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Find Out if Your Health Coverage is Qualifying Coverage under the Health Care Law

7/30/2015

 
The Affordable Care Act (ADA) requires you and each member of your family to have qualifying health care coverage, qualify for an exemption from the responsibility to have minimum essential coverage, or make an individual shared responsibility payment when you file your federal income tax return.   For purposes of ADA, qualifying health care coverage is also known as minimum essential coverage.

Minimum existential coverage includes:

  • Health plans offered in the individual market - plans offered by a health insurance issuer licensed by a state, including a qualified health plan offered through the federally-facilitated or a state-based Health Insurance Marketplace.

  • Grandfathered health plans - plans that were in existence on March 23, 2010 and haven't been changed in ways that substantially cut benefits or increase costs for consumers - for more information, visit Healthcare.gov.

  • Government-sponsored programs
  1. Medicare Part A
  2. Medicaid, except for certain programs
  3. The Children's Health Insurance Program, better known as CHIP
  4. Coverage under the TRICARE program, except for certain programs
  5. Coverage consisting of the medical benefits package for eligible veterans
  6. Civilian Health and Medical Program of the Department of Veterans Affairs
  7. Comprehensive health care for children suffering from spina bifida who are the children of Vietnam veterans and veterans of covered service in Korea
  8. A health plan for Peace Corps volunteers
  9. The Non-appropriated Fund Health Benefits Program of the Department of Defense

  • Employer-sponsored plans - coverage that you have through your employer, including:
  1. A plan or coverage offered in the small or large group market within a state
  2. A self-insured group health plan for employees
  3. The Non-appropriated Fund Health Benefits Program of the Department of Defense
  4. A government plan, such as the Federal Employees Health Benefits Program
  5. COBRA coverage
  6. Retiree coverage

  • Other coverage designated by the Department of Health and Human Services
  1. Coverage under Medicare Part C - Medicare Advantage
  2. Refugee Medical Assistance
  3. Employer coverage provided to business owners who are not employees
  4. Coverage under a group health plan provided through insurance regulated by a foreign government if it meets certain requirements.

Minimum essential coverage does not include coverage that may provide limited benefits.

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  • Home
  • About
    • Book An Appointment
  • Accounting
    • Dashboard
    • Xero+Accountency
    • Xero Intro
    • AutoMagical Accounting
    • QuickBooks >
      • QuickBooks Updates
    • Store
  • Payroll
  • Taxes
    • Dashboard
    • Individuals
    • Businesses
    • Tax Stuff >
      • Individuals >
        • Income >
          • Debt Forgiveness
          • Foreign Income
          • Gambling Income
          • Unemployment
          • Other Income
        • Deductions & Credits >
          • Adoption
          • Charitable Contributions
          • Earned Income Tax Credit
          • Educational Expenses
          • Energy Tax Credits
          • Employee Business Expenses
          • Other Deductions and Credits
        • Affordable Care Act - Individuals
        • Children and Dependents
        • Death
        • Disabled Taxpayers
        • Educators
        • Health Care
        • Identify Theft
        • Marriage and Divorce
        • Military
        • Real Estate
        • Retirement Savings
        • Seniors
        • State Taxes
        • Record Keeping
        • Who Must File
        • Other Topics
      • Businesses >
        • Affordable Care Act - Businesses
        • Year-end Reporting Obligations >
          • 1099's
          • Health Insurance Premiums
          • Depreciation
          • Reimbursed Employee Business Expenses
          • Company Automobiles
        • Employment Tax Credits
        • Independent Contractors
        • Tax Credits and Deductions for Businesses
        • Other Business Topics
        • Required Business Posters
      • Amended Returns
      • IRS Notices and Problems
      • Tax Plan >
        • All About the Earned Income Tax Credit
        • 5 IRS Audit Red Flags
        • Retirement Plans for Sole Proprietors
        • Are You Claiming All of Your Tax-Deductable Business Expenses for 2015?
        • All About Past Due Tax Returns
        • Do You Need to File Form 1099s?
        • How to File an Appeal with the IRS
        • Why You Might Get a Letter from the IRS, and What to Do
        • How to File an Amended Tax Return
        • Should You Claim the Home Office Deduction?
        • How to Avoid -- And Deal with -- Identify Theft
        • Q & A: IRS Audits
        • Are You Using the Right Business Structure?
        • Starting Planning for 2015 Income Taxes Now: 5 Tips
        • What You Need to Know About Estimated Taxes
        • Contractor or Employee? How the Income Tax Obligations Differ
        • The New Form 1095-A: Reporting Health Insurance Coverage
        • Are Your Social Security Payments Taxable?
        • Do You Qualify for the Earned Income Tax Credit?
        • Are You Eligible for Health Insurance Tax Credits
        • Employee Retirement Plans - Tax Advantages and Other Benefits
        • 5 Business Tax Credits You May Be Missing
        • New Business in 2012
        • Is it a Bad Debt or a Simple Revenue Loss? Telling the Difference
        • Business Taxes Add Complexity: How Will This Affect You?
      • Tax Scams