As a matter of fact, the IRS recently announced that they would be rejecting any tax returns that neglected to affirm/or deny that the taxpayer had health coverage for the year. This has been previously rumored to be a way to avoid the penalty, and a possible way the Trump administration would undermine the Individual Mandate.
The fee for not having health insurance in 2018
The fee is calculated 2 different ways – as a percentage of your household income, and per person. You’ll pay whichever is higher.
Percentage of income
- 2.5% of household income
- Maximum: Total yearly premium for the national average price of a Bronze plan sold through the Marketplace
- $695 per adult
- $347.50 per child under 18
- Maximum: $2,085
However, the fee is prorated and the average penalty is around $200.
Additionally, there is no penalty if you have had ACA compliant coverage for 10 months. This means you can purchase a less expensive short term plan to cover you for November and December with no penalty.
The fee for not having health insurance in 2019
There is no penalty for not having ACA mandated coverage in 2019 unless you live in a state like New Jersey where it is mandated by the state. Because of this, short-term medical plans will be extremely popular in 2019 because they provide access to larger PPO networks at lower prices than ACA Bronze plans.