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If you cancel a policy within the cooling-off period you are entitled to a full refund of all premiums paid in the policy period to date, unless you've already made a claim. Administration and other fees may still be levied during the cooling-off period.
To reconcile, you compare two amounts: the premium tax credit you used in advance during the year; and the amount of tax credit you qualify for based on your final income. You'll use IRS Form 8962 to do this. If you used more premium tax credit than you qualify for, you'll pay the difference with your federal taxes.
Beginning in 2011, the Patient Protection and Affordable Care Act (ACA) required insurers to report to the federal government the percentage of a health insurance premium spent on administrative, quality improvement, and medical costs. insurer will be required to refund the difference to the enrollee.
If at the end of the year you've taken more premium tax credit in advance than you're due based on your final income, you'll have to pay back the excess when you file your federal tax return.
Who is eligible for a rebate? If you earn an income of $140,000 or less as a single, or $280,000 or less as a family (see table below) you are eligible for the rebate. All the people listed on the health insurance policy must be eligible to claim Medicare for you to receive the rebate.