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Is heath insurance required in 2018 with tax reform changes?

Taxpayers must report health care coverage on 2018 tax return


For tax year 2018, the IRS will not consider a return complete and accurate if individuals do not do one of the following on their return:


Report full-year health coverage.

Claim a coverage exemption.

Report and make a shared responsibility payment for everyone on the tax return.


The law continues to require taxpayers who do not qualify for an exemption to maintain health care coverage in 2018 or make a shared responsibility payment when they file their tax return. 


Most taxpayers have qualifying health coverage or a coverage exemption for all 12 months in the year and will check the box on the front of their tax return. Taxpayers who can check the box don’t have to file Form 8965, Health Coverage Exemptions, to claim any coverage exemptions. This includes the coverage exemption for household income below the filing threshold.


Taxpayers who did not have coverage for the entire year and therefore can’t check the box generally must report a shared responsibility payment when they file. They will report this payment for each month that anyone listed on the tax return didn’t have qualifying health care coverage or a coverage exemption.