If you received a 1095-A from DC Health Link that did not include the Monthly Premium Amount for Second Lowest Cost Silver Plan (SLCSP), the calculator below can help you determine these values.
FAMILY MEMBER 1
Select months this person was enrolled in a DC Health Link plan duringSELECT ALL
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.
What months could this person have had other health coverage?SELECT ALL
Was this person pregnant during ?
How many babies was this person expecting?
What months was this person pregnant?
Was the person a parent or caretaker of anyone under age 21 during ?
Will you be listing anyone else on your tax return for ?
What was your Modified Adjusted Gross Income (Modified AGI) for ?
The results below are based on a family of . Show Details
Use the information below when entering Part III Column B of your 1095-A on your taxes. Print Page
|Month||B. Monthly Premium Amount of Second
Lowest Cost Silver Plan (SLCSP)