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Will I be 
penalized 
for not having health insurance?
“Shared Responsibility 
Payment” 
 The “shared responsibility payment,” also 
known as penalties for not having health 
insurance, kicks in this year for 2014. 
 The employer requirements were extended 
to 2015 and 2016, depending on the size of 
the business, but the individual penalties are 
applicable for the 2014 tax year returns 
which will be filed in 2015.
“Shared Responsibility 
Payment” (continued) 
 This does not apply to those who have 
qualifying health insurance through their 
work or those on Medicaid, Medicare, etc
What will the penalty be? 
 The penalty is the greater of either the flat 
dollar amount or 1% or the taxpayers excess 
income (defined below). 
 All these calculations will be getting larger 
over the next couple of years.
What will the penalty be? 
(continued) 
 The flat dollar amount per individual goes up 
from $95 in 2014 to $325 in 2015 to $695 in 
2016. 
 The income percentage applied to 
taxpayers’ excess income goes up from 1% 
in 2014 to 2% in 2015 to 2.5% in 2016.
How does it work? 
 Let’s say you have a family of three with an 
$80,000 AGI. The child is under 
18. Therefore, the flat dollar amount for 
2014 is $227.50 (95.00 + 95.00 + 
47.50). Children under 18 are counted at 
1/2 the adult fee. However, excess income 
is the amount over the total of their standard 
deduction and exemptions. In this case their 
excess income is $55,750.
How does it work? 
(Continued) 
 For 2014 the standard deduction for MFJ is 
$12,400 and the exemptions are $3,950 
each for a total of 11,850. Anyway, let’s 
assume my math is correct and their excess 
income is $55,750. One percent of that is 
$557.50, thus their penalty is $557.50. As 
mentioned above, their penalty is the 
greater of the flat dollar amount or 1% of 
their excess income as defined by the IRS.
How is “Excess Income” 
determined? 
 To determine “excess income,” you use the 
standard deduction, whether or not you 
itemize. In other words, excess income can 
be greater than taxable income.
Can I just pay the penalty? 
 For those considering paying the penalty 
going forward, keep in mind that the penalty 
amount will be going up significantly over 
the next two years. 
 Note: Refer back to the information about 
increases in the years 2015 and 2016.
Are there exceptions? 
 There are a number of exceptions to paying 
the penalty. 
 To see if you qualify please visit 
Healthcare.gov. Particularly, you may want 
to look at hardship exemptions.
When will I have to pay? 
 If you are required to pay, the fee for not 
having health insurance will be calculated 
on your tax return and taken out of any 
refund.
If you have any questions . . . 
 Feel free to contact the Derland Bahr CPA 
firm at 254-432-5724. 
 Or visit our website at 
DerlandBahrCPA.com.

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Penalty for not having health insurance

  • 1. Will I be penalized for not having health insurance?
  • 2. “Shared Responsibility Payment”  The “shared responsibility payment,” also known as penalties for not having health insurance, kicks in this year for 2014.  The employer requirements were extended to 2015 and 2016, depending on the size of the business, but the individual penalties are applicable for the 2014 tax year returns which will be filed in 2015.
  • 3. “Shared Responsibility Payment” (continued)  This does not apply to those who have qualifying health insurance through their work or those on Medicaid, Medicare, etc
  • 4. What will the penalty be?  The penalty is the greater of either the flat dollar amount or 1% or the taxpayers excess income (defined below).  All these calculations will be getting larger over the next couple of years.
  • 5. What will the penalty be? (continued)  The flat dollar amount per individual goes up from $95 in 2014 to $325 in 2015 to $695 in 2016.  The income percentage applied to taxpayers’ excess income goes up from 1% in 2014 to 2% in 2015 to 2.5% in 2016.
  • 6. How does it work?  Let’s say you have a family of three with an $80,000 AGI. The child is under 18. Therefore, the flat dollar amount for 2014 is $227.50 (95.00 + 95.00 + 47.50). Children under 18 are counted at 1/2 the adult fee. However, excess income is the amount over the total of their standard deduction and exemptions. In this case their excess income is $55,750.
  • 7. How does it work? (Continued)  For 2014 the standard deduction for MFJ is $12,400 and the exemptions are $3,950 each for a total of 11,850. Anyway, let’s assume my math is correct and their excess income is $55,750. One percent of that is $557.50, thus their penalty is $557.50. As mentioned above, their penalty is the greater of the flat dollar amount or 1% of their excess income as defined by the IRS.
  • 8. How is “Excess Income” determined?  To determine “excess income,” you use the standard deduction, whether or not you itemize. In other words, excess income can be greater than taxable income.
  • 9. Can I just pay the penalty?  For those considering paying the penalty going forward, keep in mind that the penalty amount will be going up significantly over the next two years.  Note: Refer back to the information about increases in the years 2015 and 2016.
  • 10. Are there exceptions?  There are a number of exceptions to paying the penalty.  To see if you qualify please visit Healthcare.gov. Particularly, you may want to look at hardship exemptions.
  • 11. When will I have to pay?  If you are required to pay, the fee for not having health insurance will be calculated on your tax return and taken out of any refund.
  • 12. If you have any questions . . .  Feel free to contact the Derland Bahr CPA firm at 254-432-5724.  Or visit our website at DerlandBahrCPA.com.