OK – not so user-friendly.
In the spirit of tax forms everywhere, the new forms for filing are equal
in complexity to the law that they were invented to enforce. The good news – once we tax preparers figured
them out, they’re really not so bad.
Here’s what the Affordable Care Act means as you file your
2014 tax returns.
1. If you have health
insurance from any source other than the Marketplace (healthcare.gov), all you
have to do is check a box. Done.
2. If you have health
insurance through the Marketplace, the Marketplace sends you a form
1095-A.
This lists the subsidies (if
any) that were paid directly to the insurance carrier to supplement your
monthly payment. Did you receive too
much in subsidies? Too little? You’ll reconcile this on form 8962 of your
tax return. If you were paid too much,
the overpayment will be subtracted from your refund (or added to the amount
owed.) If you were paid too little, the
amount underpaid will be refunded to you (or subtracted from the amount
owed.)
3. If you did not
have health insurance, your Shared Responsibility Payment (SRP) will be
calculated on a worksheet that accompanies form 8965 of your tax return. The SRP is calculated on a monthly basis for
each month you or any of your dependents did not have health insurance.
But wait! There are a
number of exemptions to the requirement for health insurance. If you or any of your dependents qualify for
an exemption, it is recorded on form 8965.
If your income is below the level for filing income taxes, or if your
income is below 138% of the federal poverty level in a state that didn’t expand
Medicaid, you qualify. You also qualify
if your coverage gap is fewer than three months, or if your coverage gap is a
result of the less-than-stellar initial rollout of healthcare.gov. The full list of exemptions and their codes
can be found at http://www.irs.gov/pub/irs-pdf/i8965.pdf. Note that this list of exemptions applies
only to your 2014 return; the exemptions and the process for qualifying for
exemptions are expected to change for the 2015 tax season. The SRP is expected to go up for the 2015 tax
season.
This year’s tax season has been eye-opening to me as a
preparer as well as to our clients.
Some, who knew last year that they were too poor to qualify for
subsidies on the marketplace, were relieved that they would be granted an
exemption while our state legislature makes decisions on dealing with the
coverage gap from not expanding Medicaid.
Some clients found out during our tax preparation session that they would
be assessed the Shared Responsibility Payment this year and next year, and that
they were too late to enroll for 2015 coverage, as open enrollment closed on
February 15.
Will Utah implement a program to cover the uninsured that
are too poor for healthcare.gov but too wealthy for Medicaid as it currently
exists. Will the federal government
extend the open enrollment period for healthcare.gov to make it align with tax
season? The adventure continues…