DHSS Press Release

TAXPAYERS WILL SEE IMPACT OF AFFORDABLE CARE ACT COVERAGE WHEN THEY FILE TAXES THIS YEAR

NEW CASTLE (Feb. 3, 2015) – Under the Affordable Care Act, most Americans are required to have health insurance or face a financial
penalty, which will be assessed for the first time when they file their federal income taxes this year.

The law requires individuals and each member of their family to have qualifying health care coverage, qualify for an exemption, or
pay a fee when they file their taxes.

All taxpayers must report their 2014 insurance status on their federal tax form. Most people have qualifying coverage through their
jobs or through government programs such as Medicare and Medicaid; they will simply need to check a box on their tax return.

Taxpayers who qualify for a health coverage exemption will attach a new form – IRS Form 8965 – to their federal return to claim
that exemption.

Those who were not exempt and who went uninsured for more than three months in 2014 will face a penalty of as much as $95 per
person ($47.50 per child under 18) or 1 percent of their annual household income, whichever is higher. Only the amount above the
tax filing income threshold of $10,150 will be used to calculate the penalty. Generally, the higher your income and the more months
you were without health coverage, the higher the fee.

The federal Health Insurance Marketplace is mailing Form 1095-A, “Health Insurance Marketplace Statement,” by early February to
taxpayers who purchased 2014 insurance through the Marketplace. Form 1095-A includes information they will need to complete IRS
Form 8962, “Premium Tax Credit.”

To have received a tax credit on their 2014 Marketplace plan, individuals were required to estimate their household income for
2014. Based on that estimate, the Marketplace set the amount of the tax credit, and the government then sent subsidies to the
insurance companies to reduce the plan holder’s monthly premiums.

The actual amount of the tax credit is determined by individuals’ final income for the year, which they’ll find out when they
complete their taxes. If the amount of the advance credit they received in 2014 is less than the amount of the actual credit they
qualify for on Form 8962, the difference will either be added to their refund or subtracted from the amount of taxes they owe. If
the amount of the credit received is more than the credit on Form 8962, the difference will be subtracted from their refund, added
to the amount of taxes owed, or represented as a balance due. The IRS said last week that for those individuals who got credits
that turned out to be too large, it will waive late payment and other IRS penalties for 2014 if taxpayers are current on their
filing obligations and report the excess payments on their tax forms.

Feb. 15 is the deadline to purchase health coverage and avoid paying a penalty for 2015. If individuals do not have coverage or do
not qualify for an exemption this year, they will face higher penalties when they file their 2015 taxes a year from now: $325 per
person ($162.50 per child under 18) or 2 percent of annual household income, whichever is higher.

In addition to the penalty, an individual or family who doesn’t have coverage is responsible for paying 100 percent of any
medical expenses they incur. To estimate your 2015 penalty, use the penalty calculator at www.ChooseHealthDE.com.

For more information and help with Marketplace coverage and taxes, visit a tax preparer or organization, or go to www.Healthcare.gov/taxes or www.irs.gov/aca.

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health
and well-being, fostering self-sufficiency, and protecting vulnerable populations.