Tag Archives: obamacare

Simple FAQ re Obamacare, Taxes, Forms, and Fines

4 Feb

Everyone is affected by the Affordable Care Act (aka Obamacare) and will need to do something new when filing their taxes this year. This chart will help you better understand how the health care law affects your tax filing and what forms you need to use.

IF YOU… THEN YOU…
Are U.S. citizens or are non-U.S. citizens living in the United States Must have qualifying health care coverage, qualify for a health coverage exemption, or make a payment when you file your tax return
Have health coverage through an employer or under a government program such as Medicare, Medicaid and coverage for veterans for the entire year Just have to check a box on your Form 1040 series return and do not read any further
Do not have coverage for any month of the year Should check the instructions to Form 8965 to see if you are eligible for an exemption
Are eligible for an exemption from coverage for a month Are not responsible for making an Individual Shared Responsibility payment for that month, and must claim the exemption or report an exemption already obtained from the Marketplace by completing Form 8965, Health Coverage Exemptions,and submitting it with your tax return
Do not have coverage and are not eligible for an exemption from coverage for any month of the year Are responsible for making an individual shared responsibility payment when you file your return
Are responsible for making an individual shared responsibility payment Will report it on your tax return and make the payment with your taxes
Received the benefit of more advance payments of the premium tax credit than the amount of credit for which you qualify Will repay the amount in excess of the credit you are allowed subject to a repayment cap
Need qualifying health care coverage for 2015 Can enroll in health insurance through the Health Insurance Marketplace (Marketplace) during the open enrollment period that runs through Feb. 15, 2015; once open enrollment ends, individuals can enroll only if they qualify under special enrollment provisions
Enroll in health insurance through the Marketplace for yourself or someone else on your tax return Might be eligible for the premium tax credit
Did not enroll in health insurance from the Marketplace for yourself or anyone else on your tax return Cannot claim the premium tax credit
Or another person on your tax return who is enrolled in coverage through the Marketplace is not eligible for health care coverage through your employer or under a government program  Might be eligible for the premium tax credit
Are eligible for the premium tax credit Can choose to get premium assistance now to lower your monthly payments or get all the benefit of the credit when you claim it  on your tax return
Choose to get premium assistance now Will have payments sent on your behalf to your insurance provider. These payments are called advance payments of the premium tax credit
Get the benefit of advance payments of the premium tax credit and experience a significant life change, such as a change in income or marital status Report these changes in circumstances to the Marketplace when they happen
Get the benefit of advance payments of the premium tax credit Will report the payments on your tax return and reconcile the amount of the payments  with the amount of credit for which you are eligible
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What Are Premium Tax Credits for your Health Insurance?

23 Jan

If you bought health insurance through the Health Insurance Marketplace in 2014, you may be eligible for the new Premium Tax Credit. You will need to file a return to claim the credit. If you purchased coverage from the Marketplace in 2014 and chose to have advance payments of the premium tax credit sent directly to your insurer during the year you must file a federal tax return. You will reconcile any advance payments with the allowable Premium Tax Credit. Your Marketplace will provide Form 1095-A, Health Insurance Marketplace Statement, to you by Jan. 31, 2015, containing information that will help you file your tax return.

If you are expecting to receive Form 1095-A and you do not receive it by early February, contact the Marketplace where you purchased coverage.  Do not contact the IRS because IRS telephone assistors will not have access to this information.

If you benefited from advance payments of the premium tax credit, you must file a federal income tax return. You will need to reconcile those advance payments with the amount of premium tax credit you’re entitled to based on your actual income. As a result, some people may see a smaller or larger tax refund or tax liability than they were expecting.  When you file your return, you will use IRS Form 8962, Premium Tax Credit (PTC), to calculate your premium tax credit and reconcile the credit with any advance payments.

Note: You can’t use Form 1040EZ to claim this Premium Tax Credit or if you received advance payments of this credit in 2014.

Here’s IRS with more info:

Exemptions

If you qualify for an exemption, you will need to complete the new IRS Form 8965, Health Coverage Exemptions, when you file your tax return. You must apply for some exemptions through the Health Care Insurance Marketplace. However, most of the exemptions are easily obtained from the IRS when you file your tax return. Some of the exemptions are available from either the Marketplace or the IRS. If you receive an exemption through the Marketplace, you’ll receive an Exemption Certificate Number to include when you file your taxes. If you have applied for an exemption through the Marketplace and are still waiting for a response, you can put “pending” on your tax return where you would normally put your Exemption Certificate Number.

Individual Shared Responsibility Payment (aka fine for not having purchased insurance)

If you do not have qualifying coverage or an exemption for each month of the year, you will need to make an individual shared responsibility payment when you file your return for choosing not to purchase coverage. Examples and information about figuring the payment are available on the IRS Calculating the Payment page.