Internal Revenue Service United States Department of the Treasury
Level Basic Advanced Military International

Premium Tax Credit Workout

Claiming the Premium Tax Credit

Case Study 1: Claiming the PTC

Brandon is single with no dependents. When he enrolled through the Marketplace, Brandon was approved for APTC based on his projected household income. Brandon’s Form 1095-A shows APTC of $1,486. Based on Brandon’s actual modified AGI, he is eligible for a PTC of $500.

Can Brandon claim the PTC?.

Form 8962 and Form 1040 with plus or minus sign
Form 8962
Form 1095-A
Form 1095-A

Form 8962

Form 1095-A

4012 ACA Tab chart