If your income qualified you for a government subsidy that made your health insurance premiums cheaper last year, you should receive a Form 1095-A in the mail. This form comes from the Marketplace (or your State's Exchange) and provides information about your insurance plan and monthly premiums last year.
- If you live in California, contact Covered CA at (800) 300-1506 to obtain a copy of your 2021 Form 1095-A (and Form FTB 3895).
- If you live in one of the following states, please refer to the State Exchange Directory for contact information: CO, CT, DC, KT, ID, ME, MD, MA, MN, NV, NJ, NM, NY, PA, RI, VT, or WA.
- If you live in a Healthcare.gov state (which would be all other states not listed above), contact Healthcare.gov at (800) 318-2596.
You should also access a digital copy of your 1095-A tax form by logging into your account for Covered California, Healthcare.gov, or your State Exchange. If you need any help setting up your account or assistance navigating their website to find your 1095-A, please contact the appropriate Exchange or the Marketplace directly at the phone number(s) as noted above.