I understand that one needs to apply and receive an exemption (if it applies) before the return can be filed. I can't imagine preparing the extension request, receiving some kind of approval, and filing the return by April 15th. August 15th, maybe!
Applying for Exemption from the Health Coverage Payment?
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When you should apply
Depends on the type of exemption you qualify for:
If you don't have health coverage, you may have to pay a fee. You can get an exemption in certain cases. You no longer pay a tax penalty for not having health coverage. If you don’t have health coverage, you don’t need an exemption to avoid paying a tax penalty.
Some are granted at time of filing and some require prior approval.
Bill accordingly.
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