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Filing State Taxes

Report Your State Financial Help on Your California Tax Return

If you got state financial help (California Premium Subsidy) with your Covered California plan, you need Form FTB 3895 when you file your state taxes.

When you file your state taxes (on your own, with a tax professional or using tax software), you will:

  • Report the state financial help you received.

  • Calculate whether you received the right amount.

What you need:

  • Form FTB 3895 (sent by Covered California)

Need more help?

Covered California may be able to answer questions about your form, but we cannot give tax advice.

Visit the FTB website or contact a tax professional for help with how to fill out your tax forms, how much you owe or whether you'll get a credit back.