Dear Dan,

The Marketplace and Missing 1095's.

If you are enrolled in a Marketplace / Affordable Care Act plan, you are required to file a 1095 on your taxes. The Marketplace is required by law to mail 1095s out in January. However, each year since the beginning of the Affordable Care Act, there has been a "glitch in the system" where they somehow fail to mail out a large number of 1095s. We don't expect this to be fix this anytime soon. To request a copy from them is sometimes next to impossible. If you need your 1095, but have not received on, simply email us. We will then email your 1095 via a separate secure email.

The Marketplace Has Sent Out 1095's With Wrong Information

The Marketplace has sent out 1095's with wrong information. Please review your 1095 for correct information. How to know if the 1095 is incorrect:

• Part III, Column B has a "O" or is blank for any month someone in your household had a Marketplace Affordable Care Act plan.
• There were changes in your insurance but the Marketplace did not update your 1095 - such as having a baby, moving, gettting married or divorced, or losing a dependent.

If either of the apply, your tax preparer will need to use the Marketplace Tax Tool to calculate premium for the second lowest cost silver plan.

The Marketplace is Sending "Failure to Reconcile Recheck Notices"

The Marketplace is conducting FTR Recheck, a process where the Centers for Medicare and Medicaid Services (CMS) verifies the tax filing status of enrollees who were previously identified as failing to file and reconcile advance payments of the premium tax credit (APTC). FTR occurs when enrollees who have Marketplace coverage with APTC don’t file their federal income tax return and reconcile their APTC. 

In mid-April, the Marketplace will begin sending notices to enrollees identified as being in FTR status. These will be sent either through an indirect notice sent to the enrollee or a direct notice sent to the household tax filer, or both.

If an enrollee or tax filer receives an FTR Recheck notice, they should immediately file their federal income tax return and reconcile APTC for the applicable tax years listed on their notices. Enrollees who have failed to file and reconcile for two consecutive tax years are at risk of losing their APTC as soon as this summer.

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