The fee is calculated 2 different ways – as a percentage of your household income, and per person. You’ll pay whichever is higher.
2.5% of household income
Maximum: Total yearly premium for the national average price of a Bronze plan sold through the Marketplace
$695 per adult
$347.50 per child under 18
Using the percentage method, only the part of your household income that’s above the yearly tax filing requirement is counted.
Using the per-person method, you pay only for people in your household who don’t have insurance coverage.
If you have coverage for part of the year, the fee is 1/12 of the annual amount for each month you (or your tax dependents) don’t have coverage. If you’re uncovered only 1 or 2 months, you don’t have to pay the fee at all. Learn about the “short gap” exemption.
You pay the fee when you file your federal tax return for the year you don’t have coverage.
The IRS will hold back the amount of the fee from any future tax refunds. There are no liens, levies, or criminal penalties for failing to pay the fee.
Any plan that meets the standards for qualifying health coverage counts under the health care law. If it does, you won’t have to pay the fee.
You can buy qualifying health coverage directly from an insurance company, from an online seller, or through an agent or broker.