Taxation and Regulatory Compliance

How to Determine 1095-A Allocation Percentages for Your Tax Return

Learn how to accurately allocate 1095-A percentages for shared health coverage on your tax return, ensuring compliance and clarity.

Filing taxes can be challenging, especially when working with forms like the 1095-A. This form is essential for those who received health insurance through the Health Insurance Marketplace and must report their coverage accurately on their tax return.

When Allocation Percentages Are Required

Allocation percentages on Form 1095-A are necessary when multiple taxpayers share a health insurance policy. This often occurs in cases of divorce, separation, or when dependents are claimed by different taxpayers. The IRS requires the Premium Tax Credit (PTC) to be divided among policyholders, ensuring each person claims only their rightful share. Taxpayers must agree on the allocation percentages or, if no agreement exists, follow the IRS’s default rules.

Changes in household composition during the year, such as a dependent switching from one parent’s tax return to another’s or a couple separating mid-year, also require adjustments to allocation percentages. Proper documentation of these changes is crucial to avoid disputes or audits. IRS Publication 974 provides detailed instructions and examples to help taxpayers determine the correct percentages.

Dividing Premiums for Shared Coverage

Dividing premiums for shared health coverage requires following IRS guidelines. Taxpayers must identify the total premium amount from Form 1095-A and determine how to split the PTC among policyholders. This process may involve negotiations, especially when individuals have varying income levels or tax responsibilities.

For example, if two taxpayers share a $12,000 annual premium and agree to split it equally, each claims $6,000 on their tax return. Alternatively, if one taxpayer is entitled to a larger share, such as 70%, the allocation would reflect that split, with one claiming $8,400 and the other $3,600. These calculations ensure compliance with IRS rules.

Handling Changes in Household Composition

Changes in household composition, such as marriage, divorce, or the birth of a child, can significantly affect how shared health insurance coverage and Premium Tax Credits are reported. For instance, when a couple divorces mid-year, they must decide how to split the premiums and credits for the months they were married versus those they were separated. Similarly, if a child is added to the policy, the parents must determine how this affects their allocation, based on who provides primary financial support.

Accurate record-keeping is vital. Taxpayers should maintain documentation of changes in household composition, such as court orders, birth certificates, or custody agreements, to support their allocation decisions. IRS Publication 974 offers additional guidance with examples and scenarios.

Documenting the Allocation on Returns

Accurate documentation of allocation percentages on tax returns is essential for taxpayers sharing health insurance coverage. Each allocated premium amount must be correctly reflected on individual returns during the Premium Tax Credit reconciliation process. Proper documentation helps avoid discrepancies that could trigger audits or adjustments.

Taxpayers should keep records of their allocation agreements, as these can be critical during an IRS inquiry. Familiarity with the relevant sections of the Internal Revenue Code related to shared health coverage and tax credits can provide clarity and confidence when filing returns.

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