The IRS 8962 form, officially known as the Premium Tax Credit (PTC) form, is utilized to calculate the tax credit individuals can claim to help cover the cost of health insurance purchased through the Marketplace. It serves as a critical step for those looking to determine their eligibility for health insurance premium assistance or to reconcile any credit received in advance throughout the year. For detailed guidance on filling out the form and ensuring you maximize your potential savings, click the button below.
Filling out tax documents can often be a complex process, requiring careful attention to detail to ensure that all the necessary information is accurately reported. Among the various forms that taxpayers may encounter is the IRS 8962 form, which plays a crucial role for individuals who receive or wish to claim the Premium Tax Credit (PTC). This credit is designed to make health insurance more affordable for people with moderate incomes by lowering their monthly premium costs. To benefit from this, eligible individuals must accurately complete the IRS 8962 form, which involves calculating the amount of credit they are entitled to and reconciling it with any advance payments of the credit that may have been applied on their behalf to lower their health insurance premiums. Filing this form accurately is essential, as it impacts one’s eligibility for future credits and ensures that they receive the appropriate financial assistance to which they are entitled. The process underscores the importance of understanding one's health insurance coverage details, income levels, and how these factors interact to affect the amount of the Premium Tax Credit. By meticulously following the instructions for this form, taxpayers can navigate their tax responsibilities more effectively, ensuring they maximize their potential benefits while adhering to the relevant legal requirements.
Form 8962
Department of the Treasury Internal Revenue Service
Name shown on your return
Premium Tax Credit (PTC)
▶Attach to Form 1040, 1040-SR, or 1040-NR.
▶Go to www.irs.gov/Form8962 for instructions and the latest information.
Your social security number
OMB No. 1545-0074
2021
Attachment Sequence No. 73
A.If you, or your spouse (if filing a joint return), received, or were approved to receive, unemployment compensation for any week beginning during 2021,
check the box. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶
B.You cannot take the PTC if your filing status is married filing separately unless you qualify for an exception. See instructions. If you qualify, check the box ▶
Part I
Annual and Monthly Contribution Amount
1
Tax family size. Enter your tax family size. See instructions
2a
Modified AGI. Enter your modified AGI. See instructions . . .
.
. . . . .
b
Enter the total of your dependents’ modified AGI. See instructions
2b
3
Household income. Add the amounts on lines 2a and 2b. See instructions
4
Federal poverty line. Enter the federal poverty line amount from Table 1-1, 1-2, or 1-3. See instructions. Check the
appropriate box for the federal poverty table used. a
Alaska
Hawaii c
Other 48 states and DC
5
Household income as a percentage of federal poverty line (see instructions)
%
6
Reserved for future use
7
Applicable figure. Using your line 5 percentage, locate your “applicable figure” on the table in the instructions . .
8a
Annual contribution amount. Multiply line 3 by
b Monthly contribution amount. Divide line 8a
8b
line 7. Round to nearest whole dollar amount
by 12. Round to nearest whole dollar amount
Part II
Premium Tax Credit Claim
and
Reconciliation
of Advance Payment of Premium Tax Credit
9Are you allocating policy amounts with another taxpayer or do you want to use the alternative calculation for year of marriage? See instructions.
Yes. Skip to Part IV, Allocation of Policy Amounts, or Part V, Alternative Calculation for Year of Marriage.
No. Continue to line 10.
10See the instructions to determine if you can use line 11 or must complete lines 12 through 23.
Yes. Continue to line 11. Compute your annual PTC. Then skip lines 12–23 and continue to line 24.
No. Continue to lines 12–23. Compute your monthly PTC and continue to line 24.
Annual
(a) Annual enrollment
(b) Annual applicable
(c) Annual
(d) Annual maximum
(e) Annual premium tax
(f) Annual advance
SLCSP premium
premium assistance
premiums (Form(s)
contribution amount
credit allowed
payment of PTC (Form(s)
Calculation
(Form(s) 1095-A,
(subtract (c) from (b); if
1095-A, line 33A)
(line 8a)
(smaller of (a) or (d))
1095-A, line 33C)
line 33B)
zero or less, enter -0-)
11Annual Totals
(a) Monthly enrollment
(b) Monthly applicable
(c) Monthly
(d) Monthly maximum
(f) Monthly advance
(e) Monthly premium tax
Monthly
1095-A, lines 21–32,
(Form(s) 1095-A, lines
(amount from line 8b
or alternative marriage
column A)
21–32, column B)
column C)
monthly calculation)
12January
13February
14March
15April
16May
17June
18July
19August
20September
21October
22November
23December
24
Total premium tax credit. Enter the amount from line 11(e) or add lines 12(e) through 23(e) and enter the total here
25
Advance payment of PTC. Enter the amount from line 11(f) or add lines 12(f) through 23(f) and enter the total here
26Net premium tax credit. If line 24 is greater than line 25, subtract line 25 from line 24. Enter the difference here and on Schedule 3 (Form 1040), line 9. If line 24 equals line 25, enter -0-. Stop here. If line 25 is greater than line 24,
leave this line blank and continue to line 27
26
Part III
Repayment of Excess Advance Payment of the Premium Tax Credit
27
Excess advance payment of PTC. If line 25 is greater than line 24, subtract line 24 from line 25. Enter the difference here
28
Repayment limitation (see instructions)
29Excess advance premium tax credit repayment. Enter the smaller of line 27 or line 28 here and on Schedule 2
(Form 1040), line 2
29
For Paperwork Reduction Act Notice, see your tax return instructions.
