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Diego Fernández

Filing HOH with Unmarried Partner: ACA Health Insurance and Dependents Question

I'm living with my girlfriend and our two kids in Georgia. We're not married, and she has our children enrolled in an ACA marketplace plan (Obamacare) for health insurance. I'm confused about how we should handle our tax situation. She only works part-time at a local shop, making around $18,000 a year. I have a full-time job at a manufacturing plant bringing in about $52,000. I cover pretty much all our expenses - the mortgage payment, utilities, groceries, car payments, everything. My main question is: Does she need to claim the kids as dependents on her taxes to keep them eligible for their current ACA health insurance plan? Also, can I file as Head of Household even if I don't claim the kids as my dependents? Or since we live together, am I stuck filing as Single regardless? I'm trying to figure out the most beneficial way for us to file while keeping their health insurance intact. Any advice would be appreciated!

This is a common situation with unmarried couples who have children together. Let me break this down for you: For the ACA/Obamacare question: The person who applies for the marketplace insurance needs to include everyone they'll claim on their tax return as part of their "tax household." So if your girlfriend enrolled the children in the ACA plan, she generally needs to claim them as dependents on her tax return to keep them on that insurance. Otherwise, there could be problems with the premium tax credits. Regarding your Head of Household question: You can potentially file as HOH if you provide more than half the cost of keeping up a home where a qualifying person lives. Since you pay the mortgage and most household expenses, you might qualify. However, to be a qualifying person, the child generally needs to be your dependent - which creates the conflict with the ACA situation. One possible solution some families use is to "split" the children for tax purposes if you have more than one child. For example, your girlfriend claims one child (for ACA purposes) and you claim the other (allowing you to file HOH).

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Thanks for the detailed response. If we decided to split the children for tax purposes, would that affect their ACA coverage? Currently both kids are on the same plan through the marketplace. Also, when you say "problems with premium tax credits" - what exactly would happen? Would she have to pay back the subsidy if she doesn't claim them on her taxes?

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If you split the children, only the child your girlfriend claims would be eligible for coverage through her marketplace plan. The other child wouldn't be considered part of her tax household for ACA purposes. You'd need to explore other coverage options for that child, possibly through your employer or a separate marketplace application. Regarding premium tax credits, yes - if she received advance premium tax credits (which reduce monthly premiums) for household members she doesn't claim on her tax return, she would likely have to repay some or all of those subsidies when filing. The IRS reconciles the advance credits received with what she was actually eligible for based on who she claims as dependents.

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Does this thing actually check if you qualify for HOH? I tried using TurboTax and it kept saying I couldn't file as HOH because my girlfriend and I live together, even though I pay most of the bills and we have a kid together.

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Sounds interesting but I'm skeptical. How does it handle the ACA stuff specifically? The marketplace rules are so confusing and the last thing I need is an audit because something didn't match up between my tax return and healthcare application.

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Yes, it specifically checks HOH qualification based on your living situation, expenses, and dependent status. It asks detailed questions about who lives in your home, who pays what percentage of expenses, and your relationship to potential dependents. It correctly identified that I could file HOH even though my partner and I live together, since I provided over half the cost of maintaining the home. For ACA questions, it specifically analyzes the premium tax credit implications based on who you claim as dependents. It shows exactly how your subsidy would be affected if you change who claims which child. It also flags potential inconsistencies between your tax filing and marketplace application to help prevent audit issues. It's designed specifically to handle complex situations like yours where taxes and healthcare subsidies intersect.

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I tried https://taxr.ai after seeing it mentioned here and wow - it actually solved my exact situation! I have a similar setup with my boyfriend and our daughter. I was getting so much conflicting advice from friends and even a tax preparer about how we should file. The tool showed me that I could claim our daughter and file HOH (saving me about $2,200 compared to filing Single), while my boyfriend could still keep her on his marketplace insurance by adding me as the tax filer on the application during open enrollment. The step-by-step explanations were super helpful because I could see exactly WHY certain options worked better for us. It even generated a summary I could take to my tax preparer to explain our situation. Definitely recommend for anyone in these complicated unmarried parent situations!

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I see your dilemma with the Obamacare and HOH situation. Been there! After trying to call the IRS about this exact situation last year (and never getting through), I finally found Claimyr. It got me connected to an actual IRS agent in about 20 minutes who confirmed exactly how to handle our filing situation. Check out https://claimyr.com and their demo at https://youtu.be/_kiP6q8DX5c - they basically hold your place in line with the IRS so you don't have to wait for hours. The agent I spoke with explained the specific rules for unmarried parents with shared children and confirmed we were filing correctly to maintain our ACA benefits. Before using this, I spent literally days trying to get through to the IRS directly. Their service saved me hours of frustration and gave me peace of mind that our filing approach wouldn't mess up our health insurance.

