The information below is for tax years 2018 and prior. Beginning with tax year 2019, the Shared Responsibility Payment no longer applies and Form 8965 is unavailable.
Resident of a State that did not expand Medicaid (code G)
If the taxpayer lived at any time during the tax year in one of the States that did not expand Medicaid and their household income was below 138% of the federal poverty level for their family size, the taxpayer may be eligible to claim a Coverage Exemption to the Shared Responsibility Payment under the Affordable Care Act (ACA). This exemption from the requirements of the ACA can be obtained by filing an application with the Federal Marketplace or a state based exchange for a Marketplace Granted Exemption or the exemption can be claimed directly on Form 8965 as a Coverage Exemption. This exemption is not available to any taxpayer that resides in a state that expanded Medicaid under the guidelines of the ACA.
If the taxpayer applied for an exemption through the Health Insurance Marketplace, the determination of whether they qualified was made by the Marketplace and the taxpayer should use the Exemption Certificate Number provided to the taxpayer and claim the exemption as a Marketplace Coverage Exemption. However, if the taxpayer did not apply for a Marketplace Granted Exemption and is claiming this exemption as a Coverage Exemption on Form 8965, the determination of eligibility for the exemption is made by the taxpayer. To be eligible for this exemption the tax household's income must be below 138% of the federal poverty levels for the current tax year for the 48 Contiguous States and the District of Columbia; or when applicable Hawaii and Alaska. The current tax year's federal poverty level can be found in the Instructions for Form 8962 and at Healthcare.gov.
To enter indicate exemption code G applies to an individual in Form 8965 in TaxSlayer Pro, from the Main Menu of the tax return (Form 1040) select:
- Other Taxes
- Health Coverage Exemptions/Responsibility Payment (8965)
- Part III – Coverage Exemptions - Select New and double-click the individual claiming the exemption.
- Select Exemption Type and then select Resident of a state that did not expand Medicaid from the list provided. Select OK, or press Enter.
- Select Months Claiming Exemption and select the month(s) that the taxpayer was a resident of a state that did not expand Medicaid Coverage Exemption.
This process should be repeated for each person on the tax return who is claiming this exemption.
Note: This is a guide on entering a coverage exemption for a resident of a state that did not expand Medicaid into Form 8965 in TaxSlayer Pro. This is not intended as tax advice.
Additional Information:
IRS: Instructions for Form 8965
IRS: Affordable Care Act: What You and Your Family Need to Know
IRS: Individual Shared Responsibility Provision – Exemptions: Claiming or Reporting