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Level 6
January 30, 2026
Question

1095-A for Choctaw

  • January 30, 2026
  • 2 replies
  • 13 views

I have a customer that is Choctaw and are exempt from paying for market place insurance.  When I enter the 1095-A it is making them pay back the advance payment credit.  Is there a box to mark for this?  I am not finding

2 replies

sjrcpa
Level 15
January 30, 2026

I'm no expert, but isn't the exemption just what you stated - exempt from having to buy health insurance?

They probably should not have been eligible to get the advanced premium credit.

And if they are Choctaw, why do they have insurance? Aren't they covered by the Indian Health Service?

The more I know the more I don’t know.
judys3Author
Level 6
January 30, 2026

I asked this very question.  The Indian Health Service the way it was explained pays for the market place insurance for them.  

There is supposed to be some where on form 8962 to specify they are exempt but I have not been able to find.

sjrcpa
Level 15
January 30, 2026

Thanks for the info. I was not aware IHS did that. I Googled it and see that they do.

The more I know the more I don’t know.
Level 15
January 30, 2026

We got this resolved in a Facebook group.

From a tax perspective, any repayment applies.  If a third-party is paying for insurance, they may be able to resolve any repayment amount.

judys3Author
Level 6
January 31, 2026

Thank you. The customers parents had told her she was exempt from paying back. I’ve not been able to find anything that substantiates this. 

Hers and her daughter’s insurance premium was paid for them by IHS.  So what you’re telling me is yes they’ll have to pay the credit back and they’ll need to see if this repayment will be covered as well.