Ending Soon! Save 33% on All Access

Will You Have to Pay an Obamacare Fine? The deadline to sign up for an insurance plan is coming up soon. Anyone without one is subject to a fine.

By Tom Taulli Edited by Dan Bova

Opinions expressed by Entrepreneur contributors are their own.

If you are self-employed, and/or have fewer than 100 employees, you will not have to provide your employees health insurance. But there is a key part of Obamacare that will likely impact your pocketbook: the individual mandate. This means that you must get qualified health insurance for your family or pay an annual penalty (the law calls this the "individual shared responsibility payment").

OK, what does it amount to? For the current year, the penalty is the greater of $95 per adult and $47.50 per child, limited to a family maximum of $285; or 1 percent of your household income above your tax filing threshold (this is the amount for determining if you must file a tax return).

Related: Riding the Ups and Downs of the Small-Business Obamacare Market

But the total penalty is capped at the national average for a bronze plan, which is roughly $2,448 per person with a maximum of $12,240 for a family with five or more members.

Kind of confusing? Well, to get a better idea of how this works, let's take an example: Suppose you are married and have two children. Your household income is $70,000 and the filing threshold is $20,300.

  • 2 adults X $95 + 2 children X $47.50 = $285
  • $49,700 (the $70,000 household income - $20,300 filing threshold) X 1% = $497
    1% X $49,700 = $497

You will have to pay $497 since it is the higher amount (you can also check out this Obamacare calculator). You will list the penalty amount on your 1040 form.

Now, if you do not pay it, the IRS will not have the typical collection powers, such as with placing liens on your home or other property. However, the agency can deduct the penalty from any tax refunds.

If you do not get qualified insurance for 2015, then the penalty will be even steeper. It will be the greater of $325 per adult and $162.50 per child, limited to a family maximum of $975; or 2 percent of household income.

Related: Your 2015 Obamacare Planner

There are exceptions to the penalty. Some of the notable ones include:

  • You are already covered by a qualified employer plan.
  • You have coverage from a qualified off-exchange plan.
  • You have coverage under Medicare, Medicaid, The Children's Health Insurance Program (CHIP), TRICARE (insurance for active members in the military) or Veterans Administration plans.
  • You are a member of a qualified Native American tribe.
  • Your income is too low for the filing of a tax return.
  • You qualify for a hardship exemption (this is broad, covering situations such as bankruptcy, foreclosure, eviction, homelessness, shut off from a utility, fire/flood, a victim of domestic violence and so on).

For many of these exemptions, you will need to apply for approval with the marketplace. This can take a month or two.

If you get an exemption, you will then receive an exemption certificate number or ECN. You include this on your tax return with form 8965.

But if an exemption does not apply and you do not get qualified health insurance, then you will be completely on the hook for your medical bills. Unfortunately, this could mean facing bankruptcy if you have a catastrophic medical event (although there are some limited health insurance policies that can potentially help). Besides, Obamacare does provide for subsidies that can greatly reduce the monthly premium payments on an insurance plan.

So if anything, it's a good idea to check out the options from your state exchange or Healthcare.gov (if you state does not have an exchange). But you will have until Feb. 15 to enroll in a plan.

Related: Obamacare's Very Small Business Exchange Enrollment

Tom Taulli

JD & Enrolled Agent

Tom Taulli, a JD and Enrolled Agent, helps with resolving IRS actions like audits, wage garnishments, liens and levies. For more information visit him at www.www.pathwaytax.com

Want to be an Entrepreneur Leadership Network contributor? Apply now to join.

Side Hustle

These Brothers Had 'No Income' When They Started a 'Low-Risk, High-Reward' Side Hustle to Chase a Big Dream — Now They've Surpassed $50 Million in Revenue

Sam Lewkowict, co-founder and CEO of men's grooming brand Black Wolf Nation, knows what it takes to harness the power of side gig for success.

Science & Technology

3 Major Mistakes Companies Are Making With AI That Is Limiting Their ROI

With so many competing narratives around the future of AI, it's no wonder companies are misaligned on the best approach for integrating it into their organizations.

Business News

A University Awarded a Student $10,000 for His AI Tool — Then Suspended Him for Using It, According to a New Lawsuit

Emory University awarded the AI study aid the $10,000 grand prize in an entrepreneurial pitch competition last year.

Business News

He Picked Up a Lucky Penny In a Parking Lot. Moments Later, He Won $1 Million in the Lottery.

Tim Clougherty was in for a surprise when he scratched off his $10,000-a-month winning lottery ticket.

Leadership

How to Break Free From the Cycle of Overthinking and Master Your Mind

Discover the true cost of negative thought loops — and practical strategies for nipping rumination in the bud.

Leadership

How a $10,000 Investment in AI Transformed My Career and Business Strategy

A bold $10,000 investment in AI and machine learning education fundamentally transformed my career and business strategy. Here's how adaption in the ever-evolving realm of AI — with the right investment in education, personal growth and business innovation — can transform your business.