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• Someone on the tax return is listed on a Marketplace policy, and the 8962 (Marketplace Insurance) is not included on the tax return.

  • The taxpayer may be listed on a policy held by a family member or someone in their household, and must report that information (this could require a Shared Policy Allocation).

• The IRS has record of the tax customer having a Marketplace Policy, but they did not (fraud, applied for a quote, etc.)

Possible Resolutions:

• Add the 1095-A information to the tax return.

  • If the customer receives the information from the Marketplace over the phone, have them fill in a blank 1095-A from the IRS website for your records https://www.irs.gov/pub/irs-pdf/f1095a.pdf

• If any information is entered incorrectly for the persons claimed on the return, correct and resubmitIf they have received their 1095-A, enter it on the tax return.

• If the customer does not have a Form 1095-A, they will need to contact the appropriate Marketplace to confirm that no one on their tax return had an active policy . In many cases, they have received a quote but a policy was actually opened for them. or obtain their 1095-A information.

  • You can find the contact information for the Marketplace here https://www.irs.gov/affordable-care-act/individuals-and-families/the-health-insurance-marketplace.

  • If the customer finds there was an active policy they will need to include that policy on their tax return. If this policy was paid for by someone else they will need to complete a shared policy.If the customer confirms that no one on the return has an active policy they will need to attach a 8962 explanation as a binary attachment on the tax returnreceives the information from the Marketplace over the phone, have them fill in a blank 1095-A from the IRS website for your records https://www.irs.gov/pub/irs-pdf/f1095a.pd

• If the Marketplace confirms no active policy exists for anyone on the tax return, binary attach the ACA Explanation to the 1040.

Instructions for Including 8962 ACA Binary Attachment:

1. Print Sample ACA Explanation Attachment*

2. Have the customer contact the appropriate Marketplace. Failure to contact the Marketplace and enter Form 1095-A will result in the IRS issuing the tax customer a letter and refusing to process the return until Form 1095-A information is reported on Form 8962. The Marketplace contact information is on the form and listed above.

3. After contacting the Marketplace and confirming no policies open have the customer(s) sign the Sample ACA Explanation Attachment.

4. Scan the Sample ACA Explanation Attachment into your machine.

5. Navigate to the bottom of Form 1040.

6. Select ACA Explanation.

7. Upload the correct attachment.

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