Cat. No. 37784Z
Form 8962 (2021)
Page 2
Part IV
Allocation of Policy Amounts
Complete the following information for up to four policy amount allocations. See instructions for allocation details.
Allocation 1
30(a) Policy Number (Form 1095-A, line 2)
(b)SSN of other taxpayer
(c)Allocation start month
(d)Allocation stop month
Allocation percentage applied to monthly amounts
(e)Premium Percentage
(f)SLCSP Percentage
(g)Advance Payment of the PTC Percentage
Allocation 2
31(a) Policy Number (Form 1095-A, line 2)
Allocation 3
32(a) Policy Number (Form 1095-A, line 2)
Allocation 4
33(a) Policy Number (Form 1095-A, line 2)
34Have you completed all policy amount allocations?
Yes. Multiply the amounts on Form 1095-A by the allocation percentages entered by policy. Add all allocated policy amounts and non- allocated policy amounts from Forms 1095-A, if any, to compute a combined total for each month. Enter the combined total for each month on lines 12–23, columns (a), (b), and (f). Compute the amounts for lines 12–23, columns (c)–(e), and continue to line 24.
No. See the instructions to report additional policy amount allocations.
Part V Alternative Calculation for Year of Marriage
Complete line(s) 35 and/or 36 to elect the alternative calculation for year of marriage. For eligibility to make the election, see the instructions for line 9. To complete line(s) 35 and/or 36 and compute the amounts for lines 12–23, see the instructions for this Part V.
35
Alternative entries
(a)
Alternative family size
(b) Alternative monthly
(c)
Alternative start month
(d)
Alternative stop month
for your SSN
36
for your spouse’s
SSN
Filling out IRS Form 8962 is an important step for many taxpayers who have received healthcare coverage through a Marketplace plan and are eligible for the Premium Tax Credit. This form is essential for reconciling the difference between the advance payments of the premium tax credit received and the actual premium tax credit you're eligible for. The process might seem daunting at first, but by following these steps, it can be managed easily and accurately. This guide will walk you through each step required to complete the form correctly.
Once you've completed and attached Form 8962 to your tax return, you're ready to file. The IRS will then process your return, taking into account the information you've provided on Form 8962. If there are any discrepancies or additional information required, the IRS will contact you directly. By following these steps, you can confidently navigate the process of reconciling your premium tax credit, ensuring that you receive the correct amount you're entitled to or properly repay any excess advance payments.
What is the IRS 8962 form used for?
The IRS 8962 form, officially named the Premium Tax Credit (PTC) form, is used to calculate the amount of premium tax credit a person is eligible to receive to help cover the costs of health insurance purchased through the Health Insurance Marketplace. This form plays a pivotal role for those who have taken marketplace insurance and received advance payments of the premium tax credit. It ensures individuals can reconcile the advance credit payments with the actual amount they qualify for based on their final income. If the calculation finds a discrepancy, individuals may either owe additional tax or be eligible for a refund.
Who needs to fill out the IRS 8962 form?
Any individual who has health insurance through the Health Insurance Marketplace and has received advance payment of the premium tax credit (APTC) must complete the IRS 8962 form. It's also necessary for those who did not receive advance payments but are eligible for the premium tax credit to fill out this form when filing their annual income tax return. Essentially, if you wish to claim the premium tax credit or you need to reconcile advance payments of the credit, completing this form is a must.
How does one obtain the information needed to fill out the form?
To accurately fill out the IRS 8962 form, individuals will need information from the Form 1095-A, Health Insurance Marketplace Statement. This form is provided by the Marketplace to those who enroll in health insurance through it. Form 1095-A contains crucial information such as the total monthly premium amounts, the amount of advance payment of the premium tax credit (if any), and the benchmark premium necessary for calculating the PTC. Without Form 1095-A, completing Form 8962 accurately is challenging. If you haven't received this form, contacting the Marketplace is advised to request a copy.
What happens if someone incorrectly fills out the IRS 8962 form?
