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Application for Exemption From the Individual Responsibility Requirement for Individuals Who Experience HardshipsUse this application to apply for a hardship exemption from the individual responsibility requirement. All.

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Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Eligibility limits for single adults without dependent children are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

The Penalty Amount The penalty is the greater of two amounts—the flat dollar amount ($695) or the percentage of income amount (2.5% of income).

You may be eligible for free coverage called Medicaid if your household's monthly income is below the following amounts: You're a single adult without dependent children with monthly household income up to $2,612.25 ($31,347 annually)

DC Healthy Families is a program that provides free health insurance to DC residents who meet certain income and U.S. citizenship or eligible immigration status to qualify for DC Medicaid.

DC Residency A copy of an active lease agreement, certified deed, or mortgage statement with DC address. A phone or utility bill from within the past two months. DC voter registration card. A valid District of Columbia motor vehicle registration or DC DMV identification card.

Short coverage gap: You claim this exemption when you file your tax return. Most people file their taxes sometime between January and April for income earned in the previous year. US citizen who lived abroad during the tax year OR you were not lawfully present: You claim this exemption when you file your tax return.

Members of Congress and their designated staff; People who are uninsured; People who buy their own health insurance; or. People who work part-time and don't qualify for their employer's benefits.

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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
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 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