Use Form 8962 to figure the amount of your premium tax credit (PTC) and reconcile it with advance payment of the premium tax credit (APTC).
Form 8962, officially the Premium Tax Credit (PTC), is an Internal Revenue Service (IRS) form used to calculate the amount of premium tax credit you’re eligible to claim if you paid premiums for health insurance purchased through the Health Insurance Marketplace.
This calculation is important because it determines whether or not you owe money to the IRS. If the amount of advanced premium tax credit received exceeds the amount of the premium tax credit you’re eligible to claim, you owe money back to the IRS. On the other hand, if the advanced premium tax credit received is less than the premium tax credit you’re eligible to receive, then the IRS owes you.
You are only eligible to file Form 8962 if:
Form 8962 consists of five parts.?You will need Form 1095-A to complete each section of the form, as well as your Form 1040 showing your modified adjusted gross income.
At the top of the form, provide your full legal name and Social Security Number.
Annual and monthly contribution amount
Enter the number of exemptions from Form 1040 or Form 1040A.
Lines 2a & 2b
Enter the amounts related to modified Annual Gross Income (AGI).
Input the household income by adding the amounts on lines 2a and 2b.
Select the appropriate choice and enter the value.
Enter Household income as a percentage of the federal poverty line.
If you entered 401% on line 5, then proceed to line 7. If not, then select yes.
Input the applicable figure.
Provide the annual contribution amount by following the method shown.
Provide the monthly contribution amount by following the method shown.
Premium Tax Credit Claim and Reconciliation of Advance Payment of Premium Tax Credit
Mark Yes and skip to Part IV or Part V if the below-mentioned conditions apply to you. If not, Mark No and continue to Line 10.
i. You received a Form 1095-A for the policy that does not accurately represent the members of your tax family who were enrolled in the policy, or
ii. The other tax family received a Form 1095-A for the policy that includes a member of your tax family.
Select the appropriate choice by referring to Form 1095-A.
If you were enrolled in a qualified health plan for fewer than 12 months during 2019, check the "No" box and continue to lines 12 through 23.
Check the "Yes" box and continue to line 11 if all of the following apply for each qualified health plan you or a member of your tax family was enrolled in for 2019.
Otherwise, check the "No" box and continue to lines 12 through 23.
Fill the annual totals for the empty fields under each column.
Lines 12 to 23
Provide the monthly amounts under each column.
Input the total premium tax credit.
Input the Advance payment of PTC by following the method shown.
Input the Net premium tax credit by following the method shown.
Repayment of Excess Advance Payment of the Premium Tax Credit
Input the Excess advance payment of PTC.
Enter the Repayment limitation based on certain conditions. If the amount on Form 8962 Line 5 is:
Enter the Excess advance premium tax credit repayment.
Allocation of Policy Amounts
Lines 30 to 33
a. Provide all the shared policy allocations.
b. Enter the marketplace assigned Policy Number.
c. Enter the Social Security Number of the other taxpayer with whom you are allocating policy amounts.
d. Enter the first month you are allocating policy amounts.
e. Enter the last month you are allocating policy amounts.
f. Enter the Premium Percentage as a decimal rounded to two places.
You will only input in this column if:
In all other situations, leave this column blank because you do not allocate the applicable SLCSP premium reported in those situations
g. Enter the SLCSP Percentage as a decimal rounded to two places.
Input on this column, if your allocation situation requires you to allocate the APTC on Form 1095-A, lines 21 through 32, column C. Otherwise, leave it blank.
h. Enter the Advance Payment of the PTC Percentage.
Select the appropriate choice that applies to your allocation situation.
Refer to your Forms 1095-A, if you have completed your required allocations of policy amounts shown on using lines 30 through 33, check the "Yes" box. If you must make more than four allocations of policy amounts, check the "No" box and attach a statement providing the information shown on lines 30 through 33, columns (a) through (g) for each additional allocation.
Alternative Calculation for Year of Marriage
This portion is optional, but this may reduce the amount of excess APTC you must repay. To be eligible to make this election, you must meet either of the following conditions.
Enter all the Alternative entries for your SSN on the respective fields: (a) alternative family size, (b)alternative monthly contribution amount, (c) alternative start month, and (d)alternative stop month.
Enter all the Alternative entries for your spouse's SSN on the respective fields: (a) alternative family size, (b)alternative monthly contribution amount, (c) alternative start month, and (d)alternative stop month.
Mail the Form 8962 along with your Form 1040 to the IRS regional office that covers your state of residence, if you’re filling out a paper tax return.
If you’re filing your taxes online, you should be able to complete Form 8962 through the tax filing software program you’re using.
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