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Form 8965 for New Jersey: What You Should Know

To check eligibility for each exemption, see Exemptions for more information.  You'll use the same ECN with each individual exemption, and you'll need to keep one as a permanent record of the coverage exemption. Exemptions are the only methods by which residents of New Jersey can obtain coverage for certain activities or events. The individual and exemption criteria can be used together to determine whether residents are eligible for coverage and certain benefits required and available in New York. They also can be used with other categories of exemptions to determine eligibility for other programs. For more information, refer to the Health Coverage Exemptions — Individual and Exemptions — New Jersey and New York documents on the New Jersey Office of the Auditor General's website. Exemptions For Businesses Jun 23, 2023 1.5 Businesses may not provide more than one plan, health plans, plan options, coverage for spouses and children, coverage for dependents (including dependents who are on health care-related leave of absence under U.S. law), or health plan benefits to any employee for a month, or to another employee for a different day, solely because the employee is an employer. 2.5 Businesses may not provide an employee additional benefits in addition to the employer's existing benefits, if the benefits do not meet the following requirements: are offered in connection with, or are available prior to or after the start date of the plan (including coverage for which the employee has already received a premium tax credit and after the end of the tax year in which enrollment begins); are limited to the type or kind of benefits offered; have an additional premium charge that is greater than the regular premium and exceeds 3 percent (or 5.00); or have a premium tax credit for which the annual credit is 6 percent (or 120.00). Qualifying for Coverage Through a Health Insurance Exchange Expired Coverage If coverage is effective for one calendar year and then is not renewed by the exchange (i.e., if you have coverage with a group health plan and the plan does not renew for the 2023 coverage year), you will be eligible for coverage at the end of the 2023 coverage year, unless it becomes effective for coverage beginning in 2019, and you do not choose to be enrolled in the coverage.

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