Client claims she contacted the carrier and they said they are not required to issue 1095s? She only had coverage for March-December. The carrier is in Utah and she lives in Minnesota. Is it possible to not have to issue a 1095 she only paid $3,070 for the year and she is 63.
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If the insurance was through work, they are required to issue 1095. If she bought an individual policy on her own, I don't believe that are required to issue 1095. 340 a month doesn't sound like a reasonable amount for insurance, but it does seem pretty much in line with some of the Christian cost sharing plans that are an exemption to having insurance. -
Sounds like she has a high deductible plan, very high. For people over 30 these do not qualify as health insurance from a penalty avoidance perspective unless you have a hardship exemption: https://www.healthcare.gov/health-co...phic-coverage/. Good news is she can claim exemption without applying for it this year. https://www.healthcare.gov/health-co...ip-exemptions/
I am sure alot of tax professionals are exempting people out of fines this year (since no application is required) but I wonder how wise it is for someone to apply for an exemption if they really don't qualify. Are they setting themselves up for a penalty upon audit? Or are we really done with all things ACA mandate?
See if she has an HSA, if not, adviser her to open one."Dude, you are correct" Rapid RobertComment
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A 1095 is required if it is qualifying health insurance.
If the carrier is correct in saying that they are not required to issue a 1095, that means it is NOT qualifying health insurance.
That would mean that your client will owe the penalty, unless she qualifies for an exemption.Comment
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It is not through work, it is somehow related to United Health Care - she told the she could not afford $900+ a month and the referred her to Golden Rule out of Utah, which has United on their correspondence. Her penalty would/will be a little over $2,000???Comment
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It sounds like it is similar to AFLAC, which is not qualifying "Minimum Essential Coverage".
Unfortunately, that would mean she owes the penalty, unless you can find an exemption that she qualifies for.
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