Shared Responsibility Payment Forms
Any
gap in qualifying insurance coverage of three months or more for you or
your dependents can impact you tax return this year and require you to pay an individual-shared-responsibility payment. Certain subsidized information about your coverage and cost is reported on your income tax
return and is obtained from the information you provide or that
is provided to yo by either your provider(s) or employer on IRS Form 1095 forms.
• Affordable coverage options are not offered by your employer
• The gap in insurance coverage is three or fewer consecutive months
• You belong to a group that is explicitly exempt from participating in the Affordable Care Act by the Internal Revenue Service (IRS) such as a health sharing ministry. There are others that you may want to research.
Exemptions
You may be exempt from this payment if, for example:• Affordable coverage options are not offered by your employer
• The gap in insurance coverage is three or fewer consecutive months
• You belong to a group that is explicitly exempt from participating in the Affordable Care Act by the Internal Revenue Service (IRS) such as a health sharing ministry. There are others that you may want to research.
Form 1095-A
Insurance companies participating in health care exchanges should provide you with the Form 1095-A, a health-insurance-marketplace statement. This form includes:
- Your name
- The amount of coverage you have
- Any tax credits you were entitled to
- If you used them to pay for your health insurance and the amount you paid for coverage
You use this information to complete your income tax filing, adjust
any tax credit payments and claim any premium tax credits that may be
due.
Form 1095-B
Employers
with fewer than 50 full-time employees that offer health coverage, as
well as health care insurance providers, send the Form 1095-B to members of their health insurance plans, as of the 2016 tax year. This form includes:
- The type of coverage you have
- Your dependents covered
- The period of the coverage
This form is used to verify on your tax return that you and your
dependents have at least Minimum Essential Coverage (MEC). If you had a
break in health care coverage for the tax year, you may have to pay an
individual shared responsibility payment.
Form 1095-C
Form 1095-C shows the
coverage that is offered to you by your employer, as of the 2016 tax
year. It is used by larger companies with 50 or more full-time or full-time
equivalent employees. This form provides information of the coverage
your employer offered and whether or not you chose to participate. You
can use this to complete your tax return.