Questions & Answers

What if I haven't received my Form 3895?

The Covered California marketplace should issue you a Form 3895. If you are the policy holder and haven't received your Form 3895, you should contact the Covered California marketplace and request your Form 3895.

Under some circumstances the Marketplace will provide Form 3895 to one taxpayer, but another taxpayer will also need the information. The person who received the Form 3895 should provide a copy to the other taxpayer that needs the information.

Note: You should NOT use information found on Form 1095-A to fill out the information for the California healthcare mandate on your California tax return.

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