Filling out Form 8962 when below 100% Federal Poverty Line but covered under parent's insurance for part of the year?
I recently got this letter from the IRS about premium tax credits and I'm really confused. The letter says advance payments of premium tax credits were made for health insurance coverage from the Marketplace for me or someone on my return. Here's my situation: * January through June I was living in Colorado and enrolled in Medicaid * July through December I moved back home and was added to my dad's health insurance plan through the Marketplace * In January 2023 I got my own ACA plan * Looking at my dad's 1095-A, he did get advance premium tax credits July-December, and I'm listed on there too * My modified AGI for 2022 is definitely below 100% of the Federal Poverty Line (like way below - I was barely working) * My dad filled out a Form 8965 claiming a coverage exemption (I think he wasn't covered the whole year) * According to my 1095-B though, I had coverage all year because of the Medicaid for the first half I'm stuck at Line 6 on Form 8962 and have no idea what to do next. Do I even need to fill this out if I'm below 100% FPL? But I was on my dad's plan that got credits? Help pls!!!
21 comments


QuantumQuest
The form 8962 can be confusing especially with your specific situation! Since you were listed on your dad's 1095-A for part of the year when he received advance premium tax credits (APTC), you do need to deal with Form 8962, even though your income is below 100% FPL. Here's how to handle it: Since you're below 100% FPL but were enrolled in a qualified health plan with APTC through your dad's plan, you should check the "Yes" box on Line 6 and continue with the form. This is an exception to the general rule that people below 100% FPL don't qualify for PTCs. For the months you were on Medicaid (January-June), you wouldn't have any share of PTC. For July-December when you were on your dad's Marketplace plan with APTC, you'll need to coordinate with your dad since he received the APTC that partially covered you. The allocation percentage between you and your dad will need to be determined for those months.
0 coins
Jamal Anderson
•Thanks for explaining but I'm still confused. If I check "Yes" on Line 6, does that mean I have to pay back all those premium tax credits even though my dad got them, not me? And what about the fact that I'm below the poverty line? I thought there was some kind of safe harbor for that.
0 coins
QuantumQuest
•You don't necessarily have to pay back all the credits. Checking "Yes" on Line 6 just means you're eligible for PTC despite being below 100% FPL because you were enrolled in a plan through the Marketplace where APTC was paid. There is indeed protection for people with lower incomes. The repayment limitations on Form 8962 could limit how much you'd have to pay back based on your income. Since your income is below 200% FPL, your repayment would be capped at a much lower amount than the full credit.
0 coins
Mei Zhang
After dealing with a similar nightmare with my tax forms last year, I found this amazing tool at https://taxr.ai that saved me hours of frustration with these exact forms. My situation was similar - I was on my mom's marketplace plan for part of the year and then got my own coverage. I just uploaded my 1095-A and 1095-B forms and answered a few questions, and it figured out exactly how to handle Form 8962 with the weird allocation percentages between family members. It even explained why I qualified for the tax credit exception despite having low income. The best part was it walked me through each line of the form with explanations in regular English instead of IRS-speak.
0 coins
Liam McGuire
•Does this actually work with complicated situations? I've got a similar issue but with 3 different insurance changes during the year and my tax software is completely messing it up.
0 coins
Amara Eze
•I'm always suspicious of these online tools. How does it handle privacy with all your sensitive tax info? And does it actually give you the filled out forms or just general advice?
0 coins
Mei Zhang
•It definitely handles complicated situations - that's exactly what it's designed for. I had 2 insurance changes and income that varied throughout the year, and it handled all the calculations correctly. As for privacy, they use bank-level encryption and don't store your documents after processing. They give you the actual completed forms with all the calculations done, plus line-by-line explanations so you understand why each number is there. It's way more detailed than what I got from the regular tax software I was using.
0 coins
Liam McGuire
Just wanted to update after trying taxr.ai from the recommendation above. It actually worked amazingly well for my form 8962 situation! I uploaded my 1095-A and answered questions about my coverage periods. The system correctly identified that I qualified for the tax credit exception despite being below 100% FPL because I was enrolled in a marketplace plan with APTC. It showed me exactly how to allocate the premium between myself and my family member, and even explained the repayment limitations that apply at my income level. Definitely saved me from making mistakes that might have triggered an audit. The completed form was ready in like 10 minutes with all the calculations done correctly. Wish I'd known about this earlier!
0 coins
Giovanni Ricci
If you're still struggling with the IRS letter, you might want to try calling them directly. I know it sounds impossible, but I used this service called Claimyr (https://claimyr.com) that got me through to an actual IRS agent in about 15 minutes last month. You can see a demo of how it works here: https://youtu.be/_kiP6q8DX5c I was in a similar situation with form 8962 confusion and the agent was surprisingly helpful in explaining exactly what I needed to fill out based on my specific scenario with shared coverage. They walked me through each line over the phone and explained which boxes I needed to check based on my coverage situation. Saved me a ton of stress and potential errors!
0 coins
NeonNomad
•How does this even work? The IRS phone lines are always busy when I call. I've literally tried calling first thing in the morning and still get the "due to high call volume" message.
