Comprehensive Problem 2 - Part 4: Form 8962, Form 8995

Note: This problem is divided into four parts. You will need to complete some of the forms in the other parts in order to determine the amounts to be used on Form 1040. Some of the data information will be reproduced in the other parts for convenience.

Follow the specific rounding instructions provided at the beginning of each form or schedule. If an amount box does not require an entry or the answer is zero, enter "0". Enter all amounts as positive numbers unless instructed otherwise.

Information regarding these forms has been reproduced below:

• Lulu was not eligible for health care benefits due to the part-time nature of her job, thus health insurance for the Clifden household was purchased by Gregory.
• The Clifdens are not eligible for an exemption from coverage. The Clifdens purchased health insurance through the Covered California program and received the Form 1095-A. They had no other health insurance during 2019.
• Assume that the self-employed health insurance deduction is $1,424.
• The Clifdens did not claim an advance premium credit.
• Click here to access the completed Form 1095-A to use when completing Form 8962.

Table for Federal Poverty Line

Persons in Family/Household 2019 FPL for 48 States and DC 1 $12,140 2 16,460 3 20,780 4 25,100 5 29,420 6 33,740 7 38,060 8 42,380 Each additional person + 4,320 The household income is then expressed as a percentage of the FPL.

Table for Repayment of the Credit Amount

Single Taxpayers Other

Than Single Less than 200% $300 $600 At least 200% but less than 300% 800 1,600 At least 300% but less than 400% 1,325 2,650 At least 400% No limit No limit

Click here to access the 2019 Applicable Figure Table.

Instructions Comprehensive Problem 2 - Part 4: Form 8962, Form 8995 Note: This problem is divided into four parts. You will need to complete some of the forms in the other parts in order to determine the amounts to be used on Form 1040. Some of the data information will be reproduced in the other parts for convenience. Follow the specific rounding instructions provided at the beginning of each form or schedule. If an amount box does not require an entry or the answer is zero, enter "0". Enter all amounts as positive numbers unless instructed otherwise. Information regarding these forms has been reproduced below: . Lulu was not eligible for health care benefits due to the part-time nature of her job, thus health insurance for the Clifden household was purchased by Gregory. . The Clifdens are not eligible for an exemption from coverage. The Clifdens purchased health insurance through the Covered California program and received the Form 1095-A. They had no other health insurance during 2019. Assume that the self-employed health insurance deduction is $1,424. The Clifdens did not claim an advance premium credit. . Click here to access the completed Form 1095-A to use when completing Form 8962. Table for Federal Poverty Line Persons in Family/Household 2019 FPL for 48 States and DC $12,140 2 16,460 W 20,780 25,100 29,420 33,740 38,060 42,380 Each additional person + 4,320 The household income is then expressed as a percentage of the FPL.Table for Repayment of the Credit Amount Taxpayers Other Single Than Single Less than 200% $300 $600 At least 200% but less than 300% 800 1,600 At least 300% but less than 400% 1,325 2,650 At least 400% No limit No limit Click here to access the 2019 Applicable Figure Table