Does the IRS penalize for no health insurance?

Asked by: Ms. Noelia Farrell  |  Last update: October 11, 2025
Score: 4.7/5 (72 votes)

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. If you don't have health coverage, you don't need an exemption to avoid paying a tax penalty.

Does the IRS require you to have health insurance?

Individuals & Families

The law requires you and your dependents to have health care coverage. If you purchased coverage from the Health Insurance Marketplace, you may be eligible for the Premium Tax Credit.

Do you get penalized by the IRS for not having health insurance?

The effect went into place on January 1, 2019, meaning that those who were uninsured in 2019 no longer had to pay tax penalties, but those who were uninsured in 2018 still had to pay the fine. Looking for ACA compliant coverage?

Does the IRS charge you for not having insurance?

The Tax Cut and Jobs Act (TCJA) repealed the penalty (made the penalty amount $0) starting with tax year 2019. But you may wonder, “Do I need health insurance to file taxes after the ACA penalty was repealed?”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.

What states will penalize you for not having health insurance?

Which states have an Individual Mandate?
  • California.
  • D.C.
  • Massachusetts.
  • New Jersey.
  • Rhode Island.
  • Vermont (but there's currently no financial penalty attached to the mandate)

Will The IRS Penalize For No Health Insurance? - CountyOffice.org

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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.

What two states do not require insurance?

New Hampshire and Virginia are the only states that do not require auto insurance. However, if you choose not to purchase car insurance in these states, you would still be held liable for any property damage or bodily injury caused by their vehicle.

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.

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.

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 are the IRS rules for deducting health insurance premiums?

If you pay for health insurance coverage before taxes are taken out of your employer's paycheck, you can't deduct your health insurance premiums. (Generally speaking, you can only claim qualified medical expenses as a post-tax deduction if they were paid for with after-tax earnings.)

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).

Can you be denied medical treatment without insurance?

Because of EMTALA, you can't be denied a medical screening exam or treatment for an emergency medical condition based on: If you have health insurance or not. If you can pay for treatment.

Does IRS still penalize for no 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.

How much is Obamacare a month for a single person?

Monthly premiums for Affordable Care Act (ACA) Marketplace plans vary by state and can be reduced by premium tax credits. The average national monthly health insurance cost for one person on an Affordable Care Act (ACA) plan without premium tax credits in 2024 is $477.

Will I go to jail for claiming exempt?

Is filing as exempt illegal? No, filing as exempt is not illegal – however you must meet a series of criteria in order to file exempt status on your Form W-4. Also, even if you qualify for an exemption, your employer will still withhold for Social Security and Medicare taxes.

What triggers the IRS underpayment penalty?

Failure to pay proper estimated tax

If you owe more than $1,000 when you calculate your taxes, you could be subject to an underpayment of estimated tax penalty. To avoid this you should make payments throughout the year via tax withholding from your paycheck or estimated quarterly payments, or both.

What are the cons of going exempt?

The main downside of being an exempt employee is not being eligible for overtime pay. However, for most employees, the benefits of exempt status likely outweigh the potential negative.

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?

New Jersey, California, Rhode Island, Massachusetts, and the District of Columbia require their residents to have health insurance coverage or face penalties. Vermont recommends that residents have coverage, but there's no noncompliance penalty.

What states offer free health insurance?

  • California. State offers public health coverage to all adults regardless of immigration status.
  • Colorado. State offers private health coverage with state subsidies to all adults regardless of immigration status.
  • Illinois. ...
  • Minnesota. ...
  • New york. ...
  • Oregon. ...
  • Washington. ...
  • District of columbia.

Is it illegal to not have insurance in the US?

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. People buy health insurance for protection against the risk that they may get sick or injured.

Can the color of your car affect your insurance premium?

Does car color affect insurance rates? The color of your car doesn't affect your insurance rate. Instead, your insurance company uses other information, like your car's age, location, usage, and your driving record, to help determine insurance rates.

What is the purpose of an umbrella policy?

What is an umbrella policy? Umbrella policies can protect your assets by paying large medical and repair bills that a court or your insurance company says you're responsible for paying. Most insurance policies – like home and auto – only pay up to a certain amount for liability coverage.