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To correct the error, reference the DataValue (this indicates what person or number the rejection is related to). For more information, regarding how to view the details and data values related to rejections and refusals reference Viewing Reject and Refusals.
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Possible CausesCause 1: 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:
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Resolution: Enter the 1095-A information on the tax return.
If the customer does not have a Form 1095-A, they will need to contact the Marketplace to confirm that no one on their tax return had an active policy 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 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.pd
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Possible Cause 2: The IRS has record of the tax customer having a Marketplace Policy, but they did not (fraud, applied for a quote, etc.)
Resolution: If the customer does not have Form 1095-A, they will need to contact the Marketplace to confirm that no one on their tax return had an active policy 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 Marketplace confirms no active policy exists for anyone on the tax return, binary attach the ACA Explanation to the 1040.
For additional assistance correcting this rejection error, please contact
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618-252-6505.
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Instructions for Including ACA Explanation Binary Attachment:
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