If I am reimbursed for health insurance and the QSEHRA (taxable) is in box 1 of the W2, do I need to file the 1095-A from Pennie?
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If your QSEHRA reimbursements were included in your Box 1 Wages on your W-2, you need to reduce your premiums paid (column A) entries on your 1095-A by the amount of the QSEHRA each month. Then when you complete the interview process for the entry of the 1095-A you will get a message for you to confirm you have already reduced the premiums paid by the amount on your W-2.
If I got full reimbursements for each premium, then the columns would just have 0s/blanks then ?
For Column A, you would enter the amount of the premium you paid each month. Enter zero if you were reimbursed for the full amount of the premium.
On the 1095-A, column B is the Monthly Premium Amount of Second Lowest Cost Silver Plan (SLCSP). If your 1095-A has a 0 or if it's blank, use this Healthcare.gov tool to calculate the value you will need to enter there. Column C reflects the Premium Tax Credit you received throughout the year.
See this TurboTax help article for more information.
Thank you for the response. It doesn't let me enter a number for column B if column A is blank/0, so I am going to assume it would be blank too.
We have further investigated this situation in the meantime. I apologize for the delay in responding.
If you receive a code FF on your W-2 for an employer reimbursement of medical expenses through a QSEHRA, you need to calculate if you were still eligible for any APTC (Advanced Premium Tax Credit). You can calculate this amount using the worksheets in Internal Revenue Service Publication 974. See also the IRS Instructions for Form 8962 for more details.
You will need to file by mail in this situation, because the IRS will look for "QSEHRA" written on the Form 8962, and an explanation letter attached to the return.
The TurboTax program does not support the calculation of the premium tax credit if a reimbursement was received via a Health Reimbursement Agreement (HRA) by the taxpayer or a member of their family. It also does not support the use case where they did not participate in the HRA, but the HRA is considered affordable. This is covered in the document, Unsupported Calculations.
If you are provided a QSEHRA, and it is considered affordable coverage for a month, no PTC is allowed for that month. If the QSEHRA is not considered affordable coverage for 1 or more months, you may still be eligible for the PTC. If you are eligible for the PTC for any month for which you are provided a QSEHRA, you must reduce your PTC (but not below -0-) for that month by the monthly QSEHRA permitted benefit amount. The monthly permitted benefit amount is the maximum QSEHRA benefit amount an eligible employee is allowed per month.
Use Worksheet N to determine whether your QSEHRA is considered affordable coverage for the months of the year that you were provided the QSEHRA. You will need the notice provided by your employer and the permitted benefit for self-only coverage to complete Worksheet N.
Your employer should have reported your annual permitted benefit (self-only or family amount, as applicable) in box 12 of your Form W-2 with code FF. Your permitted benefit amount, as reported to you by your employer on Form W-2, is used to calculate the amount by which you must reduce your PTC, if you are otherwise eligible for the PTC. Use Worksheet Q to figure your monthly PTC for months in which you were provided a QSEHRA.
If you enter amounts in TurboTax based on the calculation worksheets in Publication 974, and TurboTax calculates a Premium Tax Credit when your calculations don't, as stated earlier, you can file by mail, remove any incorrect TurboTax calculation from your return, and attach your worksheets.
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