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Know The Key Dates For Health Care Reform

Updated for Tax Year 2015


OVERVIEW

"Open enrollment periods for the health insurance marketplace under the Affordable Care Act are limited" says Mac Schneider, a retired certified public accountant from Albion, Michigan. “Avoiding tax penalties requires awareness of important dates that may vary year-to-year.” As well as key dates, there are time cycles and coverage gap allowances important to health insurance coverage under provisions of health care reform.


Open enrollment for 2016

The Affordable Care Act (ACA) open enrollment period to sign up for coverage that starts on January 1, 2016 runs from November 1, 2015 through December 15, 2015. January 15, 2016 is the last day to sign up for coverage that begins February 1, 2016. If you don't enroll in a 2016 health insurance plan by January 31, 2016, you will not be able to enroll in a 2016 plan unless you qualify for a Special Enrollment Period.

Contributions to Flexible Spending Accounts

The ACA introduced an annual contribution cap limit of $2,500 for Flexible Spending Accounts (FSA). Contributing to an FSA through your employer's plan allows you to divert pre-tax income, resulting in lower taxable income for a tax year. Of course, you must use the money you withdraw from your FSA only for qualified health-related expenses to maintain its tax advantaged treatment.

Qualifying life events

You can bypass date requirements for health care reform open enrollment periods if you experience a life event leading to a change in health care coverage. These life events can include:

  • Losing health care coverage, such as through a change of employment status
  • Changes to your marital status
  • The birth of a child
  • If you’re covered under your parents' plan but reach your 26th birthday

Changes to income may alter your eligibility for health coverage subsidies for existing qualified coverage. New U.S. citizens are also eligible for enrollment at any time under qualifying life event provisions. You can apply for Medicaid or the Children's Health Insurance Program at any time through a year.

Open Enrollment for future years

Future open enrollment periods are expected to continue to be late in fall to early winter. Penalties for remaining uninsured are either a flat fee per person in a household or a percentage of household earnings, whichever is highest. These rates increase each year until 2016, after which penalties are indexed with inflation. Penalties are withheld from tax refunds in the current year or, if a taxpayer has a balance owing, from refunds in future years. Interest is charged on unpaid penalties, but unlike other tax amounts owing, the IRS can't impose liens or other criminal penalties for failure to pay.

Not sure if you are exempt from the tax penalty or from the requirement to purchase health insurance? The TurboTax Exemption Check, is a free, online tool to help determine whether you might be eligible to waive the tax penalty entirely and apply for a health care exemption.

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The above article is intended to provide generalized financial information designed to educate a broad segment of the public; it does not give personalized tax, investment, legal, or other business and professional advice. Before taking any action, you should always seek the assistance of a professional who knows your particular situation for advice on taxes, your investments, the law, or any other business and professional matters that affect you and/or your business.


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