> ## Documentation Index > Fetch the complete documentation index at: https://docs.abbyy.com/llms.txt > Use this file to discover all available pages before exploring further. # Form 1095-A, Health Insurance Marketplace Statement > Extract data from IRS Form 1095-A (Health Insurance Marketplace Statement) — coverage effective date, monthly premiums, and advance premium tax credit. The **Form 1095-A, Health Insurance Marketplace Statement** skill extracts data from Forms 1095-A, which are used to report certain information to the Internal Revenue Service (IRS) about individuals who enroll in a qualified health plan through the Health Insurance Marketplace. It includes information such as the effective date of the coverage, the premium amounts paid monthly, and any advance payments of the premium tax credit or subsidy. The Form 1095-A, Health Insurance Marketplace Statement skill is a preview skill. It has been trained on a limited set of documents and is designed to help you quickly get started with processing Forms 1095-A. For production use, you may need to uptrain the skill with your own document samples. This skill recognizes handwritten text. The option is enabled by default. If you do not import handwritten forms, disable the **Handwritten** option in the skill settings. ## Countries and Languages | Countries | Languages | | :-------- | :-------- | | USA | English | ## Extracted Fields ### Form Information | Field | Description | | :-------- | :------------------------------------------------------------------------------------- | | Year | The reporting fiscal year. | | Void | Specifies that the processed form should be annulled. | | Corrected | Specifies that the processed form is being submitted to correct data provided earlier. | ### Part I - Recipient Information | Field | Description | | :------------------------------------- | :-------------------------------------------------------------------------------------------------------------------------------------------------- | | Marketplace Identifier | The identifier of the Marketplace where the recipient enrolled in the coverage. | | Marketplace-Assigned Policy Number | The policy number assigned by the Marketplace to identify the policy in which the recipient enrolled. | | Policy Issuer's Name | The name of the insurance company that issued the recipient's policy. | | Recipient's Name | The name of the recipient. | | Recipient's SSN | The Social Security Number (SSN) of the recipient. | | Recipient's Date of Birth | The date of birth of the recipient. | | Recipient's Spouse's Name | The name of the recipient's spouse. Information about the recipient's spouse is entered only if advance credit payments were made for the coverage. | | Recipient's Spouse's SSN | The Social Security Number (SSN) of the recipient's spouse. | | Recipient's Spouse's Date of Birth | The date of birth of the recipient's spouse. | | Policy Start Date | The starting date of the policy. | | Policy Termination Date | The ending date of the policy. | | Street Address | The address of the recipient. | | City or Town | The address of the recipient. | | State or Province | The address of the recipient. | | Country and ZIP or Foreign Postal Code | The address of the recipient. | ### Part II - Covered Individuals (table) | Field | Description | | :------------------------------- | :---------------------------------------------------------------------- | | Covered Individual Name | The name of the individual who is covered under the recipient's policy. | | Covered Individual SSN | The Social Security Number (SSN) of the individual. | | Covered Individual Date of Birth | The date of birth of the individual. | | Coverage Start Date | The starting date of the coverage. | | Coverage Termination Date | The ending date of the coverage. | ### Part III - Coverage Information (table) | Field | Description | | :----------------------------------------------------- | :----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | | Month | Month of the insurance coverage. | | Monthly Enrollment Premiums | The monthly premiums for the plan in which the recipient or his family members were enrolled, including premiums that the recipient paid and premiums that were paid through advance payments of the premium tax credit. | | Monthly Second Lowest Cost Silver Plan (SLCSP) Premium | The monthly premium for the second lowest cost silver plan (SLCSP) that the Marketplace has determined, which applies to members of the recipient's family enrolled in the coverage. | | Monthly Advance Payment of Premium Tax Credit | The monthly amount of advance credit payments that were made to the insurance company on behalf of the recipient to pay for all or part of the premiums for his coverage. | ### Annual Totals | Field | Description | | :-------------------------------------------------------------------- | :------------------------------------------------------- | | Monthly Enrollment Premiums - Annual Total | The total amount of the monthly enrollment premiums. | | Monthly Second Lowest Cost Silver Plan (SLCSP) Premium - Annual Total | The total amount of the monthly SLCSP premiums. | | Monthly Advance Payment of Premium Tax Credit - Annual Total | The total amount of the monthly advance credit payments. | ## Key Fields * Part I - Recipient Information/Marketplace Identifier * Part I - Recipient Information/Recipient's Name * Part I - Recipient Information/Recipient's SSN ## Validation Rules | Rule | Description | | :--------- | :------------------------------------------------------------------------------------------------------------------------------------------------------------------- | | Clean Year | Checks the value in the **Year** field. It converts a 2-digit year (such as 24) into a 4-digit format (such as 2024). It assumes all 2-digit years are in the 2000s. |