Health Care
The most frequently asked tax questions related to Health Care
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Answer Tax QuestionsForm 1095-A - Health Insurance Marketplace Statement
Asked Monday, November 24, 2014 by an anonymous user
If you or a family member enrolled in health insurance coverage through a health insurance marketplace, the marketplace must issue a Form 1095-A.
This form provides the required information on a monthly or annual basis to complete IRS Form 8962.
Form 8962 is used to calculate a Premium Tax Credit or a Repayment on your current year's tax return.
The marketplace has also reported this information to the IRS.
This form provides the required information on a monthly or annual basis to complete IRS Form 8962.
Form 8962 is used to calculate a Premium Tax Credit or a Repayment on your current year's tax return.
The marketplace has also reported this information to the IRS.
Affordable Care Act - Individuals
What if I can't afford health insurance?
Asked Thursday, November 21, 2013 by an anonymous user
If you can’t afford health insurance, subsidies are provided. The Affordable Care Act is designed to provide a subsidy or tax credit to low and middle income individuals so they can afford to buy health insurance. People who purchase insurance through an exchange may be eligible for the Premium Assistance Credit.
The credit is refundable and payable in advance directly to the health insurer. The individual will then pay the difference between the total premium and the credit. For employed individuals, the premiums can be made through payroll deductions. Direct subsidies are also available.
The credit is refundable and payable in advance directly to the health insurer. The individual will then pay the difference between the total premium and the credit. For employed individuals, the premiums can be made through payroll deductions. Direct subsidies are also available.
Affordable Care Act - Individuals
How do I figure if i am entitled to a subsidy?
Asked Thursday, November 21, 2013 by an anonymous user
Generally, uninsured individuals who purchase health insurance through an online health insurance marketplace or exchange and have income no greater than $94,200 for a family of 4, may be eligible for a government subsidy to help pay for health insurance.
The subsidy will be in the form of a tax credit.The credit or subsidy will be applied to your insurance premium when you purchase it in 2014.
To figure out if you’re eligible for a subsidy, you need to determine your household size and household income and see where it falls within the federal poverty line.
Subsidies are available up to 400% of the federal poverty line. Up to 133% of the federal poverty line, a family needs to devote 2% of its income towards the premium, with the balance subsidized by the government. The subsidy then decreases as income goes up.
The subsidy will be in the form of a tax credit.The credit or subsidy will be applied to your insurance premium when you purchase it in 2014.
To figure out if you’re eligible for a subsidy, you need to determine your household size and household income and see where it falls within the federal poverty line.
Subsidies are available up to 400% of the federal poverty line. Up to 133% of the federal poverty line, a family needs to devote 2% of its income towards the premium, with the balance subsidized by the government. The subsidy then decreases as income goes up.
Affordable Care Act - Individuals
How is the increased Medicare taxes on high-income taxpayers calculated?
Asked Thursday, November 21, 2013 by an anonymous user
Wages are subject to a 2.9% Medicare payroll tax with the employee and employer each paying half (1.45%). There is no limit to the amount of wages that are subject to the Medicare tax. Self-employed individuals pay both halves.
Beginning in 2013, there is an additional 0.9% (2.35% in total) Medicare tax that applies to wages received in excess of $250,000 for joint filers, $200,000 for single filers and $125,000 for Married filing separate filers.
This additional tax will be filed on new IRS Form 8959 which will transfer to Form 1040 Line 60.
Beginning in 2013, there is an additional 0.9% (2.35% in total) Medicare tax that applies to wages received in excess of $250,000 for joint filers, $200,000 for single filers and $125,000 for Married filing separate filers.
This additional tax will be filed on new IRS Form 8959 which will transfer to Form 1040 Line 60.
Affordable Care Act - Individuals
What is the penalty for not having health insurance in 2016?
Asked Thursday, November 21, 2013 by an anonymous user
The 2016 penalty is the greater of:
$695 per year ($2,085 maximum per family), or
2.5% of household income.
There was no penalty in 2013. The penalty is phased in over time. Beginning in 2014, U.S. citizens and legal residents must carry health insurance or be subject to a penalty.
The 2014 penalty was the greater of: $95 per year ($2,085 maximum per family), or 1.% of household income.
The 2015 penalty was the greater of: $325 per year ($2,085 maximum per family), or 2.% of household income.
There was no penalty in 2013. The penalty is phased in over time. Beginning in 2014, U.S. citizens and legal residents must carry health insurance or be subject to a penalty.
The 2014 penalty was the greater of: $95 per year ($2,085 maximum per family), or 1.% of household income.
The 2015 penalty was the greater of: $325 per year ($2,085 maximum per family), or 2.% of household income.
Affordable Care Act - Individuals
Does the Net investment Income Tax apply to Estates and Trusts?
Asked Thursday, November 21, 2013 by an anonymous user
Yes, The 3.8% surtax is levied on the lesser of net investment income or the excess of modified adjusted gross income over $11,950 for estate and trusts. The new tax will be calculated on new IRS Form 8960 and transfer to Form 1041, Schedule G, line 4.
Affordable Care Act - Small Biz
Do all employers have to offer health care to their employees?
Asked Thursday, November 21, 2013 by an anonymous user
No. Only large employers will face penalties for not providing insurance to employees.
Under the new ACA law, small businesses with less than 50 employees are exempt from the penalty for not offering coverage to their employees.
Small businesses that do offer insurance to its employees may qualify for a tax credit as an incentive.
For companies with at least 50 employees, there are penalties if the business does not offer health insurance.
Small businesses that do offer insurance to its employees may qualify for a tax credit as an incentive.
For companies with at least 50 employees, there are penalties if the business does not offer health insurance.
Affordable Care Act - Individuals
What are the different options of getting health insurance?
Asked Thursday, November 21, 2013 by an anonymous user
1- Health Insurance Marketplace referred to as a health exchange. it began in 2014, this program helps a person find health insurance that fits their budget. The exchange is run by the state or federal government and it results in a private insurance policy.
2- Job-based coverage is when employer offers health insurance coverage. You may be eligible to receive it, including your spouse or dependents. Employers may decline coverage for certain reasons such as for part-time workers, but not for health related reasons.
3- Medicaid: Each state offers Medicaid for lower income people or for the elderly or people with disabilities.
4- Private policy: these health plans will cost the same whether acquired directly or through an insurance exchange. Subsidies will apply only if you are using an insurance exchange.
2- Job-based coverage is when employer offers health insurance coverage. You may be eligible to receive it, including your spouse or dependents. Employers may decline coverage for certain reasons such as for part-time workers, but not for health related reasons.
3- Medicaid: Each state offers Medicaid for lower income people or for the elderly or people with disabilities.
4- Private policy: these health plans will cost the same whether acquired directly or through an insurance exchange. Subsidies will apply only if you are using an insurance exchange.
Affordable Care Act - Individuals
Are there any exceptions to having to get health insurance coverage in 2016?
Asked Thursday, November 21, 2013 by an anonymous user
Individuals will need to carry health insurance beginning in 2014 unless they meet an exception: Exemptions will be granted for: Individuals with income below the tax filing threshold ($9,750 single; $19,500 married filing joint), Individuals whose lowest cost plan option exceeds 8% of household income, those claiming financial hardship or claiming religious objections.
Individuals without coverage for less than 3 months and Aliens not lawfully present in the United States or American Indians or Incarcerated individuals.
Individuals without coverage for less than 3 months and Aliens not lawfully present in the United States or American Indians or Incarcerated individuals.