Help Paying Marketplace Premiums: Defining Income and Household

I am self-employed with uneven income. When I applied for premium tax credits during Open Enrollment, I said I expect to earn much less next year than I did last year. The Marketplace said I must provide more documentation but didn’t say what to send. How can I find out?

A link provided here to HealthCare.gov can provide some examples of what types of documents are accepted to help verify income. If you are self-employed and estimate your income next year will be significantly less than what you reported on your most recent tax return, you should provide copies of any documents that support your estimate. Make sure to provide copies and not original documents. If you don’t have documents, a signed statement explaining your estimate may be accepted. Be sure to include your name and ID number, a description of the income you expect to earn next year, a description of how you arrived at your estimated income amount, and an explanation of why other documentation is not available.

In addition, Navigators and other Marketplace consumer assistance programs can help you resolve the income data match inconsistency.

While we have made every effort to provide accurate information in these FAQs, people should contact the health insurance Marketplace or Medicaid agency in their state for guidance on their specific circumstances.

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