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Warning

For the following step, you must complete ONLY one section.

Use 2 if ONLY IF ALL the following are true,

  • The taxpayer had ONE Marketplace policy for the entire year

  • Is not sharing the policy

  • (all 12 months) AND the amounts did not change in Column A, B, or C at any point during the tax year

  • Is not sharing the policy

If any of the above are not true, you MUST you have more than one policy, are sharing a policy, didn’t have the policy all 12 months, or any amount in Column A, B, or C changed during the year, use 3.

  1. Place an "X" in the box next to Part 2 Line 2 OR Line 3.

    • Enter the TOTALS (and not the monthly premiums) from Line 33 of Column A, B, and C.

    • Enter the monthly premium amounts in Column A, B, and C.

  2. Complete Parts 3-5 as needed.

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