Call Customer Service :
(855) 532-5465 / TTY: 711
Tax Year
Second Lowest Cost Silver Plan Calculator
If you received a 1095-A from DC Health Link that did not include the monthly premium amount for the Second Lowest Cost Silver Plan (SLCSP), the calculator below will help you get these values.
Family Member 1
Select the months that this person was enrolled in a Health plan through DC Health Link during
Select All Months Deselect All MonthsFAMILY MEMBER
Could this person have had other health coverage (like health insurance offered by an employer, Medicaid, or Medicare) at any time during ?
Answer "yes" even if this person chose not to enroll in the coverage that was available.
Select the months that this person could've had other health coverage in
Select All Months Deselect All MonthsFAMILY MEMBER
Was this person pregnant during ?
How many babies was this person expecting?
- 1
- 2
- 3
- 4
Select the months that this person was pregnant in
Was this person a parent or caretaker of anyone under the age of 21 during ?
Will you be listing anyone else on your tax return for ?
The results below are based on a family of . Show Details
| Name | Dob / Age | DC Health Link Coverage | Other Coverage | Pregnant | Parent / Caretaker |
|---|
Use the information below when entering Part III Column B of your 1095-A on your taxes. Print Page
| Month | COLUMN BMonthly Premium Amount of Second Lowest Cost Silver Plan (SLCSP) |
|---|---|
| January | |
| February | |
| March | |
| April | |
| May | |
| June | |
| July | |
| August | |
| September | |
| October | |
| November | |
| December | |
| Annual Totals |
Your Second Lowest Cost Silver Plan will not be calculated for any months in which you were eligible for other health insurance coverage, including Medicaid. You are not eligible to claim the advance premium tax credit for months when you would've been eligible for other health insurance coverage.
This calculator may not provide accurate information for:
- immigrants (not a US citizen) who arrived in the US less than five years ago, or
- residents who experienced significant income changes during the year.
If you are a recent immigrant, or had a significant change in income and need a Second Lowest Cost Silver Plan calculation, please call DC Health Link at (855) 532-5465/TTY:711.