0 coins
Fatima Al-Hashemi
•Sounds like a scam tbh. No way someone can guarantee getting through to the IRS. They probably just collect your payment and tell you to keep calling on your own.
0 coins
Giovanni Ricci
•The service basically uses technology to navigate the IRS phone tree and holds your place in line. When they reach a real person, they call you and connect you directly to the agent. It's not a guarantee, but it worked for me when I tried it. I was skeptical too, but they only charge if they actually get you through to a person. I spent 3 hours on my own trying to reach someone before giving up and trying this. Was connected to an agent within about 20 minutes, and they helped me figure out my Form 8962 allocation issue right away.
0 coins
Fatima Al-Hashemi
I need to eat my words from my previous comment. I was so skeptical about Claimyr that I decided to try it myself just to prove it wouldn't work - and I'm shocked to say it actually got me through to the IRS in about 25 minutes yesterday. I've been trying for WEEKS to reach someone about my premium tax credit issue. The IRS agent was able to confirm that I needed to check "Yes" on line 6 of Form 8962 even though my income was below 100% FPL because I was on a family member's plan with APTC. They also helped me figure out how to properly allocate the premiums for the shared policy months. Saved me from potentially filing incorrectly and getting another letter. The service actually does what they claim!
0 coins
Dylan Mitchell
Just wanted to add that if you were on Medicaid for part of the year, you shouldn't have to pay back any premium tax credits for those months. Form 8962 has you calculate PTC month by month, so you should only be dealing with the months you were on your dad's marketplace plan. Also important - you mentioned your dad filled out Form 8965 for coverage exemption. That's separate from Form 8962. You don't need Form 8965 since you had full-year coverage between Medicaid and your dad's plan. You only need to worry about 8962 to reconcile the premium tax credits.
0 coins
Zoe Dimitriou
•Thanks, that makes sense about the Medicaid months! So on Form 8962, would I just put zeros for the premium amounts in the months I had Medicaid? And then for the allocation with my dad, do we both need to agree on the percentage?
0 coins
Dylan Mitchell
•For the Medicaid months, you'll see on Form 8962 there's a monthly calculation section. You would indeed put zeros for those months since Medicaid coverage means you weren't eligible for PTC during that time. For the allocation with your dad, yes, you both need to use the same allocation percentage on your respective tax returns. You'll need to coordinate with him on this. The allocation percentage could be based on how much of the premium was for your coverage versus other family members. Form 8962 instructions have detailed guidance on how to calculate this allocation percentage.
0 coins
Sofia Martinez
Has anyone actually gotten an IRS notice for this kind of thing but been below poverty line? I thought there was a rule that if you're below 100% FPL, you don't have to pay back premium tax credits? I'm in a similar situation and freaking out about potentially owing money.
0 coins
Dmitry Volkov
•There's a special rule: if advance PTC was paid for you but your income ends up below 100% FPL, you can still qualify for the credits if you meet certain requirements. One of those is that at enrollment, the Marketplace estimated your income would be between 100-400% FPL. So the OP might still qualify even with income below 100% FPL.
0 coins
Nia Davis
I went through almost this exact situation last year! The key thing to understand is that even though you're below 100% FPL, you still need to complete Form 8962 because advance premium tax credits were paid on your behalf when you were on your dad's marketplace plan. Here's what worked for me: On Line 6, check "Yes" because you meet the exception - you were enrolled in a qualified health plan where APTC was paid, even though your income is below 100% FPL. For the monthly calculations, you'll put zeros for January-June (Medicaid months) and then work with your dad to determine the allocation percentage for July-December. The good news is that there are repayment limitations based on income. Since you're below 200% FPL, your maximum repayment is capped at a much lower amount than the full credit received. In many cases with very low income like yours, you might not owe anything back at all. Make sure to coordinate with your dad on the allocation percentage - you both need to use the same percentage on your returns. The IRS instructions for Form 8962 have examples of how to calculate this based on the premium amounts for each person covered.
0 coins
Daniel Price
•This is really helpful! I'm new to dealing with tax forms like this and was getting overwhelmed by all the IRS language. Just to make sure I understand - when you say "allocation percentage" with your dad, does that mean like if the total premium was $500/month and my portion was estimated at $200, then my allocation would be 40%? And then I'd use that 40% for all the calculations on my Form 8962 for those months? Also, when you mention repayment limitations - where exactly do I find that information on the form? I want to make sure I'm not missing any protections available to me given my income level.
0 coins
Mikayla Davison
•Yes, you've got the allocation concept right! If the total family premium was $500 and your estimated portion was $200, then your allocation would be 40% (200÷500). You'd use that same 40% for all the Form 8962 calculations during the months you were on your dad's plan. For the repayment limitations, look at the instructions for Form 8962 - there's a table that shows maximum repayment amounts based on your income as a percentage of the Federal Poverty Line. Since you mentioned being "way below" 100% FPL, you'll likely fall into the lowest repayment category. The form itself will calculate this for you in the later sections, but it's good to know these protections exist so you don't panic about potentially owing thousands. One more tip: keep good records of your coordination with your dad on the allocation percentage. If the IRS ever questions it, you'll want documentation showing how you both calculated and agreed on the split.
0 coins