ACA Flowchart - CCH Small Firm Services

ACA Flowchart
Insurance Part Year
Start Here:
Is there a tax return filing
requirement?
NO
YES
Do any of the individuals qualify for a
coverage exemption for any
part of the year?
YES
Does the insurance meet minimum
coverage requirements*?
NO
Was the insurance purchased
through the marketplace?
NO
No further action required
and is exempt from the shared
responsibility payment.
Use form 8965 to identify coverage exemption
for the part of the year the exemption applies
(Continue to next step)
NO
Use 1040 ACA Wkt to calculate shared
responsibility payment due for the non-covered
part of the year.
YES
YES
Use 1040 ACA Wkt to identify the calendar
months not covered and calculate shared
responsibly payment.
Is the return reported as
Married Filing Separately?
YES
Premium Tax Credit cannot be applied to
the return, complete procedures to reconcile
possible Advance Premium Tax Credit due.
Was the form 1095-A received?
NO
Contact health insurance
provider for coverage details.
NO
YES
* Most health insurance obtained through the following resources
meet the minimum coverage requirements:
• Employer – sponsored coverage
• Government – sponsored programs
• Health insurance purchased through the Marketplace
• Health insurance purchased directly from an insurance provider
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Indicate full coverage on 1040 ACA Wkt
and identify Marketplace coverage. Use
form 8962 to compute Premium Tax
Credit or Advanced Premium Tax Credit