Do you have to have health insurance in 2021?

Asked by: Boris Klocko DDS  |  Last update: December 21, 2025
Score: 4.7/5 (65 votes)

In 2017, Congress repealed the individual mandate penalties on the federal level, which went into effect in 2019. This effectively repealed the mandate, as there are no longer consequences for not having health coverage. However, the ACA's employer mandate is still in effect.

Does the IRS still penalize for no health insurance?

Key takeaways. The federal individual mandate penalty was eliminated at the end of 2018. There is a penalty in New Jersey, DC, Massachusetts, California, and Rhode Island. Vermont enacted a mandate that took effect in 2020, but there is no penalty for non-compliance.

Is health insurance still mandatory in the US?

As of 2019, there's no more individual mandate. This means you don't have to enroll in health insurance to avoid paying a penalty fee, in most states. If you're 30 or older and want to enroll in a “Catastrophic” plan, you must claim a hardship exemption to qualify.

Does the IRS still require proof of health insurance?

Health care coverage documents

You are not required to send the IRS information forms or other proof of health care coverage when filing your tax return. However, it's a good idea to keep these records on hand. This documentation includes: Form 1095 information forms.

What states penalty for no health insurance?

Some states (CA, MA, NJ, and RI) and DC have adopted individual mandates with state tax penalties for not having health insurance. One state (VT) also has an individual mandate but does not impose a tax penalty for not having coverage. Check with your tax advisor or state insurance department for more information.

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How does not having health insurance affect your tax return?

A family of four without adequate health insurance coverage could face a penalty of at least $2,700. A percentage of the household income: 2.5% of all gross household income over the tax filing threshold.

Can you go to jail if you don't have health insurance?

So, is it illegal to not have health insurance since there is no longer a fine? On a federal level, having health insurance is no longer a legal requirement. However, a handful of states in the U.S. require citizens to obtain coverage or pay a tax penalty.

Do I have to pay the IRS if I don't have health insurance?

If you had no health coverage

If you didn't have coverage during 2024, the fee no longer applies. This means you don't need an exemption in order to avoid the penalty.

What is the IRS fine for not having insurance?

There is no longer a federal penalty for not having health insurance.

How does the IRS know if you have health insurance?

How does the IRS know if you have health insurance? The IRS will know you have health insurance if you use a 1095 to file your taxes. If you don't have health insurance, you will not be penalized by the IRS.

What happens if you don't pay health insurance?

If you miss a monthly premium payment

Your health insurance company could end your coverage if you fall behind on your monthly premiums. A short period after your monthly health insurance payment is due to pay all owed premiums to avoid losing coverage.

When did the individual mandate end?

Does it still make sense to sign up? Congress eliminated the federal tax penalty for not having health insurance, effective January 1, 2019.

Is there a federal mandate for health insurance?

Key Takeaways

Health insurance coverage is no longer mandatory at the federal level, as of Jan. 1, 2019. Some states still require you to have health insurance coverage to avoid a tax penalty.

Do you still have to claim health insurance on taxes?

Whether you get financial help or not, health coverage is part of filing your taxes. Unless you report that you had health coverage, you may have to pay a state tax penalty.

Is it better to not have health insurance?

Uninsured individuals often face unaffordable medical bills when they do seek care. These bills can quickly translate into medical debt since most people who are uninsured have low or moderate incomes and have little, if any, savings.

Is there still a penalty for no health insurance?

Exemptions from the requirement to have health insurance

The fee for not having health insurance (sometimes called the "Shared Responsibility Payment" or "mandate”) ended in 2018. This means you no longer pay a tax penalty for not having health coverage.

Can I get Obamacare if I have no income?

There is no income limit. To be eligible to enroll in health coverage through the Marketplace, you: Must live in the United States. Must be a U.S. citizen or national (or be lawfully present).

Why do I owe taxes for health insurance?

Owe taxes if you used more of the premium tax credit than you qualified for in 2024. You'll have to report the excess amount on your 2024 tax return by filing Form 8962, Premium Tax Credit (PDF, 115 KB). Find instructions for Form 8962 (PDF, 348 KB).

What happens if you lie about not having health insurance on taxes?

Fraud or Other Charges

Depending on the outcome of your audit, you may be charged with either negligence or fraud as a civil penalty. The IRS may also choose to prosecute you on criminal charges if the amounts are large enough. These cases take years to process, and can result in jail time and other hefty fines.

How long can you go exempt without being penalized?

How long do exemptions from withholding last? Normally, Form W-4 does not expire. But, if an employee claims they are exempt from federal income tax, they need to give you a new Form W-4 each year to keep the exemption. An exemption from withholding is only good for one year.

Is health insurance tax optional?

When employers provide health insurance to employees, the employer's contributions to insurance are not taxed as regular income and the employee's contributions are made before taxes (rather than after).

Can you refuse health insurance?

Not Mandatory: You are not required to take your employer's health insurance if you don't want it; you can opt-out and choose another plan. Consider Coverage and Costs: Before opting out, compare your employer's plan with other options, considering both coverage and costs, including any potential tax benefits.

Is it illegal to not own health insurance?

As of 2020, California residents must have MEC for the entire calendar year or pay a penalty when filing their income tax return. This mandate applies to each resident, including their spouse (or domestic partner) and any claimed dependents. If you qualify, you can claim an exemption to the penalty on your tax return.

Do you get fined if you don t have health insurance in the us?

The Tax Cut and Jobs Act (TCJA) repealed the penalty (made the penalty amount $0) starting with tax year 2019. But you may wonder, “Do I need health insurance to file taxes after the ACA penalty was repealed?” The answer is no. You no longer will be penalized for not having health insurance.