Health Insurance Marketplace Statement
| Issuer | Treasury Department |
| Section | Treasury Department |
CAUTION: NOT FOR FILING
Form 1095-A is provided here for informational purposes only.
Health Insurance Marketplaces use Form 1095-A to report information on
enrollments in a qualified health plan in the individual market through the
Marketplace. As the form is to be completed by the Marketplaces,
individuals cannot complete and use Form 1095-A available on IRS.gov.
Individuals receiving a completed Form 1095-A from the Health Insurance
Marketplace will use the information received on the form and the guidance
in the instructions to assist them in filing an accurate tax return.
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