Under the Affordable Care Act (ACA ), most people need to have health insurance in order not to pay the "single shared responsibility payment.", a recent analysis by the Congressional budget Office (CBO) does not realize that 87 percent of the uninsured, the fee on end up paying in 2016.
to the analysis of According to CBO, there are 30 million uninsured Americans, yet only four million are expected to pay the fee to control time. 
the reason: there are several exceptions to this fee, including "emergency exceptions" affordability exceptions, membership in a federally recognized tribe, membership in a health Sharing acknowledged Ministry, and a annual income below the tax filing level earn [
the CBO estimated that out of the 30 million uninsured Americans, 23 million would be exempt from individual responsibility payment. Of the remaining seven million uninsured Americans, another estimated three million will be freed by "emergency exceptions." As the analysis indicates, only four million of the 30 million uninsured Americans will pay each shared responsibility payment.
What is the individual shared responsibility payment?
When a person to purchase health insurance fails to qualify as a minimal coverage and do not qualify for an exemption, they will pay the individual shared responsibility payment. The fee will be calculated in two ways, and the individual is required to pay, whichever is higher:
-
One percent of annual household income: the maximum penalty is the national average premium costs. for a bronze plan
-
$ 95 per adult and $ 47.50 per child under 18 years. the maximum family penalty $ 285
, the penalty will increase each year:
-
In 2015, the fine of 2% of annual income, or 325 $ per adult
-
In 2016 the punishment. be 2.5% of annual income, or $ 695 per adult.
When a person is insured in the uninsured only part of the year, of 1/12 of the annual fee for each month does not apply. However, if an individual has a short gap of less than three consecutive months, they are exempt from the penalty.
What the exceptions of the individual joint responsibility are payment?
Individuals can for a qualified exemption from the individual responsibility to use compensation if they:
-
Uninsured for a short gap, less than three months of
-
can not get coverage that is less than 8% of household income
-
member of a federally recognized tribe
-
Member could a recognized health cost sharing Ministry
-
an income low enough profit from filing taxes to have liberation
here the individual shared responsibility payment who read liberation.
What is a Hardship Exemption?
Many of the persons who are exempt from paying the penalty, were freed by emergency exemption applies.
in order to qualify for a hardship exemption, an individual a request to fill the grounds for their situation needs. An emergency relief is a situation that could an individual's ability influenced for health insurance, including homelessness, bankruptcy within the last six months, death of a close family member experienced, to receive or pay a natural disaster, the substantial damage to one who has caused. not enhance property and lock for Medicaid due to a State under the ACA Medicaid
may apply an individual for an exception:
-
to the exceptions Claiming when submitting their 2014 tax return
-
filling the exemption application form for the specific situation of
If the marketplace is considered an individual is entitled to exemption, they are a notice of exemption from eligibility result mail. These exceptions may take up to a full calendar year.
How do these exceptions act affect the ACA?
The idea behind the single shared responsibility payment is to increase the number of enrollees in health insurance. This in turn makes a larger pool of insured, widely spread the risk more. The concern is that with these exceptions make it go without health insurance easier for healthy, young people, the risk pool will be filled with older people or those with significant health problems. This could raise premiums across the board.
What do you think?
Read the CBO analysis here.
0 Komentar