Taxpayers who may qualify for an exemption to pay the penalty in their 2014 tax return if not covered by essential health insurance
·
Uninsured for less than three months of the year
·
Income falls below the threshold required to
file a federal tax return
·
Incarcerated and not being held pending
disposition of charges
·
Coverage available is not affordable (annual
premiums are more than 8% of household
·
income)
·
Member of recognized health care sharing
ministry
·
Member of a federally recognized tribe or
eligible for services through an Indian Health Services provider
·
Member of a recognized religious sect with
religious objections to insurance including Social Security and Medicare
·
Not lawfully present in the United States
If individuals have certain circumstances that affect their ability to purchase health insurance coverage, they may qualify for a hardship exemption. Some reasons a taxpayer could request a hardship exemption are:
If individuals have certain circumstances that affect their ability to purchase health insurance coverage, they may qualify for a hardship exemption. Some reasons a taxpayer could request a hardship exemption are:
·
Homelessness
·
Eviction in the past six months or faced
eviction or foreclosure
·
Received a shut-off notice a utility company
·
Death of a close family member
·
Flood, fire, or other disaster that caused
substantial damage to his or her property
·
Bankruptcy filed in the past six months
·
Substantial debt due to unpaid medical expenses
in the last 24 months
·
Unexpected increase in necessary expenses due to
caring for an ill, disabled, or aging family member
·
Dependent child was denied coverage in Medicaid
and CHIP and another person is required by court order to provide medical
support for the child
·
Eligibility for enrollment in a qualified health
plan through the marketplace only after an eligibility appeals decision that
lowers costs on monthly premiums or cost-sharing reductions for a time period
when not enrolled in a plan through the Marketplace.
·
Ineligibility for Medicaid because the
taxpayer's state did not expand Medicaid under the ACA
·
Insurance plan cancelled by the insurance
company and no affordable plans are available in the Marketplace
If
individuals do not maintain minimum essential coverage and do not qualify for
an exemption, he or she must pay the individual shared responsibility payment
with their tax return.
For
2014 the individual shared responsibility payment is the greater of:
1%
of household income that is above the tax return threshold for filing status or
flat dollar amount of $95 per adult and $47.50 per child limited to a max of
$285.
Payment
amounts are scheduled to increase over the next few years to either 2.5% of
income above filing threshold or $695 per adult and $347.50 per child.
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