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Form Instructions 8962 California Alameda: What You Should Know

Under Covered California, eligible individuals may purchase qualified health plans (HPS) in the marketplace and receive a tax credit for the cost of HPS. All Qualified Health Plans (HPS) must meet the following: 1. Have minimum essential coverage; 2. Comply with all Federal and State laws and regulations requiring benefits; 3. Comply with the ACA's coverage exclusions and limitations; 4. Comply with the ACA's risk adjustment program; and 5. Comply with coverage requirements for enrollment, deductibles, and co-payments. The minimum level of coverage a HP shall have is described in the following table. Minimum Level of Coverage 2. Premium Tax Credit. If you are an individual who is a California resident and does not pay any income tax on health insurance premiums charged to you, you are considered to be a qualified enrolled and are eligible to receive the premium tax credit on your qualified health plan premiums.  This is a credit against your income tax liability on the premium paid. The credit is based on the actual net actuarial risk for health insurance plans, including the health insurance coverage provided and a deduction in the amount of the premium that is paid by you, and is limited to a maximum of 2,082 for every household size up to a family of four and to 5,082 for every household size larger than a family of four. The Health Insurance Risk Adjustment (IRA) provides tax relief for those with income that is too high to qualify for income tax credits as well as for small businesses. 3. Premium Tax Credit, Exclusions and Limitations. The premium tax credit reduces the tax liability owed on the premium you pay for qualifying health insurance. The Health Insurance Risk Adjustment (IRA) provides tax relief for those with income that is too high to qualify for income tax credits as well as for small businesses. Eligibility for the premium tax credit is based on the following criteria: 1. Household Size. To be eligible for the premium tax credit, you must pay a premium for qualifying health coverage for yourself or your family and for a dependent that was your unmarried spouse, unmarried child (under age 26, stepchild or foster child). You may be eligible for up to 4 family members (2 if both you and your spouse are eligible). 2. Household Income. You must be a resident of California for the entire calendar year for which you are reporting the premium.

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