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American Insurance NW Inc. Blog

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ACA Penalty Tax doubles for 2016

The ACA individual mandate tax penalty for no health coverage is much larger for 2016. If you can afford health insurance but choose not to buy it in 2016, you must pay a fee or have a health coverage exemption. The uninsured could pay at least $695 per person when filing their 2016 Federal Income Tax (FIT) for not having qualified health coverage. This is more than double the penalty tax for the 2015 tax year which is $325 per person or 2% of your yearly household income.

AMERICAN INSURANCE has Exchange / Marketplace Certified Health Agents that can help by providing you with the best value options for your family! You may find that you will have lower costs if you qualify for premium tax credits. Certified Health Agents Dave Root, Mike Everett and Tim Gleason can help Idaho and Washington residents find the coverage they need to avoid paying a penalty for 2016.

PENALTY EXPLAINED. How much of a fine are you facing if you opt out of health care coverage?

Your 2016 tax is the greater of either:

  • A flat-dollar amount based on the number of uninsured people in your household, which is $695 per uninsured adult, plus $347.50 for each uninsured child under age 18. The maximum penalty per family using this method is $2,085.
  • A percentage of your income up to the national average cost of a Bronze plan, or 2.5% of the income above the tax filing threshold.

For example: For 2016 FIT, an individual earning less than $37,000 would pay just $695 (flat-dollar calculation) while an individual earning $200,000 would pay about $4,750. The penalty for a family of four with total income earned of $60,000 would be $2,085.

The tax penalty will be inflation adjusted for future tax years of 2017 and beyond.

OPEN ENROLLMENT for Health Exchange / Marketplace is November 1, 2015 to January 31, 2016.

Individuals must enroll for health insurance during open enrollment to avoid paying a FIT penalty for 2016 unless otherwise exempt or eligible for a Special Enrollment Period. For free assistance, Idaho and Washington residents are invited to contact AMERICAN INSURANCE.

Source:, Fee & Exemptions