Tag: exemption

How do I apply for an exemption?

For the 2018 tax year, anyone can apply for a hardship exemption if they experienced circumstances that prevented them from having health insurance.  You can claim the hardship exemption directly on your 2018 federal income tax return, by checking the box on Form 1040, when you file.  You will not be required to submit documentation of the hardship with the return, though you should keep any documentation for your records.

Federal law provides other types of exemptions.  For some of these, you must apply through the health insurance Marketplace; for other types, you must apply when you file your taxes; some types of exemptions can be claimed either way.

The religious conscience exemption is available only by going to a health insurance Marketplace and applying for an exemption certificate.  In the federal Marketplace, you cannot apply for an exemption online.  Instead, you can download a paper application for an exemption from healthcare.gov, fill it out and mail it in.  You will receive a response by mail and, if the exemption is approved, it will include an exemption certificate number.  Save this document, you will need to include the exemption certificate number on IRS Form 8965, which you will need to submit with your tax return when you file your federal income taxes.  If you need help applying for an exemption, you can contact the Marketplace call center or a Navigator or other in-person assister.  Your Marketplace website has a list of Navigators and other assisters.

The hardship exemption and other exemptions for unaffordable coverage, members of Indian tribes, members of health care sharing ministries, and individuals who are incarcerated are available either by going to a Marketplace and applying for an exemption certificate or by claiming the exemption as part of filing a federal income tax return.

The exemptions for short coverage gaps, certain hardships and individuals who are not lawfully present in the United States can be claimed only as part of filing a federal income tax return. You will need to file a return and include with it Form 8965.  If you already received an exemption from the Marketplace, you will include the Marketplace exemption certificate number on this form.  Otherwise, instructions for this form will explain the steps you must take and information you must enter on your federal tax return so that you won’t owe a tax penalty.

The exemption for having income under the federal income tax return filing threshold is available automatically. No special action is needed.  However, if you are filing a tax return anyway (for example, to have refunded taxes that were withheld during the year), you should include Form 8965 with your tax return and check the special box indicating that your income is below the tax filing threshold.

Are there exemptions to the health care penalty? What are they?

Yes. For the 2018 tax year, you can claim a hardship exemption if you experienced circumstances that prevented you from getting coverage.  You can claim this exemption directly on your federal tax return, by checking the box on Form 1040, when you file next spring.  You will not be required to provide documentation of your hardship when you file, though you should keep any documentation for your records.

In addition, you may be eligible for an exemption if you:

  • Cannot afford coverage (defined as those who would pay more than 8.05 percent of their household income for the lowest cost bronze plan available to them through the Marketplace in 2018)
  • Are not a U.S. citizen, a U.S. national, or a resident alien lawfully present in the U.S.
  • Had a gap in coverage for less than 3 consecutive months during the year
  • Won’t file a tax return because your income is below the tax filing threshold (For the 2018 tax year, the filing threshold is $12,000 for individuals and $24,000 for married persons filing a joint return)
  • Are unable to qualify for Medicaid because your state has chosen not to expand the program
  • Participate in a health care sharing ministry or are a member of a recognized religious sect with objections to health insurance
  • Are a member of a federally recognized Indian tribe
  • Are incarcerated

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