STEP 6
Open your saved le. Click File in
the top left, and Print to print a
copy for your records.
Have more than one 1095-A?
You may have more than one
if your household enrolled in
more than one Marketplace
health plan, or if you reported a
life change during the year. But if
the Marketplace-assigned policy
number in Box 2 is the same
among the forms, use the most
recent one.
You have the right to get Marketplace information in an accessible format, like large print, braille, or audio.
You also have the right to file a complaint if you feel you’ve been discriminated against.
Visit CMS.gov/about-cms/agency-information/aboutwebsite/cmsdondiscriminationnotice,
or call the Marketplace Call Center at 1-800-318-2596 for more information. TTY users can call 1-855-889-4325.
CMS Product No. 12058
December 2023
This product was produced at U.S. taxpayer expense.
Health Insurance Marketplace
®
is a registered service mark of
the U.S. Department of Health & Human Services.
CMS Product No. 12058
December 2023
This product was produced at U.S. taxpayer expense.
Health Insurance Marketplace
®
is a registered service mark of
the U.S. Department of Health & Human Services.
How can I learn more?
To learn more about coverage through the Marketplace or your benefits and
protections, visit HealthCare.gov or call the Marketplace Call Center at
1-800-318-2596. TTY users can call 1-855-889-4325.
You have the right to get your information in an accessible format, like large print, braille, or audio.
You also have the right to file a complaint if you feel you’ve been discriminated against.
Visit CMS.gov/About-CMS/Agency-Information/Aboutwebsite/CMSNondiscriminationNotice
or call 1-800-318-2596. TTY users can call 1-855-889-4325.
Open your saved file. Select File
in the top left, and Print to print
a copy for your records.
Have more than one 1095-A?
You may have more than one
if your household enrolled in
more than one Marketplace
health plan or if you
reported a life change during
the year. But if the Marketplace-
assigned policy number in Box 2
is the same among the forms, use
the most recent form.