Answers by Topic

Why is the premium amount on my 1095-A different from the premium amount on the bill I get from my insurance company every month?

Premium tax credits can only be used for benefits that are considered essential health benefits (or "EHB") and may not be used for benefits that are not considered EHB (such as acupuncture).

Your 1095-A provides information so you can either claim your tax credits as a lump sum or to reconcile the tax credits you received in advance each month to help pay for your premium. Because of this, the form only includes the premium amount that covers essential health benefits. EHB rates range between 96.55% and 100% of your monthly premium, depending on your plan.

Read more about essential health benefits at healthcare.gov.

I’m having trouble viewing my 1095-A through Washington Healthplanfinder. What should I do?

If you’re having trouble viewing your Washington Healthplanfinder messages, including your 1095-A, try updating your internet browser or using a different browser (for example, Chrome).

How is my Qualified Dental Plan reported on my 1095-A?

Only the premium for pediatric dental benefits for enrollees under the age of 19 is reported on the 1095-A.

If an enrollee turns 19 mid-month, the 1095-A will show their full premium for that month, but will not reflect the premium after that month.

The Qualified Dental Plan premium for adults will not be reflected on the 1095-A. This is because they are not considered essential health benefits according to the guidelines of the IRS for reporting premiums.

What if information is incorrect or missing from my 1095-A?

The most common reasons a 1095-A needs to be updated include:

• Incorrect coverage dates (start date, end date, number of months covered, etc.)
• Incorrect tax credit amount

If you think there’s an error on your 1095-A, submit a correction request online.