1095-A Service Bureau

Health Insurance Marketplace Statement

A Health Insurance Marketplace is your state's price comparion website for subsidized health insurance or the HealthCare.gov website. The health insurance marketplace is for uninsured Americans looking for private individual and family plans and those eligible for cost assistance.

IRS Form 1095-A is sent to people and family members who enrolled in health insurance coverage through a Health Insurance Marketplace. Form 1095-A provides information needed to complete Form 8962, Premium Tax Credit (PTC) which is filed with personal tax returns.

Form 1095-A shows recipients the dates of coverage, total amount of the monthly premiums for insurance plans, the second lowest cost silver plan premium that may be used to determine the amount of premium tax credit, and the amount of advance payments of the premium tax credit.

Our service bureau can import from excel and convert to PDF any size order. Upon approval, we can print and mail the 1095-A forms. Call sales at (480) 706-6474 for pricing on printing and mailing 1095-A Forms.

Import...
Type information on the screen as it would be typed on the form itself. Or import the data from Excel or some type of spreadsheet. Its easy to do and we have sample excel spreadsheets.