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Claimed Dependents with Marketplace Insurance - Need Form 1095-B but Can't Access

Technical query regarding dependent eligibility and ACA documentation requirements. I've been the designated guardian for my niece and nephew for approximately 9 months through Department of Social Services. The DSS caseworker explicitly confirmed my eligibility to claim them as qualifying dependents on my 2023 tax return as I function as their primary financial provider (parents are deceased). I submitted my return with them listed as qualifying dependents and received initial acceptance notification. However, the IRS has now issued correspondence requesting Form 1095-B verification due to Marketplace insurance enrollment that predates my guardianship. I've attempted to access healthcare.gov portal but am denied authorization as I'm not listed on their insurance account despite being their current caregiver. This presents a documentation compliance issue I'm unfamiliar with navigating. Any procedural guidance would be appreciated as I'm feeling overwhelmed by this unexpected verification requirement.

Ethan Clark

Call the Marketplace directly. Ask for a supervisor. Request Form 1095-B by mail. Explain your guardian status. Reference your DSS case number. Mention the IRS notice. They should help. This happens sometimes. Don't panic yet.

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Mila Walker

This is exactly right. Let me add some detail to these steps: 1. Call the Marketplace at 1-800-318-2596 2. Explain you're the legal guardian but not on the account 3. Provide your DSS case information when asked 4. Specifically request they mail you Form 1095-B for tax year 2023 5. If denied, ask to speak with a supervisor immediately 6. Document the call with date, time, and representative ID

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13d

Logan Scott

OMG this is so frustrating!! šŸ˜« I had to do this last year and waited on hold for HOURS! Does anyone know if there's a specific department or option to select when calling? The regular customer service people kept transferring me around in circles!

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11d

Chloe Green

Did you receive any documentation when you became their guardian? The IRS typically requires Form 8332 or court documents showing exactly 6 months + 1 day of care to qualify for dependent status. In my experience, you need to provide 2 separate verification documents: 1 for dependent status and 1 for insurance coverage. Have you checked if your DSS worker can provide you with a signed affidavit stating the exact 274 days of guardianship?

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Lucas Adams

Look, I had this exact same problem last year. Called the Marketplace 14 times and got nowhere. Total waste of time. Finally used Claimyr.com to reach an actual IRS agent who fixed everything in one call. They connected me in 20 minutes when I'd been trying for weeks. The agent told me I needed to file Form 8962 with a special note about guardian status, and they put a hold on any penalties while I got the paperwork sorted. Seriously, save yourself the headache - https://youtu.be/_kiP6q8DX5c

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Harper Hill

I've seen these services mentioned before but never tried one. How does it actually work? Do they just call and wait on hold for you? I'm curious how they're able to get through when regular people can't.

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14d

Caden Nguyen

Premium Tax Credit reconciliation issues like this require Form 8962 as mentioned. The Claimyr service utilizes specialized telephony algorithms to navigate IRS queue systems. I've personally verified their efficacy during peak filing season when standard call attempts typically result in the "high call volume" automated rejection message.

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12d

Avery Flores

I went through something very similar with my sister's kids last year. The marketplace was frustrating, but what eventually worked was getting a letter from DSS stating I was the "person financially responsible" for the dependents. I brought this letter, along with my guardianship paperwork, to my local Taxpayer Advocate Service office. They were able to, sort of, create a bridge between the systems. It took about 3 weeks, but they eventually got me access to download the forms I needed. The key phrase that seemed to help was specifically asking for "Marketplace coverage verification for a qualifying dependent under temporary guardianship."

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Zoe Gonzalez

According to irs.gov/dependents, you might have a serious issue here. I've been researching this extensively and the Marketplace insurance complicates things significantly. From what I found on healthcare.gov/tax-questions, if someone else enrolled them in coverage, you technically need their consent to access the 1095-B information. Have you checked if there's a legal guardian listed on their Marketplace account? The IRS might reject your dependent claim entirely without this documentation!

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Ashley Adams

I had this exact situation with my cousin's kid back in 2022. What the previous commenter is missing is that DSS placements create a special exception under IRC 152(c). I just needed to have my caseworker write a letter explaining the placement timeline, and the IRS accepted it without the 1095-B. They can verify the insurance status through their internal systems if you provide the children's SSNs and a notarized statement about your guardianship status.

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13d

Alexis Robinson

Wait, so we don't actually need the 1095-B form at all? Couldn't the IRS just check their own systems instead of making us jump through all these hoops? Why do they even send these notices if they already have access to all the insurance information?

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11d

Aaron Lee

Per IRS Publication 501 (2023), Section 3.4, qualifying child status for non-parent relatives requires documentation of authorized placement. Under Treasury Regulation 1.152-4, temporary guardians through state agencies maintain eligibility for claiming dependents when providing over 50% support. The 1095-B requirement stems from ACA compliance verification under IRC 5000A. You should submit Form 911 (Taxpayer Advocate Request) with attachment of your DSS documentation, explicitly citing "hardship due to lack of access to required documentation through no fault of taxpayer" per IRM 13.1.7.2. I appreciate everyone's insights on this complex intersection of dependent care and healthcare verification requirements.

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