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What Health Care Reform Means for Your Tax Return

The latest on what to watch for- and what to do (Article from ConsumerReports Magazine)

Irs Commisioner, John Koskinen recently warned taxpayers that they could wait and average of 34 minutes before reaching a human being on the agency's phone lines this tax season. And that's if they're among the half of all callers who get through at all. The agency, already resource-poor, has seen lawmakers cut funding further while saddling it with new responsibilites- most notably those related to the Affordable Care act (ACA). The drop in IRS phone service coincides with what will probably be an increase in calls-many of them also related to the health care reform act. Now taxpayers are required to be covered by health insurance, have a valid reason for lack of coverage, or pay a "shared responsibility" tax. Here's how to wade through the confusion- and maybe even save some money: 

Prove You're Covered

You'll need to check a box on Form 1040, line 61, indicating that everyone in your household had health insurance for all of 2014. (Some plans don't count. They include coverage only for vision or dental care, or a specific disease or condition; workers' compensation; and plans that only offer discounts on medical services.)

The ACA doesn't require taxpayers to submit documentation of health coverage with their returns, an IRS spokesman told us. But keep proof for your own records: a copy of your insurance card; insurance statements (such as an explanation of benefits); payroll statements or W-2s from your employer reflecting health insurance deductions; or IRS Form 1095-A, which insurers in state marketplaces are required to send participants. (Contact your marketplace if you don't get it by early February; you'll need it to do your taxes).

Apply for an Exemption 

​You can claim exemptions from health care coverage on your tax return for a number of reasons, including financial hardship, a gap in coverage that was less than three consecutive months last year, or because you're not a citizen. (For more information, go to irs.gov and use the search term "ACA exemptions.") To request an exemption, you'll need to fill out the new IRS Form 8965, "Health Coverage Exemptions." In some cases, you can claim an exemption only if it was already granted by your state's insurance marketplace. For details on how to proceed, go to heathlcare.gov/fees-exemptions/apply-for-exemption

Adjust Your Tax Credits

Your calculations for Form 1040 will determine whether you received more in tax credits than you were entitled to- and therefore must pay more when you file- or got too little and deserve a refund. If you got a 2014 tax credit (or think you're due one), file IRS Form 8962, "Premium Tax Credit", with Form 1040 or 1040A. (Tax-credit recipients can't use Form 1040-EZ.) For details, go to ConsumerUnion.org/healthinsurancehelp.


"What Health Care Reform Means for Your Tax Return." ConsumerReportsFeb. 2015: 14.

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Charles B. Benvenutti, CPA, PA  Est. 1982