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Amina Diallo

Does unemployment count as income for health insurance marketplace subsidies in Washington?

I just started receiving unemployment benefits from Washington ESD and I'm trying to figure out if I need to report this as income when I apply for health insurance through the marketplace. My weekly benefit amount is $580 and I'm not sure if this counts toward the income thresholds for premium tax credits. Has anyone dealt with this situation? I don't want to mess up my application or get stuck with penalties later.

Yes, unemployment benefits from Washington ESD definitely count as income for health insurance marketplace calculations. You'll need to report your estimated annual UI benefits when you apply. The good news is that unemployment income still qualifies you for premium tax credits if you're within the income limits.

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Thanks! So if I'm getting $580/week, that's about $30,160 annually. That should still qualify me for subsidies right?

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For 2025, that income level should definitely qualify you for premium tax credits, especially if you're single. The cutoff is around 400% of federal poverty level which is much higher than your UI amount.

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I had the same question when I was on unemployment last year. The marketplace website asks specifically about unemployment income in their application. Make sure to update your application if your UI benefits change or when they end.

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Good point about updating when benefits end. I forgot to do that and had to pay back some of my premium tax credit at tax time.

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Oh no, that's exactly what I'm worried about! How much did you have to pay back?

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Just went through this process myself. The tricky part is estimating your total annual income when you don't know how long you'll be on unemployment. I used my current weekly benefit amount and estimated 26 weeks, then planned to update if I found work sooner.

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That's smart - I'll probably do something similar. Did you have any issues with the income verification process?

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No major issues, but I did have to provide documentation from Washington ESD showing my benefit amount. Keep your determination letter handy.

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One thing to watch out for - if you're getting any other income like part-time work while on standby or partial unemployment, that all counts too. The marketplace looks at your total modified adjusted gross income, not just your UI benefits.

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This is really important! I was doing some freelance work while on partial unemployment and almost forgot to include that income on my marketplace application.

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I'm not working at all right now, just collecting regular unemployment. So it sounds like I just need to report my UI benefits amount.

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For what it's worth, I tried calling the marketplace customer service line to ask about this but spent literally 3 hours on hold. Ended up using Claimyr to get through to someone at Washington ESD who confirmed my benefit amount, then used that for my marketplace application. Way faster than waiting on hold.

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Never heard of Claimyr - is that like a calling service? I've been trying to reach Washington ESD for days about a different issue.

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Yeah, it's claimyr.com - they basically call on your behalf and get you connected to an actual agent. There's a video demo at https://youtu.be/7DieNd3C7zQ that shows how it works. Saved me so much time.

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Don't forget that your unemployment benefits are also taxable income for federal and state taxes. You can choose to have taxes withheld from your UI payments or pay estimated quarterly taxes. This doesn't affect your marketplace application but good to plan ahead.

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Good reminder! I did opt to have taxes withheld from my unemployment payments. Does that affect how I report the income on the marketplace?

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No, you still report the gross amount before taxes. The tax withholding is separate from the income calculation for premium tax credits.

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I'm in a similar situation but I'm also receiving Social Security disability. Do I need to report both my UI benefits and my SSDI as income for the marketplace?

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Yes, both count as income for marketplace calculations. SSDI is taxable income in most cases, so you'll need to include both amounts in your total estimated annual income.

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Wait, can you even get unemployment if you're on disability? I thought those were mutually exclusive.

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It's complicated - I was working part-time while on SSDI and became eligible for unemployment when I lost that job. Washington ESD approved my claim but it took some back and forth.

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The key thing is to be as accurate as possible with your income estimate. If you underestimate and end up earning more than you projected, you might have to pay back some of the premium tax credit. If you overestimate, you'll get a refund at tax time.

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So it's better to overestimate slightly rather than underestimate? I want to avoid having to pay anything back.

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That's generally the safer approach, yes. You can always update your application during the year if your income changes significantly.

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I made the mistake of not reporting my unemployment income when I first applied for marketplace coverage. Had to go back and correct my application, which was a huge hassle. Don't skip this step!

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Yikes! How long did it take to fix your application? Did it affect your coverage?

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Took about 2 weeks to get it sorted out. My coverage wasn't interrupted but I had to pay higher premiums until the correction went through.

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Pro tip: keep all your Washington ESD documentation organized because the marketplace might ask for verification of your unemployment income. I had to upload my benefit determination letter and recent payment history.

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Yes! I learned this the hard way. Make sure you can access your eServices account to download these documents if needed.

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Good advice! I'll make sure to save copies of everything from my Washington ESD account.

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Just to add another perspective - if you're married and filing jointly, your spouse's income also counts toward the household total for marketplace calculations. So even if your UI benefits are low, your combined income might affect your subsidy eligibility.

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I'm single so that's not an issue for me, but good point for others reading this thread.

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This caught me off guard when I applied. My spouse was still working full-time so our combined income was too high for the largest subsidies.

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The marketplace application process can be confusing but it's worth taking the time to get it right. I ended up saving over $300/month on my premiums by accurately reporting my unemployment income and qualifying for tax credits.

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That's a huge savings! I'm hoping to get similar results. Did you use the Healthcare.gov website or the Washington state marketplace?

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I used Healthcare.gov since Washington doesn't have its own state marketplace. The process was pretty straightforward once I had all my income information ready.

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Another thing to consider - if you find a job while you're enrolled in marketplace coverage, you'll need to update your application within 30 days. Your premium tax credits will likely decrease once you start earning regular wages again.

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That makes sense. I'm actively job searching so I'll definitely need to remember to update my application when I find something.

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And don't forget to check if your new employer offers health insurance. You might want to switch from marketplace coverage to employer coverage during open enrollment.

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I've been through this whole process twice now - once when I was laid off in 2023 and again last year when I had a temporary job loss. The second time was much easier because I knew what to expect. Just be honest about your UI income and keep your application updated.

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Thanks for sharing your experience! It's reassuring to hear from someone who's been through this successfully.

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Same here - I've had to navigate this situation multiple times unfortunately. The key is staying organized and updating your application whenever your income changes.

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One last tip - if you're having trouble reaching Washington ESD to verify your benefit amount for the marketplace application, I've had good luck using that Claimyr service someone mentioned earlier. Much faster than trying to call directly.

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I actually looked into Claimyr after the earlier comment - seems like it could be really helpful for getting through to Washington ESD quickly.

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I was skeptical at first but ended up trying it when I couldn't get through to resolve an issue with my weekly claim. Worked exactly as advertised.

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Bottom line: yes, unemployment counts as income for health insurance marketplace purposes. Report it accurately, keep your documentation handy, and update your application if your situation changes. You should still qualify for subsidies at your income level.

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Perfect summary! I feel much more confident about filling out my marketplace application now. Thanks everyone for all the helpful advice.

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This whole thread has been super helpful. I'm in a similar situation and was worried about messing up my application.

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