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Rochester New York Form 8965: What You Should Know

The information reported supporting the exempt exemption is a statement on Form 8965, Health Coverage Exemptions. You may use Form 8965, HHS Notice of Exemptions, to report exemptions for yourself and the following: • yourself and your spouse, if any • yourself and your dependents (if any) Is your household income or your gross income is greater than your filing threshold, you'll use Form 8965, Health Coverage Exemptions, and fill in the amount of your tax payment by using the amounts of your income and exemptions shown on your W-4 or Form 1040 (for a single person and for a family of six), or your estimated tax amounts shown on Form 1040 (for a single person and for a family of six). You'll use the information reported calculating the payment (up to your filing threshold) for the entire time you have health insurance coverage (for a single person or a family of six). You won't have to use Form 8965 at any time to report your exemption for yourself and the following: • yourself and your spouse, if any • yourself and your dependents (if any) Is your household income or your gross income is greater than your filing threshold, you won't be able to use Form 8965 at all and will use Form 8965-B instead. If you used Form 8965 to exempt your household because you or your spouse or dependents didn't get insurance coverage and your income was too low to qualify for Medicaid or Children's Health Insurance Program coverage, you may have had that coverage for longer than 12 months. In that case, you may have had health insurance coverage for more than one tax year, and you may have only had that coverage for your entire time with health insurance coverage for the whole of that tax year. In that case, you'll have to file Form 8965-B, Statement for Households for Which a Health Coverage Exemption Has Been Granted, if you are unsure of how long you had health insurance coverage for. The tax code also provides an additional exception for a taxpayer with respect to a coverage period that ends during the taxpayer's tax year for medical care, for which no amount is includible in the gross income of the taxpayer.

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