Enrollment and Eligibility (ENR) FAQ

Guidance for FAQ regarding Notices and FFM Notices

Program Area: Enrollment and Eligibility (ENR)

Question: What if I did not receive Form 1095-A from the FFM?

Answer: Form 1095-A will not be generated for consumers: -Enrolled only in a catastrophic plan, (since they are not eligible to receive financial assistance via APTC, nor can they claim the PTC on their tax return) -Who receive an exemption and were not enrolled in a Qualified Health Plan (QHP) throughout the year at any point -Enrolled in a plan outside of the Marketplace You will not get a Form 1095-A if you have health coverage from another source, like a job, a plan you bought outside the Marketplace, Medicaid, Medicare, or the Children's Health Insurance Program (CHIP). If you enrolled in 2014 coverage through your state Marketplace instead of HealthCare.gov, your Form 1095-A will come from your state Marketplace. If consumers were enrolled in a QHP through the Marketplace and do not receive a Form 1095-A, hard copy or electronically in their online account, then they should contact the Marketplace Call Center. In the process of mailing initial Form 1095-As to consumers, there may be situations when consumers' mailing addresses change, and they did not report the updated address to the Marketplace. Additionally, some Form 1095-As may not be printed and mailed if the mailing address the Marketplace has on file for the tax household is identified as invalid based on an address validation the Marketplace performs. This could become a problem if the consumer, for one reason or another, is unable to access the electronic PDF of their 1095-A, or they do not have an online account. Most consumers should be able to access their Forms 1095-A from their online account. Consumers should obtain Form 1095-A from their online account if possible. If consumers do not have access to their Form 1095-A in their online account, consumers should contact the Marketplace Call Center.