Exemptions from the Obamacare Fee

Don’t have Health Insurance? You may fall within the exemptions from the Obamacare fee…

Although 8 million more Americans are now insured thanks to the Affordable Care Act (ACA), there’s still many who remain uninsured. These uninsured Americans fall into one of two categories;

  1. those who will face penalties or
  2. those who qualify for an exemption.

That means, if you don’t plan on paying the uninsured fee when filing your 2014 taxes, you’ll need proof that you fall on the list of health insurance mandate exemptions.

For some, the information reported on your 2014 tax return will be adequate proof. For others however, the exemption will first need to be granted by the marketplace and an Exemption Certificate Number will be required when filing.

Are there exemptions from the fee for not having health insurance?

If you fall within any of the following categories for 2014, you’ll qualify as an exemption when filing your 2014 Tax Return and WILL NOT be required to enter a Exemption Certificate Number to claim the exemption:

  • your yearly income is below the threshold to file a tax return
  • you went without coverage for less than 3 consecutive months during the year
  • coverage was unaffordable  (premiums totaled more than 8% of your annual household income)
  • you’re not lawfully present in the US

If you fall within any of the following categories, you WILL be required to enter a Exemption Certificate Number granted by the Marketplace in order to claim the exemption:

  • you have an approved religious objection to health care coverage
  • you’re a member of a recognized health care sharing ministry
  • you’re a member of a federally recognized tribe (or eligible for services through an Indian Health Service provider)
  • you’re incarcerated (detained or jailed) and not being held pending disposition of charges
  • you were ineligible for Medicaid because your state didn’t expand it’s Medicaid eligibility AND  you fall below the 138% federal poverty level (Click here to view whether or not your state participated in the Medicaid expansion)
  • you qualify for a hardship exemption (see below)

Who does the “Hardship Exemption” include?

According to HealthCare.gov, you  may qualify for a hardship exemption if in 2014;

  • you were homeless
  • you were facing eviction or foreclosure or you were evicted in the past 6 months
  • a utility company sent you a shut-off notice
  • you experienced domestic violence
  • a close family member died
  • you experienced a fire, flood or other natural or human-caused disaster which caused substantial damage to your property
  • you filed for bankruptcy in the last 6 months
  • you have substantial debt due to medical expenses you couldn’t pay in the last 24 months
  • you had an unexpected increase in expenses due to caring for an ill, disabled or aging family member
  • your individual insurance plan was cancelled and Marketplace plans are unaffordable to you

As stated above, you’ll need to be granted by the Marketplace that you qualify for the hardship exemption and enter a ECN on your 2014 Taxes.

How does this affect filing 2014 taxes?

If you qualify as an exemption, you won’t face the fee for not having health coverage when filing your 2014 taxes. You’ll simply report your exemption information on your 2014 Taxes.

With RapidTax, reporting your exemption information on your 2014 taxes will be easy!  Create an Account and e-file your 2014 Taxes today.

If you have any questions along the way, call, chat or send an email to the RapidTax team! We’re here to help.

Photo via Keoni Cabral on Flickr

I Don’t Have Health Insurance- What Happens When I File Taxes?

If you don’t have insurance you’ll face penalties under ACA when filing your 2014 Taxes.

Obamacare aka The Affordable Care Act requires you and each member of your family to have basic health coverage. This insurance coverage can be through any of the following;

  1. employer-sponsored plan
  2. private health insurance company
  3. government program (ie. Medicare or Medicaid)
  4. federal or state marketplace (health insurance exchange)

If you don’t have health insurance under one of the four sources mentioned above, you’ll be forced to pay a fee when filing your taxes in 2015. The only way to get around this fee is if you qualify as an exemption.

2014 Tax Return Coupon

You’ll be Forced to Pay a Penalty

If you’re not exempt from buying health insurance, you’ll be forced to pay a penalty when you file your 2014 Tax Return. This payment is called the Individual Shared Responsibility and will total the greater of;

  • $95/ per adult + $47.50 per child (up to $285 per family)

OR

How do I Report Health Insurance Through My Employer on My Taxes?

If you received insurance coverage through your employer in 2014, it will be reported in Box 12 of your W-2 Form.

Obamacare – also known as the Affordable Care Act, or the ACA – is a law enacted to ensure that all Americans can afford health insurance. It also requires Americans to have qualified health insurance as of January 1, 2014 through one of the following forms of coverage;

  • employer-sponsored plan
  • private health insurance company
  • government program (ie. Medicare or Medicaid)
  • federal or state marketplace (health insurance exchange)

If you received health coverage through your employer, the insurance information that you’ll need to report on your 2014 taxes will be found on your W-2 Form.

If you didn’t receive insurance through your employer and instead were enrolled in the Marketplace during 2014, visit the RapidTax Blog post “ I’m Enrolled in Obamacare Marketplace- How Do I Report it On My Taxes?”.

Reporting Employer-Sponsored Health Coverage on 2014 Taxes

If you received insurance coverage through your employer in 2014, follow these steps;

1. By the end of January 2015, you’ll receive a Form W-2. You may also receive a 1095-C. Hold onto each of these.

2. Your employer is not required to send you Form 1095-C. If they do, you’ll notice your health insurance information listed. You may want to review this form. Next year, you’ll definitely receive one. Continue reading “How do I Report Health Insurance Through My Employer on My Taxes?”