” amount, and the monthly premium are correct. 

If you find a mistake, contact the Marketplace Call Center. 

“Reconcile” with your Form 1095-A 

If you qualified for or used the premium tax credit to lower your Marketplace plan premium: 

• Use the information from your Form 1095-A to complete (PDF, 110 KB). 
• If there’s a difference between the amount of the premium tax credit you used during the year and the amount you actually qualify for, it will impact your refund or the amount of taxes you owe. 
• You’ll include Form 8962 with your federal tax return.