Instructions for Form FTB3895 California Health Insurance Marketplace Statement - Recipient - California

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 a statement related to the California Health Insurance Marketplace.

Q: Who needs to file Form FTB3895?
A: Individuals who received premium assistance through the California Health Insurance Marketplace.

Q: What is the purpose of Form FTB3895?
A: Form FTB3895 is used to reconcile the premium assistance received and determine any additional taxes or refunds.

Q: What information is required to complete Form FTB3895?
A: You will need information related to premium assistance received, health insurance coverage, and household income.

Q: When is the deadline for filing Form FTB3895?
A: The deadline for filing Form FTB3895 is usually April 15th.

Q: Is there any penalty for not filing Form FTB3895?
A: Yes, there may be penalties for not filing Form FTB3895 or for not reconciling the premium assistance received.

Q: Is Form FTB3895 for California residents only?
A: Yes, Form FTB3895 is specific to California residents who received premium assistance through the California Health Insurance Marketplace.

Q: What should I do if I have additional questions about Form FTB3895?
A: If you have additional questions, you can contact the California Franchise Tax Board for assistance.