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Exemptions From The Affordable Care Act’s Mandate to Avoid Penalty

In spite of the Affordable Care Act's mandate that individuals without health insurance must pay a tax, there are exemptions including 14 hardship exemptions. Certain exemptions including hardship exemptions must be OK'd by the state's health care exchange and you must receive a certificate number to enter on your tax return prior to filing. To obtain the exemption, you must first submit an application to the exchange along with the necessary documentation. The process takes at least two weeks, and may take considerably longer if you delay your applications and April 15 closes in.

To avoid delay of your refunds and to avoid complications in preparing your returns, you should obtain your exemptions now.

If any of the following circumstances apply to you, you may qualify for a “hardship” exemption from the penalty:

1. You were homeless

2. You were evicted in the past 6 months or were facing eviction or foreclosure

3.You received a shut-off notice from a utility company

4.You recently experienced domestic violence

5. You recently experienced the death of a close family member

6. You experienced a fire, flood, or other natural or human-caused disaster that caused substantial damage to your property

7. You filed for bankruptcy in the last 6 months

8. You had medical expenses you couldn’t pay in the last 24 months that resulted in substantial debt

9. You experienced unexpected increases in necessary expenses due to caring for an ill, disabled, or aging family member

10. You expect to claim a child as a tax dependent who’s been denied coverage in Medicaid and CHIP, and another person is required by court order to give medical support to the child. In this case, you don't have the pay the penalty for the child.

11. As a result of an eligibility appeals decision, you’re eligible for enrollment in a qualified health plan (QHP) through the Marketplace, lower costs on your monthly premiums, or cost-sharing reductions for a time period when you weren’t enrolled in a QHP through the Marketplace

12. You were determined ineligible for Medicaid because your state didn’t expand eligibility for Medicaid under the Affordable Care Act

13. Your individual insurance plan was cancelled and you believe other Marketplace plans are unaffordable

14. You experienced another hardship in obtaining health insurance

Go to https://marketplace.cms.gov/applications-and-forms/hardship-exemption.pdf for the application. Go here https://marketplace.cms.gov/applications-and-forms/exemption-application-instructions.pdf for the instructions.

You may qualify for non-hardship exemptions from the penalty if:

1. You’re uninsured for less than 3 months of the year

2. The lowest-priced coverage available to you would cost more than 8% of your household income

3. You don’t have to file a tax return because your income is too low.

4. You’re a member of a federally recognized tribe or eligible for services through an Indian Health Services provider

5. You’re a member of a recognized health care sharing ministry

6. You’re a member of a recognized religious sect with religious objections to insurance, including Social Security and Medicare

7. You’re incarcerated (either detained or jailed), and not being held pending disposition of charges

8. You’re not lawfully present in the U.S.

9. You qualify for a hardship exemption

To read more about this new regulation, please go to www.healthcare.gov or https://www.healthcare.gov/fees-exemptions/fees-exemptions-overview/

- We are CPAs, tax accountants, tax preparers, business managers and consultants based in Torrance, CA near Los Angeles & OC, serving the entire U.S. See us at Yelp & Facebook. Call us (424) 278-4838 or e-mail us at This email address is being protected from spambots. You need JavaScript enabled to view it. .

 

 

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