Inaccuracies on the IRS 8962 form can lead to several complications, including an incorrect tax bill or refund amount. If the inconsistency between the advance payment and the actual premium tax credit entitled is not properly reconciled, individuals might end up owing more taxes or receiving a smaller refund than anticipated. In some cases, the IRS will correct minor errors and adjust your return accordingly. However, for larger discrepancies, the IRS may ask for additional information or require the filer to amend their tax return. Ensuring accuracy and seeking assistance if unsure about the information is crucial to avoid such issues.
When filling out the IRS Form 8962, individuals often make mistakes that can lead to processing delays or incorrect calculations of their Premium Tax Credit. One common error is not accurately reporting income. It's crucial to include all sources of income, not just wages from a job, but also any earnings from investments, alimony, or freelance work. This oversight can result in an incorrect calculation of the credit.
Another mistake is failing to reconcile advance payments of the Premium Tax Credit (APTC). Individuals who receive APTC throughout the year must reconcile the amount on Form 8962 with the premium tax credit they are actually eligible for. Ignoring this step or inaccurately reporting the amounts leads to discrepancies, resulting in either owing money to the IRS or reducing the refund.
Incorrectly entering information from the Form 1095-A, Health Insurance Marketplace Statement, is also a frequent error. This form provides information necessary to complete Form 8962, and any discrepancies between these forms can cause errors in the credit calculation. Particularly, mixing up the columns for monthly premium amounts, the second lowest cost Silver plan, and the monthly advance payment can throw off calculations.
Not using the correct figures for family size and household income is another common mistake. The Premium Tax Credit calculation depends on household income in relation to the federal poverty line, which varies by family size. Misreporting either of these details can lead to incorrect credit amounts.
Some filers mistakenly leave out non-filers or dependents who have health coverage through the Marketplace and had APTC paid on their behalf. Including all household members who meet these criteria is essential for proper calculation of the credit.
Moreover, overlooking the Alternative Calculation for Year of Marriage can cost eligible couples a significant portion of their potential credit. This alternative method can increase the credit amount for the year they get married, but it is often missed by filers.
Incorrect calculation of the Shared Policy Allocation is another pitfall. This occurs when a policy covers individuals not in the same household, and the amounts of APTC and premiums must be divided among the tax returns of these policy holders. An error here can impact the credit amount each party is eligible for.
Lastly, simply transposing numbers or entering information in the wrong lines significantly affects the accuracy of Form 8962. Such clerical errors, albeit minor, can lead to incorrect calculations and require correction, further delaying processing.
It is paramount for individuals to review their forms meticulously, double-checking the accuracy of the information entered and ensuring that all necessary details are completed. Consulting with a professional can also help avoid these common mistakes.
When filing taxes, particularly when including the IRS 8962 form, which is used for the Premium Tax Credit (PTC), several other documents and forms often become necessary to ensure an accurate and compliant submission. The IRS 8962 form is essential for individuals who need to reconcile advance payments of the premium tax credit or to claim the premium tax credit on their tax return. The need for additional documents usually arises from specific circumstances in an individual’s tax year, from changes in income to changes in health coverage.
Together, these forms create a comprehensive picture of an individual’s tax situation, factoring in income, health insurance coverage, and eligibility for credits. The interaction among these forms highlights the complexity of tax filing and underscores the importance of accurate and thorough documentation. Especially when dealing with specific aspects such as the premium tax credit, understanding the role each document plays can greatly streamline the filing process and help taxpayers ensure they are taking full advantage of available tax benefits.
The IRS 8962 form, used for the Premium Tax Credit (PTC), shares similarity with the IRS 1040 form. Both are integral to the federal tax return process. The 1040 form is the base document where individuals report their annual income, deductions, and credits to calculate their tax liability or refund. Like Form 8962, it involves complex calculations and is essential for taxpayers to claim specific tax benefits, only the 1040 covers a broader spectrum of the tax scenario.
Form 1095-A, the Health Insurance Marketplace Statement, is directly related to Form 8962. This document provides details of health insurance coverage obtained through the Marketplace, essential for filling out Form 8962. It outlines the monthly premium amounts, coverage periods, and any subsidies applied for health insurance, which are crucial data points for calculating the PTC on Form 8962.
The W-2 form, or Wage and Tax Statement, similar to Form 8962, is another critical document for tax filing. Employers issue the W-2 to report an employee's annual wages and the amount of taxes withheld from their paycheck. While serving different functions, both forms are vital for completing the tax return process, with W-2 information affecting the calculations made on Form 8962 for those eligible for the PTC.
Form 1040-ES, used for Estimated Tax for Individuals, shares a conceptual similarity with Form 8962. Taxpayers use Form 1040-ES to calculate and pay estimated taxes quarterly. Both forms necessitate the taxpayer to estimate future financial figures—1040-ES for income and taxes owed, and 8962 for premium tax credit eligibility based on projected income.
