Fees & exemptions

The fee you pay if you don't have health coverage

If you can afford health insurance but choose not to buy it, you must have a health coverage exemption or pay a fee. (The fee is sometimes called the "penalty," "fine," "individual responsibility payment," or "individual mandate.")

Find Exemptions That May Work for You

Select the button below. We’ll ask you a few questions and show you all health coverage exemptions that may apply to you.

The fee for not having coverage in 2015

If you don’t have coverage in 2015, you’ll pay the higher of these two amounts:

  • 2% of your yearly household income. (Only the amount of income above the tax filing threshold, about $10,150 for an individual, is used to calculate the penalty.) The maximum penalty is the national average premium for a bronze plan.
  • $325 per person for the year ($162.50 per child under 18). The maximum penalty per family using this method is $975.

The fee for not having coverage in 2014

If you didn’t have coverage in 2014, you’ll pay the higher of these two amounts:

  • 1% of your yearly household income. (Only the amount of income above the tax filing threshold, about $10,150 for an individual, is used to calculate the penalty.) The maximum penalty is the national average premium for a bronze plan.

  • $95 per person for the year ($47.50 per child under 18). The maximum penalty per family using this method is $285.

DO YOU OWE THE FEE FOR NOT HAVING COVERAGE IN 2014? YOU MAY STILL BE ABLE TO ENROLL IN 2015 COVERAGE IF:

  • You didn't know until after Open Enrollment ended on February 15, 2015 that the health care law required you and your household to have health coverage, or you didn’t understand how the requirement would impact you and your household

  • You owe the fee for not having coverage for one or more months in 2014

  • You aren’t already enrolled in 2015 coverage through the Health Insurance Marketplace or outside the Marketplace

If all of these apply to you, you can enroll in a 2015 plan until April 30, 2015. Select the button below to apply for coverage with this Special Enrollment Period.



Please note:

  • Even if you get coverage through this Special Enrollment Period (SEP), you still have to pay the 2014 fee

  • You don’t need to have filed your 2014 taxes before enrolling with this SEP—you just have to owe the fee

  • If any person in a household meets the criteria for this SEP, everyone in the household can enroll with it

The fee in future years

If you don’t have coverage in 2016, you’ll pay the higher of these two amounts:

  • 2.5% of your yearly household income
  • $695 per person ($347.50 per child under 18)

In future years, the fee is adjusted for inflation.

How you pay the fee

You’ll pay the fee on the federal income tax return you file for the year you don’t have coverage. Most people will file their 2014 returns in early 2015 and their 2015 returns in early 2016.

Learn more about the individual shared responsibility payment from the Internal Revenue Service.

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