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Irs Penalty For Not Having Health Insurance

  • Introduction
  • Overview of the Individual Shared Responsibility Provision
  • Penalty for Not Having Health Insurance
  • How the Penalty is Calculated
  • Exemptions from the Penalty
  • How to Pay the Penalty
  • Consequences of Not Paying the Penalty
  • How to Avoid the Penalty
  • Changes to the Individual Shared Responsibility Provision for 2019 and later
  • Conclusion

Introduction

The Affordable Care Act (ACA) was passed in 2010 with the aim of providing affordable and accessible healthcare to all Americans. One of the key provisions of the ACA is the Individual Shared Responsibility Provision, which requires individuals to have minimum essential health coverage or pay a penalty. This provision has been a controversial issue since its implementation, with many people still unsure about the penalty for not having health insurance. In this article, we will provide an overview of the Individual Shared Responsibility Provision and explain how the penalty for not having health insurance is calculated. We will also discuss exemptions from the penalty, how to pay it, and the consequences of not paying it. Finally, we will suggest ways to avoid the penalty and highlight changes to the provision for 2019 and later.

Overview of the Individual Shared Responsibility Provision

The Individual Shared Responsibility Provision, also known as the individual mandate, requires individuals to have minimum essential health coverage or pay a penalty. The aim of this provision is to ensure that everyone has health insurance and to prevent people from waiting until they get sick to purchase coverage. The provision applies to all U.S. citizens and legal residents, and those who are not exempt must either have qualifying health coverage or pay a penalty.

Penalty for Not Having Health Insurance

The penalty for not having health insurance is also known as the shared responsibility payment. The payment amount is based on either a percentage of your household income or a flat dollar amount, whichever is greater. For 2018, the penalty amount is either 2.5% of your household income or $695 per adult and $347.50 per child, up to a maximum of $2,085 per family. However, the penalty for not having health insurance will no longer apply after December 31, 2018.

How the Penalty is Calculated

The penalty for not having health insurance is calculated based on the amount of time you and your family are without coverage during the year. The penalty is prorated for each month that you or a family member is without coverage. If you have coverage for part of the year, you will only owe a partial penalty.

Exemptions from the Penalty

There are some exemptions to the Individual Shared Responsibility Provision. You may be exempt if:
  • You cannot afford coverage
  • You have a gap in coverage of less than three months
  • You are a member of a recognized religious sect with objections to insurance
  • You are a member of a healthcare sharing ministry
  • You are an American Indian or Alaska Native
  • You are incarcerated
If you think you may qualify for an exemption, you should complete an exemption application form.

How to Pay the Penalty

If you owe a penalty for not having health insurance, you will need to pay it when you file your federal income tax return. The payment will be included as part of your tax liability. If you are due a tax refund, the penalty will be deducted from your refund. If you owe a penalty but do not pay it, the IRS can use various collection methods, including wage garnishment and seizure of assets.

Consequences of Not Paying the Penalty

If you do not pay the penalty for not having health insurance, the IRS can take legal action to collect the debt. This can include placing a lien on your property, seizing your assets, or garnishing your wages. In addition, failure to pay the penalty can negatively impact your credit score.

How to Avoid the Penalty

The best way to avoid the penalty for not having health insurance is to purchase a qualifying health plan. You can enroll in a plan through the Health Insurance Marketplace during the open enrollment period, which typically runs from November to December. Outside of open enrollment, you may be able to enroll if you experience a qualifying life event, such as getting married or having a child.

Changes to the Individual Shared Responsibility Provision for 2019 and later

The penalty for not having health insurance will no longer apply after December 31, 2018. However, some states may still require individuals to have health insurance or pay a penalty. In addition, the Trump administration has expanded access to short-term health plans, which are not required to cover all of the essential health benefits required by the ACA. These plans may be cheaper than traditional health insurance but may not provide the same level of coverage.

Conclusion

The Individual Shared Responsibility Provision has been a controversial issue since its implementation, with many people still unsure about the penalty for not having health insurance. The penalty is calculated based on either a percentage of your household income or a flat dollar amount, whichever is greater, and is prorated for each month that you or a family member is without coverage. There are some exemptions to the provision, and if you owe a penalty, you will need to pay it when you file your federal income tax return. The best way to avoid the penalty is to purchase a qualifying health plan. Finally, the penalty for not having health insurance will no longer apply after December 31, 2018, but some states may still require individuals to have health insurance or pay a penalty.

Frequently Asked Questions about IRS Penalty for Not Having Health Insurance

What is the IRS penalty for not having health insurance?

The IRS penalty for not having health insurance, also known as the individual shared responsibility payment, was eliminated in 2019. However, some states may still have their own individual mandate penalties.

Will I be penalized for not having health insurance in 2020?

No, the individual shared responsibility payment was eliminated starting in 2019, so there is no penalty for not having health insurance in 2020 or any subsequent year.

What happens if I don't have health insurance?

If you don't have health insurance, you may have to pay for medical expenses out of pocket. You may also face a tax penalty if your state has its own individual mandate penalty. In addition, having health insurance can help you avoid significant financial burden in the event of a medical emergency or illness.

Do I need to report my health insurance status on my tax return?

Starting in 2019, the requirement to report your health insurance status on your tax return was eliminated along with the individual shared responsibility payment. However, you may still receive Form 1095-B or 1095-C from your employer or insurance provider for informational purposes.