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Category: Healthcare
16 Articles
Orange arrow Do I have to be covered for an entire calendar month to avoid the shared responsibility payment liability for not having minimum essential coverage for that month?

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  No. You will be treated as having minimum essential coverage for a month as long as you have coverage for at least one day during that month....
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Orange arrow What are the statutory exemptions from the requirement to obtain minimum essential coverage?

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  Religious conscience. You are a member of a religious sect that is recognized as conscientiously opposed to accepting any insurance benefits. The Social Security Administration administers the process for recognizing these sects according to the criteria in the law. Health care sharing ministry. Y...
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Orange arrow If I think I qualify for a coverage exemption, how do I obtain it?

1896 views
  It depends on the coverage exemption for which you may qualify. The religious conscience exemption and most hardship exemptions are available only by going to the Health Insurance Marketplace (Marketplace) and applying for an exemption certificate. Information on obtaining these exemptions is av...
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Orange arrow How do I report or claim a coverage exemption on my tax return?

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  Exemption Form 8965 is not used for 2019 returns. You will have to account for coverage exemptions when you file your federal income tax return. You claim or report coverage exemptions on Form 8965, Health Coverage Exemptions, and file it with your Form 1040, Form 1040A, or Form 1040EZ. These ...
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Orange arrow If I receive my coverage from my spouse’s employer, will I have minimum essential coverage?

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  Yes. Employer-sponsored coverage is generally minimum essential coverage. (See question 5 for information on specialized types of coverage that are not minimum essential coverage.) If an employee enrolls in employer-sponsored coverage that provides minimum value for himself and his family, the empl...
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Orange arrow Who is subject to the individual shared responsibility provision?

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  The provision applies to individuals of all ages, including children. The adult or married couple who can claim a child or another individual as a dependent for federal income tax purposes is responsible for making the payment if the dependent does not have coverage or an exemption. Please clic...
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Orange arrow What counts as minimum essential coverage?

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  Minimum essential coverage includes the following: Employer-sponsored coverage, including self-insured plans, COBRA coverage and retiree coverage Coverage purchased in the individual market, including a qualified health plan offered by the Health Insurance Marketplace Medicare Part A coverage...
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Orange arrow How do I report that I had health coverage for each month of the year?

3166 views
  For tax year 2019, you will select Yes or NO to the health coverage question and select if you received a form 1095A for marketplace coverage.. If you had coverage through the federal marketplace, you will enter your 1095A information and complete form 8962. If you did not have coverage through t...
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Orange arrow What is the individual shared responsibility provision?

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  Under the Affordable Care Act, the federal government, state governments, insurers, employers and individuals are given shared responsibility to reform and improve the availability, quality and affordability of health insurance coverage in the United States. Starting in 2014, the individual shared ...
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Orange arrow If I am exempt from the shared responsibility payment, can I still be eligible for the premium tax credit?

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  In many cases, yes, but it depends upon the exemption. If you are exempt because you are incarcerated or because you are not lawfully present in the United States, you are not eligible to enroll in a qualified health plan through the Marketplace and therefore cannot claim a premium tax credit for y...
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Orange arrow What do I need to do if I am required to make a payment with my tax return?

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  For calendar year 2019, the dollar amount used to determine the penalty for not maintaining minimum essential health coverage is 0, per the Tax Cuts and Jobs act; for 2018 the amount was $695 2018 and prior years. If you have to make an individual shared responsibility payment, the amount d...
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Orange arrow What happens if I owe an individual shared responsibility payment, but I cannot afford to make the payment when filing my tax return?

1286 views
  For calendar year 2019, the dollar amount used to determine the penalty for not maintaining minimum essential health coverage is 0, per the Tax Cuts and Jobs act; for 2018 the amount was $695 The IRS routinely works with taxpayers who owe amounts they cannot afford to pay. The law prohibits the...
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Orange arrow My employer tells me that our company’s health plan is “grandfathered.” Does my employer’s plan provide minimum essential coverage?

1408 views
  Yes. Grandfathered group health plans provide minimum essential coverage....
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Orange arrow If my income is so low that I am not required to file a federal income tax return, do I need to do anything special to claim an exemption from the individual shared responsibility provision?

1447 views
  No. If you are not required to file a federal income tax return for a year because your gross income is below your return filing threshold, you are automatically exempt from the shared responsibility provision for that year and do not need to take any further action to secure an exemption. If you a...
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Orange arrow What qualifies as a short coverage gap?

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  In general, a gap in coverage that lasts less than three months qualifies as a short coverage gap. If an individual has more than one short coverage gap during a year, the short coverage gap exemption only applies to the first gap....
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