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  • 2020 Form 3853, Health Coverage Exemption And Individual Shared Responsibility Penalty. 2020 Form

Get 2020 Form 3853, Health Coverage Exemption And Individual Shared Responsibility Penalty. 2020 Form

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How to fill out the 2020 Form 3853, Health Coverage Exemption And Individual Shared Responsibility Penalty online

This guide provides comprehensive instructions on how to accurately complete the 2020 Form 3853, which addresses health coverage exemptions and the individual shared responsibility penalty. By following these steps, users can ensure they fulfill their obligations while making the process easier and more clear.

Follow the steps to accurately complete your form

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. In Part I, list all applicable household members in the designated fields. For each member, provide their first name, initial, last name, social security number (SSN) or individual taxpayer identification number (ITIN), date of birth, modified adjusted gross income (AGI), and any exemption certificate numbers (ECNs) if available.
  3. Next, proceed to Part II to claim any coverage exemptions for your household. If your applicable household income is below the filing threshold, check the appropriate box as instructed.
  4. In Part III, report coverage and exemptions for individuals in your household. Fill out the required fields, including coverage and exemption codes for each member listed in Part I.
  5. Finally, complete Part IV by calculating your individual shared responsibility penalty and entering the amount in the corresponding lines of your California tax return forms.
  6. Once you have filled out all sections, save your changes. You can also download, print, or share the completed form as needed.

Start completing your 2020 Form 3853 online today.

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Though there is no uninsured tax penalty on a federal level, individual states, like California, can still implement mandates. You may still need to pay a tax penalty if you live in California and do not have health insurance.

If you do not have health insurance, Covered California can help you determine if you qualify for Medi-Cal or federal subsidies, and can provide you with coverage options and plan costs. You can contact Covered California by phone at (800) 300-1506, TTY: (888) 889-4500 or by visiting their website at .coveredca.com.

California residents, and their dependents, are required to have health insurance or face a penalty. Enrolling in student health insurance is one way to meet that requirement. However, low-cost coverage may also be available through Medi-Cal or through Covered California.

The penalty for not having coverage the entire year will be at least $850 per adult and $425 per dependent child under 18 in the household when you file your 2022 state income tax return in 2023.

Form FTB 3853 Health Coverage Exemptions and Individual Shared Responsibility Penalty. Use Form FTB 3853 to determine if you owe an individual shared responsibility penalty or to claim exemptions from the state individual health coverage mandate on your California state tax return.

The penalty for no coverage is based on: The number of people in your household. Your California state income....Sample penalty amounts for 2021. Household sizeIf you make less thanYou may payIndividual$49,763$800Married Couple$92,100$1,600Family of 4 (2 adults, 2 children)$142,000$2,400 3 Jan 2022

Under the new law, California residents who do not have coverage for themselves and their dependents in 2020, and who do not otherwise qualify for an exemption, will pay an Individual Shared Responsibility Penalty when they file their 2020 California income tax returns in 2021.

Not required to file a tax return. Only one form FTB 3853 should be filed for each applicable household. If you can be claimed as a dependent by another taxpayer, you do not need to file form FTB 3853 and do not owe an Individual Shared Responsibility Penalty.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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