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  • Application For Exemption For Individuals Who Experience Hardships

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Form Approved OMB No. 0938-1190 Application for Exemption from the Shared Responsibility Payment for Individuals who Experience Hardships Starting in 2014, every person needs to have health coverage.

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If your income is below your minimum threshold for filing a federal income tax return, you are exempt from the individual shared responsibility provision and are not required to file a federal income tax return solely to claim the exemption.

If you're seeking an exemption because you can't afford coverage, you're a member of a federally recognized tribe, you're incarcerated, or you participate in a recognized health care sharing ministry, you have two options: The exemptions can be claimed when you complete your federal tax return.

A hardship exemption may be granted for these accepted circumstances: Homelessness. You have been evicted in the last six months or are facing foreclosure. You received a shut-off notice from a utility company.

If you or anyone in your family were without qualifying health coverage for any month during the year, you should determine if you qualify for a health coverage exemption. If you qualify for an exemption, you will not have to make the individual shared responsibility payment for that month.

To avoid a penalty for no health insurance, you must have either a valid exemption or you must be enrolled on a qualified health plan. If you are uninsured for part of the calendar year, you may still be exempt from a penalty so long as you are uninsured for less than three consecutive months.

Rhode Island, and California. 1 RyanJLane / Getty Images. A health insurance exemption allows you to avoid paying the tax penalty for being uninsured. If you get a health insurance exemption, you don't have to buy health insurance coverage during the time you're exempt, and you won't be penalized for being uninsured.

Rhode Island, and California. 1 RyanJLane / Getty Images. A health insurance exemption allows you to avoid paying the tax penalty for being uninsured. If you get a health insurance exemption, you don't have to buy health insurance coverage during the time you're exempt, and you won't be penalized for being uninsured.

Hardships are financial situations and other circumstances that keep you from getting health insurance. If you qualify for a hardship exemption, you don't have to pay a fee for the months you were uncovered.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232