QUESTION

I used to receive premium tax credits to help cover the cost of my plan, but noticed I am no longer receiving them. My income and family size have not changed. Why was my premium tax credit shut off?

Individuals with no coverage | How Premium Tax Credits And Cost-Sharing Reductions Work
ANSWER

Even if you have maintained eligibility for premium tax credits based on your household income and enrollment in a marketplace plan, your tax credit can still be “shut off,” if you have not filed a federal income tax return. Every year, if you have received premium tax credits of any amounts or if you plan to claim the tax credits, you must file a Form 8962 with your federal income tax return. If you do not file a tax return, you will not be eligible for premium tax credits.

In prior years, if a consumer failed to file their tax return, the marketplace would notify the consumer of the specific reason for discontinuing their credits. For 2018, the marketplaces are no longer required to notify consumers of the exact reason for discontinuation, so you might not have been made aware of this issue. To reinstate your premium tax credits, you must file the Form 8962 and reconcile the credits received in past years. Once you have done that, you should return to the marketplace to update your application in order to attest that you have filed and reconciled tax credits received in the past. (IRS, Questions and Answers on the Premium Tax Credit; HHS, Notice of Benefit and Payment Parameters for 2019; CMS, Failure to File and Reconcile for Open Enrollment 2018).

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