The Form 1095-A is used to reconcile Advance Premium Tax Credits (APTC) and to claim Premium Tax Credits (PTC) on your federal tax returns.
The resources on this page provide information about your Form 1095-A from NY State of Health. (Additional resources will be added to this page as they become available.)
For Forms 1095-A with APTC, read the cover letter sent with these forms:
For Forms 1095-A with no APTC, read the cover letter sent with these forms:
Table of Second Lowest Cost Silver Plan premiums for Forms 1095-A with no APTC:
Frequently Asked Questions about the Table of Second Lowest Cost Silver Plan:
Frequently Asked Questions about the Form 1095-A:
A Guide to Form 1095-A:
IRS Form 1095-A:
For More Information:
If you have questions about Form 1095-A, Minimum Essential Coverage, PTC or the Second Lowest Cost Silver Plan table, call Community Health Advocates’ Helpline at 1-888-614-5400.
If you think we made a mistake on your 1095-A, call NY State of Health at 1-855-766-7860.
If your return was rejected because it was missing Form 8962 - you'll need to complete Form 8962 or provide an explanation for why you're missing the form, and attach it when you refile. Learn how to fix it and correctly file electronically.
If you have questions about Form 8962 or other tax-related questions, visit www.irs.gov.
If you have questions about Form 1095-B, please click here.
If you have questions about the lowest cost bronze plan and the affordability exemption, please click here.