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This version of the form is not currently in use and is provided for reference only. Download this version of
Instructions for Form FTB3895
for the current year.
Instructions for Form FTB3895 California Health Insurance Marketplace Statement - California
This document contains official instructions for Form FTB3895 , California Health Insurance Marketplace Statement - a form released and collected by the California Franchise Tax Board. An up-to-date fillable Form FTB3895 is available for download through this link.
FAQ
Q: What is Form FTB3895?
A: Form FTB3895 is the California Health Insurance Marketplace Statement.
Q: What is the purpose of Form FTB3895?
A: The purpose of Form FTB3895 is to provide information about your health insurance coverage obtained through the California Health Insurance Marketplace.
Q: Who needs to file Form FTB3895?
A: You need to file Form FTB3895 if you were enrolled in a health insurance plan through the California Health Insurance Marketplace during the tax year.
Q: What information is required on Form FTB3895?
A: Form FTB3895 requires you to provide your personal information, such as your name and social security number, as well as information about your health insurance coverage.
Q: When is the deadline to file Form FTB3895?
A: Form FTB3895 must be filed by the same deadline as your California income tax return, which is usually April 15th.
Q: Is Form FTB3895 the same as Form 1095-A?
A: No, Form FTB3895 is specific to California and the California Health Insurance Marketplace, while Form 1095-A is a federal form for reporting health insurance coverage obtained through the Health Insurance Marketplace.
Q: Can I e-file Form FTB3895?
A: Yes, you can e-file Form FTB3895 with your California income tax return.
Q: Do I need to attach Form FTB3895 to my tax return?
A: Yes, you need to attach a copy of Form FTB3895 to your California income tax return.
Q: What happens if I don't file Form FTB3895?
A: If you were enrolled in a health insurance plan through the California Health Insurance Marketplace and fail to file Form FTB3895, you may face penalties or fines from the California Franchise Tax Board.
Instruction Details:
- This 2-page document is available for download in PDF;
- Might not be applicable for the current year. Choose a more recent version;
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