Yearly Income Disclaimer (1).pdf

Yearly Income Disclaimer:

The following disclaimer appears in the Tax Status section of the application when you enter or change your yearly income.

Make sure you understand how the Premium Tax Credit works, and know that it is your responsibility to:

• Report the correct annual income to Access Health CT.
• Inform Access Health CT if your income changes during the year (you can report changes to household information online or by calling Access Health CT).

Disclaimer: 

This system will tell you how much Tax Credit can be used to help pay your health insurance premiums.

BEWARE: You could owe money to the IRS. The amount of Tax Credit you can legally use is based on your actual annual income that you will list on your federal tax return for this tax year. If the annual income you list here in your application is lower than your actual annual income that you will list in your federal tax return for this tax year, you could owe money to the IRS.