3 Premium Tax Credit Considerations

Medical insurance

The Healthcare Marketplace open enrollment runs through January 31, 2016. After January 31, 2016, you will not be able to buy a Marketplace health insurance plan for the remainder of 2016 unless you have a qualifying life change. You may be subject to a tax penalty for every month you do not have minimum basic coverage or can’t claim an exemption.

When you apply for assistance to help pay the health insurance premiums for coverage through the Health Insurance Marketplace (HealthCare.gov), the Marketplace will estimate the amount of the premium tax credit that you may be able to claim if you meet the criteria.

According to the IRS.gov, there are three things you should consider during the Health Insurance Marketplace Open Enrollment period:

  1. Advance credit payments lower premiums – You can choose to have all, some, or none of your estimated credit paid in advance directly to your insurance company on your behalf to lower what you pay out-of-pocket for your monthly premiums.  These payments are called advance payments of the premium tax credit or advance credit payments.  If you do not get advance credit payments, you will be responsible for paying the full monthly premium.
  2. A tax return may be required – If you received the benefit of advance credit payments, you must file a tax return to reconcile the amount of advance credit payments made on your behalf with the amount of your actual premium tax credit.  You must file an income tax return for this purpose even if you are otherwise not required to file a return.
  3. Credit can be claimed at tax time – If you choose not to get advance credit payments, or get less than the full amount in advance, you can claim the full benefit of the premium tax credit that you are allowed when you file your tax return. This will increase your refund or lower the amount of tax that you would otherwise owe.

Account On Us offers many services for individuals such as income tax preparation, estate tax preparation, gift tax preparation, IRS inquiries, audits and tax planning. If you have a personal tax or accounting need, contact us at (407)-892-1266 or visit us online at AccountOnUs.org to assist you in the right direction.

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