Tools to help you claim the affordability exemption and calculate your premium tax credit

If you need to complete Form 8965 or Form 8962 when you file your 2014 federal tax return, you may be asked for information about Marketplace health plans that were available to you for 2014.

You may need to know the cost of premiums for the second lowest cost Silver plan (SLCSP) or the lowest cost Bronze plan. These two tools help you look up the information you need.

The lowest cost Bronze plan tool & the 2014 affordability exemption

To claim the exemption because 2014 Marketplace coverage was considered unaffordable for you, you’ll need to know the premium for the lowest cost Bronze plan available to you in 2014.

You’ll use this information to complete Form 8965—Health Coverage Exemptions (PDF).

Using this tool and claiming the affordability exemption

  • You don’t need to use this tool if you already have an Exemption Certificate Number (ECN) for this exemption. Just enter your ECN on Part 1 of Form 8965.
  • To claim this exemption you’ll also need to know how much financial assistance you were eligible for by looking up the premium for the second lowest cost Silver plan (SLCSP) that applies to you or your family for 2014. See the next section.

The second lowest cost Silver plan (SLCSP) tool & your 2014 premium tax credit

To determine your final premium tax credit for 2014, you need to know the premium for the second lowest cost Silver plan (SLCSP) that applies to you or your family for 2014. You’ll enter this information on Form 8962—Premium Tax Credit (PDF).

Most people will find this information on the Form 1095-A they got from the Marketplace. Some will need to use this tool.

Note: You’ll also use this tool if you’re claiming a health coverage exemption because 2014 Marketplace coverage was considered unaffordable for you.

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