Why does the IRS ask if you have health insurance?
Asked by: Gerard Ruecker | Last update: March 21, 2025Score: 4.3/5 (67 votes)
Does the IRS check if you had health insurance?
The Department of Health Care Services (DHCS) is required by state and federal law to send Form 1095-B information to the IRS and FTB for the purpose of validating months of health coverage reported by the person filing their state and/or federal taxes.
Can the IRS fine you for not having 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. If you don't have health coverage, you don't need an exemption to avoid paying a tax penalty.
Does having health insurance affect your tax return?
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. If you received federal or state financial help, you'll report that as well.
Is health insurance required by the IRS?
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.
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Is it legally required by the federal government to have health insurance?
There are no federal laws that impose a penalty or fine for not having health insurance. But there are some states, and one district, that have individual health insurance mandates. If you live in one of these states, you need health insurance coverage: California.
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The Tax Cut and Jobs Act (TCJA) repealed the penalty (made the penalty amount $0) starting with tax year 2019. But you may wonder, “Do I need health insurance to file taxes after the ACA penalty was repealed?”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.
Why is the IRS asking me for form 8962?
Premium tax credit (PTC).
The credit provides financial assistance to pay the premiums for the qualified health plan offered through a Marketplace by reducing the amount of tax you owe, giving you a refund, or increasing your refund amount. You must file Form 8962 to compute and take the PTC on your tax return.
How can I avoid paying back my premium tax credit?
Report any changes in your income during the year to the Marketplace, so your credit can be adjusted and you can avoid any significant repayments at the end of the year.
Is it worth claiming medical expenses on taxes?
The medical expense deduction covers a wide variety of expenses. However, because of the high Standard Deduction and the 7.5% of AGI threshold requirement, it can be difficult to benefit unless you have a lot of out-of-pocket costs.
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.
In what states is it illegal to not have health insurance?
- California.
- D.C.
- Massachusetts.
- New Jersey.
- Rhode Island.
- Vermont (but there's currently no financial penalty attached to the mandate)
What form does the IRS need for health insurance?
Form 1095-B Proof of Health Coverage. NOTE: Your Form 1095-B is proof of healthcare insurance for the IRS and does not require completion or submission to DHCS. Please keep this form for your records. To understand more about the Federal and State Individual Mandates, please see the information and links below.
What is the IRS penalty for not having health insurance?
Congress eliminated the federal tax penalty for not having health insurance, effective January 1, 2019.
How does the government know if you have health insurance?
The health insurance coverage you have during the year will be reported to the federal government when you file your annual taxes. Health insurers, employers that sponsor health plans and agencies that administer government health plans will file annual reports to the IRS about who is covered under their plans.
Does 1040 ask about health insurance?
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.
Why do I owe taxes because of 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 I underestimate my income for Obamacare in 2024?
For the 2024 tax year, if you underestimated your income and received a larger tax credit than you were eligible for, you must repay the difference between the amount of premium tax credit you received and the amount you were eligible for.
What happens if I don't report my 1095-A?
You can use Form 1095-A to reconcile any advance premium tax credits you received during the year with the amount of credits you were eligible to receive. If you fail to file a tax return reconciling those payments, you will not be eligible for premium tax subsidies in the next year.
Why do I have to pay back my health insurance tax credit?
If you use more advance payments of the tax credit than you qualify for based on your final yearly income, you must repay the difference when you file your federal income tax return. If you use less premium tax credit than you qualify for, you'll get the difference as a refundable credit when you file your taxes.
What reasons would the IRS reject your return?
- Mismatched Personal Information. ...
- Previously Accepted Return. ...
- Dependent Claimed On Another Return. ...
- Dependent Files Own Return. ...
- Electronic Signature Mismatch. ...
- EIN Does Not Match.
What happens if I don't fill out form 8962?
Taxpayers who are required to reconcile APTC and who file on paper but do not include Form 8962 will generally receive letters from the IRS. Because business rule F8962-070 only applies to electronically filed returns, these paper-filed returns will be accepted and the IRS will generally follow up by mail.
Does the IRS require you to have health insurance?
Enacted in December 2017, the Tax Cuts and Jobs Act (TCJA) reduced the shared responsibility payment to zero for tax year 2019 and all subsequent years. For January 1, 2019 and beyond, taxpayers are still required by law to have minimum essential coverage or qualify for a coverage exemption.
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.
Is health insurance still required by law?
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.