04/20/2026
Health Insurance & Tax Season: What to Watch Out For
I’m putting this out here just in case you have health insurance through the Marketplace - especially if you’re self-employed - tax time isn’t just about income… it can directly impact your coverage and your wallet. I underestimated my own income, and I had to pay Marketplace a healthy penalty. Not fun.
Here are a few key things to watch for:
Subsidy Reconciliation (The Big One)
1. If you received a premium tax credit to lower your monthly payments, you’ll need to “reconcile” it on your taxes using Form 1095-A.
· If you earned more than expected, you may have to pay some of that subsidy back.
· If you earned less, you could get additional money back.
2. Income Changes Matter More Than You Think
Self-employed income can fluctuate. Even small increases can push you into a different subsidy bracket.
Tip: Always update your income with the Marketplace during the year - not just at tax time.
3. Dependents & Household Size
Adding or removing a dependent (or even a child filing their own return) can affect your subsidy eligibility. This is a common and costly surprise.
4. Filing Status Matters
If you’re married, you generally must file jointly to qualify for subsidies. Filing separately can disqualify you and trigger repayment.
5. Don’t Ignore the 1095-A
You’ll need this form to file accurately. Skipping it or entering it incorrectly can delay your return or cause IRS notices later.
Bottom Line
Your health insurance and your taxes are more connected than most people realize - especially if you’re self-employed.
If you have questions about how your income or life changes might affect your coverage (now or going forward), feel free to reach out. I’m always happy to take a quick look and help you avoid surprises.
I work with all major carriers taking the complexity and confusion out of shopping for insurance. I represent you, not the insurance companies.
📢 Had an ACA Marketplace plan this year? Here’s what to know before filing your taxes.
If you purchased health insurance through the Affordable Care Act (ACA) Marketplace, tax season includes a few extra steps — even if you didn’t receive financial help.
Here’s what to remember:
📄 Look for Form 1095-A
If you had Marketplace coverage at any point during the year, you should receive Form 1095-A. This form shows:
• Months you had coverage
• Monthly premium amounts
• Any advance premium tax credits (if applicable)
You’ll need this form to complete your federal return accurately. Don’t file without it.
🔁 If You Received Financial Help, You Must Reconcile It
If you received advance premium tax credits (APTC), you’re required to reconcile them using Form 8962 (filed with Form 1040). Most tax software will guide you through this.
This compares:
• The income you estimated
• Your actual income for the year
If you earned less, you may qualify for additional credit.
If you earned more, you may need to repay some.
💍 Filing Status Matters
Married couples generally must file Married Filing Jointly to qualify for premium tax credits.
📈 Income & Life Changes Count
Raises, job changes, marriage, divorce, or adding a dependent can impact your tax outcome.
⚠ Important:
Even if you don’t normally file taxes, you must file if you received advance premium tax credits — or future subsidies could be affected.
This post is for informational purposes only and is not tax advice. Consult a qualified tax professional regarding your situation.