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How does this actually work? Do they just call the IRS for you or something? I've been trying to get through for weeks about a similar issue.

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Yeah right. There's no way to "skip the line" with the IRS. Sounds like a scam to me. I bet they just give you the same generic advice you can find online for free.

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They don't call for you - they use technology to navigate the IRS phone system and hold your place in line. When an agent becomes available, you get a call back and are immediately connected to the agent. It's completely legitimate. The value isn't about skipping the line, it's about not having to physically wait on hold for hours. Last tax season, the average IRS hold time was over 2 hours! With Claimyr, you just go about your day and they call you when an agent is available. The advice isn't generic because you're speaking directly with an actual IRS representative who can address your specific situation and look up your account details.

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I need to admit I was totally wrong about Claimyr. After posting that skeptical comment, I decided to try it anyway since I was desperate to sort out my filing status situation (unmarried but living with partner and kids). I was shocked when I got a call back in about 35 minutes connecting me to an actual IRS representative. The agent was able to review my specific situation and confirmed that I could file HOH while my partner claimed the kids for healthcare purposes as long as we documented our arrangement properly. What would have been a full day of redialing and waiting on hold took less than an hour of my time. Definitely worth it just for the peace of mind knowing I'm filing correctly and won't have issues with our health insurance coverage.

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I just wanted to add one important thing about the ACA coverage that others haven't mentioned yet. The marketplace rules focus on who you EXPECT to claim as a dependent when you're applying for coverage. When my ex and I were in a similar situation, we had documentation showing our agreement about who would claim which child each year. This matters because the ACA eligibility is determined at application time, but the tax dependency is determined when you file. Also, look into whether your state expanded Medicaid - in states with expansion, your girlfriend might qualify for Medicaid herself based on her income, which would change how you approach this whole situation.

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That's a really good point about the "expected" claims. Do you know if we need something formal like a court order for this documentation, or just some kind of written agreement between us? Also, South Carolina hasn't expanded Medicaid unfortunately, so she doesn't qualify based on income alone.

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You don't need a court order for this - a written agreement between the two of you should be sufficient. The key is having documentation of your intent at the time of application. A simple signed document outlining which parent will claim which child(ren) for tax purposes in which years would work. That's unfortunate about South Carolina not expanding Medicaid. In that case, you might want to run the numbers both ways - see if the tax benefits of you claiming HOH and the children outweigh the potential loss of ACA subsidies. Sometimes the premium tax credit is more valuable, other times the tax savings from HOH and dependent claims are greater. It really depends on your specific income levels and premium costs.

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This is a bit off topic but have you considered just getting married? My partner and I were in this exact situation with kids, HOH status, and Obamacare headaches. Getting married simplified everything tax-wise for us. I know marriage is a huge decision for many other reasons, but just from a purely practical/financial perspective, it solved our tax/healthcare coordination issues. We actually save money now because we file jointly and still qualify for premium tax credits.

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This could backfire though! If they get married and their combined income goes up too much, they could lose the ACA subsidies completely. Getting married sometimes creates a "subsidy cliff" where you suddenly make too much for assistance. Happened to my cousin last year and their premiums went from $275/month to over $1100!

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As a tax professional, I want to emphasize that this situation requires very careful planning to avoid potential issues with both the IRS and the Health Insurance Marketplace. Here's what you need to know: The ACA subsidies are reconciled on your tax return through Form 8962. If your girlfriend received advance premium tax credits for both children but doesn't claim them as dependents, she'll likely owe back a significant portion of those subsidies - potentially thousands of dollars. For Head of Household status, you CAN potentially qualify even if you don't claim the children as dependents, but only if you have another qualifying person (like a parent you support). Simply paying household expenses while living with your girlfriend doesn't automatically qualify you for HOH if you can't claim a dependent. My recommendation: Calculate the total financial impact of both scenarios. Compare the tax savings from you filing HOH and claiming dependents against the cost of losing ACA subsidies and finding alternative health insurance. Often, keeping the ACA coverage is more valuable than the tax benefits. Also consider timing - you might be able to adjust the marketplace application during the next open enrollment period to reflect whoever will be claiming the children, which could help avoid subsidy repayment issues. I'd strongly suggest consulting with both a tax professional and a certified application counselor who understands ACA rules before making any changes.

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This is really helpful advice from a professional perspective. I'm curious about the timing aspect you mentioned - if we decide to change who claims the children during the next open enrollment, would that require us to update our marketplace application before we actually file our taxes? Also, when you say "calculate the total financial impact," are there any online calculators that can help with this complex comparison between tax benefits vs. ACA subsidy costs? The math seems pretty complicated when you factor in premium tax credits, dependent exemptions, and HOH status all together. One more question - you mentioned needing another qualifying person for HOH if I don't claim the children. My elderly mother lives about an hour away and I do help with some of her expenses, but she doesn't live with us. Would that potentially qualify me for HOH status?

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