QUESTION

I filed my taxes but I still received a "Failure to Reconcile" notice from the IRS. What should I do?

Individuals with no coverage | Individuals with coverage | Eligibility for Premium Tax Credits and Cost-Sharing Reductions | Individual and Marketplace Health Coverage |
ANSWER

When you receive advance premium tax credits (APTCs) through the marketplace, you are required to file an income tax return including IRS form 8962 to reconcile the APTCs that were paid on your behalf. If you do not file a tax return and reconcile the premium tax credits for two consecutive years, you will not be eligible for premium tax credits in the future. Note, however, that this rule has been suspended until the IRS builds the systems necessary to enforce the requirement. Therefore, you won’t be denied premium tax credits if you failed to file taxes and reconcile your premium tax credits for coverage you had in 2022 or a prior year. (CMS, Guidance on Annual Redetermination and Re-enrollment for Marketplace Coverage for 2024 and Later Years, 26 C.F.R. § 1.36B-2; IRS, Questions and Answers on the Premium Tax Credit).

If you did file your return with IRS Form 8962, sometimes the Failure to Reconcile notice gets mailed out to people inadvertently because of IRS data delays. If you’re in this situation, you should log back into your marketplace application and attest to having filed your tax return. A question appears asking if you reconciled your APTCs on your tax return for the past year, and you can attest, under penalty of perjury, that you did in fact file a tax return and reconcile past APTCs for all applicable years.

https://www.cms.gov/CCIIO/Reso...

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