2020 health care forms now available February 2021 Tax News

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Now available on our website, final California 2020 health care forms and instructions for the:

  • Minimum Essential Coverage Individual Mandate
  • Premium Assistance Subsidy
  • Individual Shared Responsibility Penalty

We published a Tax News article in December 2020 with information about the new health care forms. As a reminder, your clients will need to provide you with the following health care forms for return preparation (where applicable):

  • FTB 3895, California Health Insurance Marketplace Statement
  • Form 1095-A, Health Insurance Market Place Statement
  • 1095-B, Health Coverage
  • 1095-C, Employer-Provided Health Insurance Offer and Coverage

2020 Health Care Forms

  • FTB 3849, Premium Assistance Subsidy
  • FTB 3853, Health Coverage Exemptions and Individual Shared Responsibility Penalty
  • FTB 3895, California Health Insurance Marketplace Statement
  • Publication 3949A, Premium Assistance Subsidy
  • Publication 3995B, California Instructions for Filing Federal Forms 1094-B and 1095-B
  • Publications 3895C, California Instructions for Filing Federal Forms 1094-C and 1095-C

The Franchise Tax Board and Covered California continue to work together to administer the new Minimum Essential Coverage Individual Mandate. Visit our Health Care Mandate webpage for up-to-date information.

Last updated: 09/24/2025