Tax Filing Information

This page provides information about tax filing if you are enrolled in L.A. Care Covered™ and L.A. Care Covered Direct ™. Please note that the first section is for L.A. Care Covered members. The second section is for L.A. Care Covered Direct members and is located below the L.A. Care Covered Frequently Asked Questions.

L.A. Care Covered™ Summary

If you and/or an individual you claim as a tax dependent was enrolled in minimum essential coverage (MEC) during 2017, you will receive a Tax Form 1095-A. This form contains proof you had qualifying health insurance and important tax information you’ll need to complete your household’s federal income tax filing for 2017.

Form 1095-A: 

The 1095-A form will be mailed by Covered California to individuals enrolled in an L.A. Care Covered™ (subsidized or unsubsidized) plan. If you have any questions regarding your Form 1095-A, please contact Covered California at (800) 300-1506 (TTY: 888-889-4500). You can also find more information by visiting the Internal Revenue Service (IRS) website.

Form 1095-B:

The 1095-B form will be mailed by L.A. Care to individuals enrolled in the L.A. Care Covered Minimum Coverage (Catastrophic) Plan.

L. A. Care Covered™ Frequently Asked Questions

1. What is a tax penalty?

The federal Affordable Care Act (ACA) has a requirement that took effect on January 1, 2014, that may affect you. All taxpayers must confirm that they had minimum essential health coverage or that they were granted an exemption, otherwise they will be required to pay a tax penalty. The penalty for not having health insurance for the 2017 coverage year in 2018 is expected to be (whichever is greater):

  • $695 per adult and $347.50 per child (up to $2,085 for a family), or
  • 2.5 percent of the tax filer’s annual household income minus the federal tax filing threshold.
2. What is minimum essential coverage?

Minimum essential coverage is the type of health coverage an individual needs to meet the ACA individual responsibility requirement. This includes individual policies, job-based coverage, a state Children’s Health Insurance Program (CHIP), TRICARE (healthcare program for service members and families), and other types of ACA-compliant coverage.

3. What is Form 1095-A?

Your Form 1095-A shows the amount the Internal Revenue Service (IRS) paid to your health insurance company in 2017 to help you with the cost of your health coverage, the months for which you were covered by your health plan and any dependents covered under your plan. 

The amount paid was based on the most recent household size and income information you provided to Covered California. If that information changed during the year and you did not report the change to Covered California, you may have paid too much or too little for your health coverage.

4. What do I do with my Form 1095-A?

Save this form — you will need it when you prepare your taxes for 2017. Similar to a W-2, a 1095-A is one of the things that will determine the amount of taxes you will pay or the refund you receive. You’ll use it to fill out IRS Form 8962

Form 8962 is an IRS form to "reconcile" the tax credits your health insurance company received based on your estimated income with the amount that you qualify for based on your actual income, as reported on your federal tax return.

You can also find more information about this form by visiting the IRS website.

5. How do I obtain an electronic copy of my Form 1095-A?

You can obtain an electronic copy of your Form 1095-A by logging into your Covered California account in or after January 2018. Covered California mailed the forms out starting on January 19, 2018. Allow 14 days for it to arrive by mail.

6. What if the amount on Form 1095-A is incorrect?

If the information is incorrect on your Form 1095-A, please contact the Covered California Service Center at (800) 989-2199 to provide the right information and receive a corrected Form 1095-A.

7. What if I didn't get a Form 1095-A?

If you have not received a Form 1095-A in the mail or in your Covered California account, complete the Covered California dispute form or contact them at (800) 300-1506. The dispute form is currently only available in English. For assistance in Spanish or any other language, please contact Covered California at (800) 989-2199.

Please note: If you are no longer an active member of Covered California, you will not be able to access your Form 1095-A in your online account. Please contact Covered California at (800) 989-2199 to request a paper copy if you have not received it.

8. Where can I go to get more information?

Please click on the following links for more information:

Please note: This information does not constitute tax advice and consultation with your tax professional is recommended as individual circumstances will vary.

9. What is Form 1095-B?

Form 1095-B is a health insurance tax form which reports the type of coverage you have, dependents covered by your insurance policy, and the period of coverage for the prior year.

This form is used to verify on your tax return that you and your dependents have at least minimum qualifying health insurance coverage.

10. What do I do with my Form 1095-B?

Save this form — you will need it when you prepare your taxes for 2017. Similar to a W-2, a 1095-B is one of the things that will determine the amount of taxes you will pay or the refund you receive.

You can also find more information about this form by visiting the IRS website.

11. What if the amount on Form 1095-B is incorrect?

If the information is incorrect on your Form 1095-B, you can download the Request or Dispute Form 1095-B listed in the Resources box to the right, or call Member Services to request the form. Please complete the form, sign, and return the form by mail or fax as instructed on the form. 

12. What if I didn't get a Form 1095-B?

If you did not receive a copy of your Form 1095-B, you can download the Request or Dispute Form 1095-B listed in the Resources box to the right, or call Member Services to request the form. 


L.A. Care Covered Direct ™ Summary

If you and/or an individual you claim as a tax dependent was enrolled in minimum essential coverage (MEC) during 2017, you will receive a Tax Form 1095-B. This form contains proof you had qualifying health insurance and important tax information you’ll need to complete your household’s federal income tax filing for 2017.

Form 1095-B: 

The 1095-B form will be mailed by L.A. Care to individuals enrolled in the L.A. Care Covered Direct ™ Plan. If you have any questions regarding your Form 1095-B, please contact L.A. Care at (855) 270-2327 (TTY: 711). You can also find more information about this form by visiting the Internal Revenue Service (IRS) website.

L. A. Care Covered Direct ™ Frequently Asked Questions

1. What is a tax penalty?

The federal Affordable Care Act (ACA) has a requirement that took effect on January 1, 2014, that may affect you. All taxpayers must confirm that they had minimum essential health coverage or that they were granted an exemption, otherwise they will be required to pay a tax penalty. The penalty for not having health insurance for the 2017 coverage year in 2018 is expected to be (whichever is greater):

  • $695 per adult and $347.50 per child (up to $2,085 for a family), or
  • 2.5 percent of the tax filer’s annual household income minus the federal tax filing threshold.
2. What is minimum essential coverage?

Minimum essential coverage is the type of health coverage an individual needs to meet the ACA individual responsibility requirement. This includes individual policies, job-based coverage, a state Children’s Health Insurance Program (CHIP), TRICARE (healthcare program for service members and families), and other types of ACA-compliant coverage.

3. What is Form 1095-B?

Form 1095-B is a health insurance tax form which reports the type of coverage you have, dependents covered by your insurance policy, and the period of coverage for the prior year.

This form is used to verify on your tax return that you and your dependents have at least minimum qualifying health insurance coverage.

4. What do I do with my Form 1095-B?

Save this form — you will need it when you prepare your taxes for 2017. Similar to a W-2, a 1095-B is one of the things that will determine the amount of taxes you will pay or the refund you receive. 

You can also find more information about this form by visiting the IRS website.

5. What if the amount on Form 1095-B is incorrect?

If the information is incorrect on your Form 1095-B, you can download the Request or Dispute Form 1095-B listed in the Resources box to the right, or call Member Services to request the form. Please complete the form, sign, and return the form by mail or fax as instructed on the form. 

6. What if I didn't get a Form 1095-B?

If you did not receive a copy of your Form 1095-B, you can download the Request or Dispute Form 1095-B listed in the Resources box to the right, or call Member Services to request the form. 

7. Where can I go to get more information?

Please click on the following links for more information:

Please note: This information does not constitute tax advice and consultation with your tax professional is recommended as individual circumstances will vary.