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Printable Form Instructions 8962 Nassau New York: What You Should Know

Fill out information on Form 8962 on page 1. Fill out information on Form 8962 as a single income taxpayer (PDF, 111 KB) and in Part I (PDF, 128 KB). For additional information, call the Marketplace at or visit the Marketplace website. For more information about the premium tax credit, visit the IRS website at and click on Forms on the left-hand side of the page. The premium tax credit is a benefit for people who purchase health insurance on the Marketplace and pay the tax. It's a refundable tax credit for certain health insurance premiums that you pay for individuals and families during the year. It is an annual credit that can be used to offset the cost of a qualified insurance premium for the following 2023 and any subsequent tax years. Premium tax credits are available to individuals and families with annual incomes of up to four times the poverty level. To qualify, you must have had health insurance on a Marketplace plan that covers certain health insurance providers and services, and you must have a household income of less than 400% of the federal poverty level. The premium tax credit is available for up to a maximum of four health insurance plans, for up to a total cost of up to 6,350 in a calendar year for each participant, whether the plan was paid by an insurance company, an employer, or a government agency. However, you cannot get the premium tax credit if your income is more than 400 percent of the federal poverty level. If a participant enrolls in a Marketplace plan that does not provide coverage of at least 60 percent of the total costs for family members, the participant may qualify for more than four free health insurance policies. Premium tax credits may be used to pay for the cost of coverage of a plan that covers all or part of: The total out-of-pocket costs for individuals and families of covered individuals and families. The costs of out-of-pocket health insurance premiums paid on behalf of a spouse or dependent of a Marketplace member. The premiums you pay from an insurance company or a tax-exempt organization to a company offering an insurance plan. Individuals and families may qualify for the maximum premium tax credit if they have an income that is more than the credit amounts provided for family members. You can get more information about premium tax credits under the Marketplace or by visiting.

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