The Schedule C (Form 1040), Profit or Loss from Business, relates to Form 8962 as it affects eligibility and calculations for the PTC. Self-employed individuals use Schedule C to report how much money their business made or lost within a year. The income or loss reported impacts the adjusted gross income on Form 1040, which in turn affects the calculation on Form 8962 for those who buy insurance through the Marketplace.
Form 8853, Archer MSAs and Long-Term Care Insurance Contracts, is connected to Form 8962 through its focus on healthcare-related tax implications. This form is for reporting contributions to Medical Savings Accounts and for certain insurance contracts. Both forms reflect the intersection of healthcare costs and tax benefits, though they focus on different aspects—8853 on savings and insurance plans, and 8962 on premium tax credits.
Form 8863, Education Credits (American Opportunity and Lifetime Learning Credits), like Form 8962, provides taxpayers with a way to lower their tax liability through credits. Form 8863 is used to claim credits for qualified education expenses, demonstrating how the tax code supports various policy goals, from making healthcare more affordable (8962) to encouraging higher education (8863).
Form 8885, Health Coverage Tax Credit, bears a strong resemblance to Form 8962 in its purpose and audience. This form is for claimants of the Health Coverage Tax Credit, which helps eligible individuals pay for certain health insurance premiums. The similarity lies in the assistance provided for health insurance costs, though the eligibility requirements and the scope of covered insurance plans differ.
The Schedule SE (Form 1040), Self-Employment Tax, while primarily for calculating taxes owed on self-employment income, indirectly relates to Form 8962. The net earnings from self-employment impact the Adjusted Gross Income (AGI) on Form 1040, which is a determinant for the PTC calculated on Form 8962. Taxpayers need to understand both forms to accurately report income and compute their taxes.
Lastly, Form 8965, Health Coverage Exemptions, shares a thematic connection with Form 8962 through its health insurance mandate context. Before the individual mandate penalty was reduced to $0, Form 8965 was used to report any exemptions from the mandate. Both forms are part of the tax code's measures to implement and manage the Affordable Care Act's provisions, albeit from different angles—8965 for exemptions and 8962 for providing financial assistance.
When filling out the IRS 8962 form, which is essential for reporting the details of your health insurance premiums and calculating your Premium Tax Credit (PTC), there are several best practices you should follow to ensure accuracy and compliance. Conversely, there are actions you should avoid to prevent errors or processing delays. Below are lists of do's and don'ts to help guide you through completing this form.
Do:
Don't:
The IRS 8962 form, officially titled the "Premium Tax Credit (PTC) Form," is essential for individuals in the United States who have received, or are eligible to receive, a premium tax credit for health insurance purchased through the marketplace. Despite its significance, there are several misconceptions surrounding this form. It's important to address these misunderstandings to ensure individuals can accurately complete their tax returns and receive the proper credits they're entitled to.
This is not true. The IRS 8962 form is used both by individuals who owe taxes and by those who are due a refund. It is specifically designed to reconcile the amount of premium tax credit received in advance with the actual premium tax credit eligibility based on the year’s income. This can result in either owing more tax or receiving a refund.
That's incorrect. Anyone who enrolled in a health insurance plan through the Marketplace and is eligible for the premium tax credit must file Form 8962, regardless of whether they received Form 1095-A. Sometimes, there may be delays or errors in receiving Form 1095-A, but it is the taxpayer's responsibility to obtain it from the Marketplace and use it to fill out Form 8962.
Estimating income can lead to significant discrepancies on Form 8962 and can affect the premium tax credit amount. Taxpayers must use their actual income for the year. If there are uncertainties, professional tax advice or assistance from the IRS should be sought.
This is false. While self-employed individuals may use Form 8962 if they received a premium tax credit, it is also required for employees and others who purchased health insurance through the Marketplace and received a tax credit. Employment status does not affect the requirement to file Form 8962.
Even if your income is below the threshold for required tax filing, if you received advanced payments of the premium tax credit through the Marketplace, you must file a tax return and include Form 8962. This is necessary to reconcile the credit received with your actual income.
While it's true that Form 8962 is a federal form, the premium tax credit can have implications for state taxes as well, depending on your state's tax laws. Some states require adjustments based on federal tax credits, which can indirectly affect your state tax obligations.
Quite the contrary, filing Form 8962 is mandatory for anyone who received a premium tax credit during the tax year. Failure to file this form can result in the IRS requesting a return adjustment, which can delay any refunds and may lead to penalties or interest on any amounts owed. It is crucial to file this form to comply with tax laws and ensure the correct calculation of your premium tax credit.
The IRS Form 8962 is an important document for individuals who have received a premium tax credit through the Health Insurance Marketplace. Understanding how to fill out and use this form correctly is essential for ensuring that you reconcile your health insurance premiums properly and avoid potential issues with the IRS. Here are key takeaways to remember:
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