax Guidance on Friendly Competitors Blog
About 50% of people who got subsidies will have to return a portion of the $$$ CA Healthline 3.25.2015
Where to find 1095 A in your Covered CA portal
IRS on Health Insurance Marketplace.
IRS FAQ’s Questions and Answers about 1095 a, b & c
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!
VIDEO What is APTC Advance Premium Tax Credit
Interactive Tax Assistant (ITA)
Am I eligible to claim the Premium Tax Credit?
Tax #Estimators
- turbotax.com
- H & R Block
- Efile.com
- Estimate the Subsidy for Health Insurance, benefits, premiums, etc.
- 8962 ONLINE Calculator
- TaxFormCalculator.com
- etax.com
ACA What You Need To Know #5187 
https://insuremekevin.com/how-is-the-california-premium-assistance-subsidy-calculated-with-ftb-3895-and-3849/
Hi Steve
I watched your video, thank you for making it.
The issue here is Attiano had coverage of his own from his College, and a major defense contractor.
I haven’t gotten from him when those coverages started,
He also had Medical, [Medi-Cal] you may remember that for some reason the exchange placed him and Liam on soft pause, we had since tried to get him out, currently even though Medical [Medi Cal] recognizes that he is not on our account, and doesn’t have an account at all we still receive bills from his coverage.
So I agree with you the exchange is a mess.
The question remains though since he was covered by other plans, including medical, [Medi-Cal] and thus should have not been on my plan, am I responsible for the subsidy he received?
I mean I didn’t receive that money, the insurance did, on error from the exchanges seems to me.
Attiano never used the service nor my insurance neither Medical.
So it really was a virtual service.
So should we zoom?
Paolo
Insurance and Taxes are all based on paperwork, just telling me that Attiano had other coverage doesn’t mean anything, we need actual written proof from the other Insurance Companies that he had coverage.
Did he have coverage with them for the entire year?
Even if you can prove that Attiano was covered elsewhere for all of 2019, it will be quite difficult to get the coverage cancelled going back TWO years.
The Covered CA portal is quite difficult to navigate just doing stuff for this year. Please go in and find the application for coverage for 2019. Did you ask for coverage for Attiano? Did you tell Covered CA that Attiano was covered elsewhere?
Soft Pause is a $25 word and everything I know about it is on this page https://medi-cal.healthreformquotes.com/eligibility/faq-magi/drop-medi-cal/
How does Soft Pause apply to this situation?
Did you tell Medi-Cal that Attiano had other coverage?
Insurance is paying a small premium in case one has a BIG loss.
Whether or not there was a claim is not relevant. The issue is, the Insurance Company was contractually obligated to pay unlimited health expenses if Attiano got sick or had an accident.
Even if Attiano had duplicate coverage, if he had a claim, it’s my understanding that he could have collected twice!!!
https://individuals.healthreformquotes.com/definitions-glossary/dual-coverage/
CA Code of Regulations § 1300.67.13. Coordination of Benefits (“COB”).
Was Attiano a dependent as defined by the tax code, Section 152 ?
IRS Interactive Assistant
https://individuals.healthreformquotes.com/subsidies/magi/
What is the issue with Attiano being on your 1095 A? Did IRS find out that Attiano is not eligible for Subsidies, being as he’s eligible for employer coverage?
Did you earn more $$$ than the estimate you gave Covered CA?
The screen shots below show Attiano was on the plan January 10th and April 5th 2019. If he shouldn’t have been there, that’s why we sent you the emails, so that we could have corrected the problem TWO years ago.
It looks like we estimated your MAGI income at $70k with 8 people in your tax household. What was your income at the end of the year?
