The Affordable
Care Act requires you and each
member of your family to have minimum
essential coverage, qualify for an
insurance coverage exemption, or make an individual shared responsibility
payment for months without coverage or an exemption when you file your federal
income tax return.
In general, the
annual payment amount is the greater of these two amounts:
- A percentage of your
household income – 2 percent of income above filing threshold for 2015
- A flat dollar amount -
$325 per adult and $162.50 per child for a family maximum of $975 for
2015
However, this is
capped at the national average premium for a bronze level health plan available
through the Marketplace. You will owe 1/12th of the annual payment for each
month you or your dependents don’t have either coverage or an exemption.
Your payment amount is capped at the cost of the
national average premium for a bronze level health plan available through the
Marketplace. For 2015, the annual national average premium for a bronze level
health plan available through the Marketplace is $2,484 per year – or $207 per
month – for an individual and $12,240 per year – or $1,020 per month – for a
family with five or more members.
If you are required to make a payment, you can use the worksheets located in the instructions to Form
8965, Health Coverage Exemptions,
to figure the shared responsibility payment amount due.
If you did not have coverage and your income was below
the tax filing threshold for your filing status, you qualify for a coverage
exemption. You do not have to file a
tax return solely to claim this exemption. However, if you do file a return,
you should file Form 8965, Health Coverage Exemptions, and you should not
make a payment with your return.
For more information about determining the amount and
reporting your payment on your tax return, see our Calculating
the Payment page. You
can also use the Individual
Shared Responsibility Payment Estimator, which can help you estimate the amount you may have to pay if you did not
haveminimum essential coverage during the year.
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