Avoid the Penalty

Coloradans with certain scenarios may still be able to apply or change their coverage.

Open Enrollment for 2018 ended on January 12th.

In the federal tax bill that was passed by Congress in late 2017, the penalty that requires individuals to have a Qualified Health Plan or pay a penalty was repealed starting in 2019. For 2018, the penalty remains the law. All U.S. citizens and legal residents are required to have health insurance or face a tax penalty. Health insurance can include insurance through your job, coverage you buy on your own, Health First Colorado (Colorado’s Medicaid Program) or Medicare.

We can help you:

  • Save on your monthly health insurance costs
  • Avoid a penalty at the end of the year
  • Get the peace of mind health insurance provides in the event of an emergency or long-term health issue

Get Covered Instead of Paying a Fine

Make sure you are covered in 2018 to avoid a fine. The penalty for not having health insurance in 2018 will be $695 per person or 2.5% of your household income, whichever is greater. Health insurance through your job, coverage purchased through Connect for Health Colorado, Health First Colorado (Colorado’s Medicaid Program) or Medicare all meet the federal requirement to be covered. Learn more about the requirement to have Minimum Essential Coverage.

Tax Penalty

This year, Open Enrollment ended on January 12, 2018. You may still be able to enroll under certain scenarios such as moving, having a baby, getting married or losing employer-sponsored health insurance. You must apply for the new coverage within 60 days of the Qualifying Life Change Event.

Exempt from the Law?

Individuals in the following situations can get an exemption from the law:

  1. People who qualify for religious exemptions
  2. Immigrants who are not lawfully present
  3. People who are incarcerated
  4. Members of federally-recognized tribes and certain other Native Americans

Other exemptions could include:

  1. The cost of insurance was deemed “unaffordable.” If the lowest cost Bronze-level Marketplace plan available to you in 2017 cost more than 8.05 percent of your household income. Use the tool below to determine if this applies to you.
  2. Being homeless
  3. Eviction in the past 6 months or were facing eviction or foreclosure
  4. Experiencing a fire, flood, or other natural or human-caused disaster that caused substantial damage to your property
  5. Filing for bankruptcy in the last 6 months
  6. Having medical expenses you couldn’t pay in the last 24 months

Calculating an Affordability Exemption

If the lowest cost Bronze-level Marketplace plan available to you in 2017 cost more than 8.05 percent of your household income, you qualify for a health coverage exemption. This means you wouldn’t have to pay the fee for any months you were uncovered in 2017.

IMPORTANT: The only way to know if you qualify for this exemption is to complete your 2017 federal income tax return.

Find your lowest cost Bronze-level plan

If you believe any of the above exemptions or circumstances applies to you, you can find the appropriate forms and more information here.

How to Confirm Your Coverage

In January 2018, we will send you a Form 1095-A with more information on how to confirm your coverage and/or the amount of advance premium tax credit you received to help pay for your premiums in 2017. Learn more.

2016 Tax Information