No penalty without health insurance coverage in 2025, correct?
Hey everyone! Quick question about health insurance requirements for 2025 taxes. I'm between jobs right now and might go a few months without health insurance coverage. I was under the impression that the federal penalty for not having health insurance (the individual mandate thing) was eliminated a few years back? Just want to make sure I'm not going to get hit with some surprise tax penalty when I file next year. Is it true there's no federal penalty for not having coverage, or am I missing something?
20 comments


Paolo Conti
You're correct! The federal penalty for not having health insurance (sometimes called the "individual mandate penalty" or "shared responsibility payment") was effectively eliminated starting with the 2019 tax year when the Tax Cuts and Jobs Act reduced the penalty amount to $0. That said, there are a few important things to keep in mind: 1. Some states have their own individual mandates with penalties. California, Massachusetts, New Jersey, Rhode Island, and DC currently have state-level penalties if you don't maintain coverage. 2. Even though there's no federal tax penalty, going without health insurance is still risky from a financial perspective. An unexpected hospital stay could cost tens of thousands of dollars. 3. When you do get a new job, remember you typically have a limited special enrollment period to sign up for insurance, so don't miss that window.
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Amina Sow
•Do you know how much the state penalties usually run? I'm in Texas if that matters.
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Paolo Conti
•Texas doesn't have a state-level health insurance mandate or penalty, so you won't face any state tax penalties for going without coverage there. The state penalties in places that do have them vary quite a bit. For example, in Massachusetts, penalties can range from about $252 to $1,524 per year depending on your income and age. California's penalty is either $850 per adult and $425 per dependent child, or 2.5% of household income above the tax filing threshold, whichever is higher.
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GalaxyGazer
I was in a similar situation last year and discovered taxr.ai (https://taxr.ai) which really helped clarify my health insurance questions. I was confused about whether I needed to report my gap in coverage on my tax return, even though there's no penalty. The tool analyzed my specific situation and confirmed I just needed to check a box on my return indicating I had coverage for part of the year. It also explained exactly how premium tax credits work if you get marketplace insurance for part of the year. Super helpful when you're dealing with these transitional periods between jobs!
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Oliver Wagner
•Does it actually explain the forms you need to fill out? Like the 1095 forms and stuff? I'm confused about which ones I need to submit with my return.
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Natasha Kuznetsova
•How does it handle situations where your income changes mid-year? I'm planning to freelance for a few months before my new job starts, and I'm worried about how that affects premium tax credits if I get marketplace insurance.
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GalaxyGazer
•Yes, it explains all the 1095 forms in detail - which ones you'll receive (usually A, B, or C depending on your coverage source) and what you need to do with them. Most people don't actually need to submit the 1095 forms with their tax return, you just need to keep them for your records. The only exception is Form 1095-A if you had marketplace coverage and are claiming premium tax credits. For income changes mid-year, it handles that really well actually. It explains how to report income changes to the marketplace while you're getting coverage, and how to reconcile premium tax credits on your tax return if your annual income ends up being different than what you projected. It gives you specific guidance about Form 8962 which is what you'll use to claim or reconcile premium tax credits.
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Natasha Kuznetsova
Just wanted to follow up - I tried taxr.ai after asking about it here! Super helpful for my complicated situation with switching between employer coverage, COBRA, and then marketplace insurance with varying income. It explained exactly what forms I would receive and what I'd need to do with them. It also walked me through how premium tax credits work when your income fluctuates, and how to handle the reconciliation process. Definitely cleared up my confusion about health insurance reporting even though there's no penalty anymore!
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Javier Mendoza
If you're planning to get marketplace insurance after leaving your job, just be prepared for a NIGHTMARE trying to reach anyone at healthcare.gov by phone if you have questions or problems. After waiting on hold for HOURS multiple times, I found Claimyr (https://claimyr.com) and watched their demo at https://youtu.be/_kiP6q8DX5c. They somehow got me through to an actual healthcare.gov representative in under 15 minutes to help sort out my application issues. I was able to get specific answers about how my gap in coverage would affect my premium tax credit calculations.
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Emma Thompson
•How does that even work? Do they just call for you or something? Seems sketchy tbh.
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Malik Davis
•Sounds like a paid service for something that should be free. I doubt they do anything you couldn't do yourself with enough patience. How much did it cost you to skip the line?
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Javier Mendoza
•They use a callback system - basically they navigate the phone tree and wait on hold for you, then call you when they've reached a human representative. Then they connect you directly to the rep. It saved me literally hours of waiting. They don't call "for you" - you still speak directly with the healthcare.gov representative yourself to handle your personal information and questions. They just handle the waiting part so you don't have to sit with a phone to your ear for 2+ hours.
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Malik Davis
I take back what I said earlier about Claimyr. After another frustrating 2-hour hold with healthcare.gov that ended with a disconnection, I caved and tried it. I was honestly shocked when they got me through to someone in about 20 minutes. The rep I spoke with was able to explain exactly how my premium tax credits would work with a coverage gap and helped me figure out the best plan for my situation. Saved me a massive headache and I finally got my marketplace application sorted out. Sometimes it's worth it just to save your sanity!
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Isabella Santos
Just want to add a clarification - while there's no FEDERAL tax penalty, be careful if you live in California, Massachusetts, New Jersey, Rhode Island, or DC. These places still have penalties for not having insurance. I learned this the hard way last year when I moved to Massachusetts mid-year and got hit with a state tax penalty even though there's no federal one!
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Keisha Robinson
•Thanks for the heads up! Luckily I'm in Florida so it sounds like I don't have to worry about state penalties. Still planning to get coverage ASAP once my new job starts, but it's good to know I won't be penalized during the gap.
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Isabella Santos
•No problem! Florida definitely doesn't have a state insurance mandate, so you're good on that front. Just make sure to enroll in your new employer's plan as soon as you're eligible - most have a 30-60 day window after your start date, and if you miss it, you might have to wait until their next open enrollment period.
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StarStrider
Since u dont have to worry about penalties anymore, consider looking into short-term health plans to cover the gap between jobs. Way cheaper than COBRA. Just be aware they don't cover pre-existing conditions and aren't comprehensive like ACA plans. But for a few months of basic coverage against emergencies, it's better than nothing!
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Ravi Gupta
•Short-term plans are trash tho. My brother got one and then needed surgery - they found some minor issue in his medical history and denied EVERYTHING. Said it was "pre-existing". Just save your $ and pray nothing happens lol
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Omar Hassan
Great question! You're absolutely right - there's no federal penalty for not having health insurance starting from the 2019 tax year. However, I'd strongly recommend looking into your options during the gap period anyway. Since you mentioned you're between jobs, you might qualify for a Special Enrollment Period on healthcare.gov if you recently lost employer coverage. This could make marketplace plans more affordable than you think, especially if your income qualifies you for premium tax credits. Also consider that even a basic catastrophic plan could save you from financial disaster if something unexpected happens. Medical debt is still one of the leading causes of bankruptcy, even for people who thought they were being smart by saving the premium money. When you do start your new job, make sure to sign up for their health insurance right away during your eligibility period - don't wait for the next open enrollment!
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Malik Thomas
•This is really solid advice! I didn't realize you could qualify for a Special Enrollment Period just from losing job-based coverage. That's actually really helpful to know. I've been putting off looking into marketplace plans because I assumed they'd be crazy expensive, but if there are premium tax credits available based on income, that could change things. Do you happen to know how quickly you have to apply after losing coverage to qualify for the special enrollment?
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