Don’t forget, we are not CPA’s or Attorney’s
Quotit
Enrollment Details
Webpages referred to in this video:
https://individuals.healthreformquotes.com/subsidies/magi/income-chart/
https://individuals.healthreformquotes.com/definitions-glossary/dual-coverage/
https://www.irs.gov/pub/irs-pdf/p974.pdf
https://individuals.healthreformquotes.com/subsidies/intro/premium-tax-credit-8962/
https://individuals.healthreformquotes.com/subsidies/intro/premium-tax-credit-8962/must-file-tax-return-free-help-vita/
https://boardtraining.info/condo-director-training-%C2%A75400/open-meeting-act-1363-05/complaints/unlawful-practice-of-law/
https://www.irs.gov/instructions/i1095a#idm140607241417088
https://medi-cal.healthreformquotes.com/redetermination/household-definition/
https://individuals.healthreformquotes.com/subsidies/magi/
https://individuals.healthreformquotes.com/appeal-grievances/plain-meaning-rule/
What was the date Attiano was actually removed from coverage?
Here’s where he was removed as a member of the household, right?
So, he wasn’t covered, but subsidies were based on taking him as a tax deduction, right?
I don’t readily see where Attiano was taken off in 2019!
If you are not getting subsidies, is a 1095 form required for your taxes?
Federal?
CA?
While there is no longer a Federal Tax Penalty for not having Insurance
There is a mandate if you are in CA! https://individuals.healthreformquotes.com/individual-mandate/
It looks to me like the 1095 form will be required for CA for 2020 and beyond https://www.ftb.ca.gov/about-ftb/newsroom/health-care-mandate/personal.html#Make-sure-you-have-health-care-coverage
Draft CA 1095 Form – 3895
CA Draft Form 3849 8962 Premium Assistance Subsidy
I need my 1095-A form but can’t recall my Password, and can’t answer ALL QUESTIONS SENT.
IRS IS REQUESING THIS FORM AS MY PARENTS CLAIMED ME IN 2019, AND CAN’T GET THEIR REFUND WITHOUT THIS DOCUMENT, WHICH WAS SENT TO WRONG ADDRESS SO I WAS TOLD.
I NEED HELP.
See above about appointing us as your broker. If nothing else, call Covered CA and ask that we get appointed as your broker. We can then easily get your 1095 for you.
If your parent were claiming you as a dependent, that might cause problems with the subsidy amount that you were getting.
Definition of household & all.
For the last one month I have been calling covered Ca to resolve the problem of getting form 1095 to submlt my tax return. Almost every time I had to waste almost half an hour but no luck. Yesterday I spent between two to three hours continuously in talking to one or the other person from covered ca.
They helped me in getting fresh password. Later the computer gets jammed. The the message comes site is down etc.
On Feb 20 I talked to one of their rep and I was promised that form will come in my mail in two weeks. I called on March 5 and was told to wait for one more day i.e till March 6. Still no luck
Today my son made a few attempts to log in to my account without any success. Then he tried to log in to his account. He too had the same kind of frustation.
Will you please get me form 1095 ASAP.
Also please submit this complaint to the highest authorities of covered Ca.
Needless to say covered ca is giving me this frustration. I would like to take up this complaint with head of covered Ca.
This is why I rarely talk to anyone. Those that do want to talk can set up an appointment, as long as they get a quote first and let me know what their questions are.
I will email all the higher ups at Covered CA know. I doubt we will get anywhere. If I’m lucky, I’m told that my concern has been forwarded to management. When I’m not lucky, Covered CA’s legal counsel threatened to terminate my contract “for cause” and keep my renewal commissions as I complained that I didn’t have time to deal with there BOZO the Clown, flea bitten website to enroll Medi Cal without any compensation.
So, if you have issues, just email us. I had no problem getting your 1095.
You might try your local elected representatives
We did have a client who reported that her local Congressperson helped her out and got the problem resolved.https://www.house.gov/representatives/find-your-representative
https://www.nytimes.com/2012/10/20/your-money/how-senators-and-representatives-can-help-constituents.html
Check our webpage here for places to file grievances.
I don’t believe I received my 1095-A form from Covered CA for the 2017 year.
I tried to track it down online but it appears the only way I can get it is by filling out a dispute form.
How can I get it?
See the information and video above. If that doesn’t work, here’s the convoluted way that I found to do it. Click on “Past Application.”
Then click on “Documents & Correspondence”
Then where it says “1095” click on “View”
To enlarge the screenshot below, click here.
Save to your hard drive.
I suggest that you also go in and have everything emailed to you rather than mailed.