Form is a collection of Internal Revenue Service (IRS) tax forms in the United States which are used to determine whether an individual is required to pay. This tax break is offered in the form of the Premium Tax Credit. If you receive the Premium Tax Credit, you will receive a Form A. This. What Is Form A? Find What This Form is For And How To Report Your Health Insurance Information and Premium Tax Credit On Your federal IRS Tax. With the Affordable Care Act now in place, your health coverage affects your taxes and whether you're qualified for tax credits. Form A is a subcategory of. If you bought your plan there, you should get a Form A, also called the " Health Insurance Marketplace Statement." The IRS also gets a copy of the form. Purpose of Form. Form A is used to report certain information to the. IRS about individuals who enroll in a qualified health plan through the Health. Form A: Health Insurance Marketplace Statement is an Internal Revenue Service (IRS) form sent to anybody who receives health. Form A also is furnished to individuals to allow them to claim the premium tax credit, to reconcile the credit on their returns with advance. If anyone in your household had a Marketplace plan in , you should get Form A, Health Insurance Marketplace Statement, by mail no later than mid-February. A figure called “second lowest cost Silver plan” (SLCSP) Look at Part III, column B of your A, titled.