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By Ryan Kennelly

July 11, 2017

Topics:

  • Individual & Family Health Insurance
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Is the $695 fee for health insurance annual or monthly?

July 11, 2017

  • Individual & Family Health Insurance

The “fee” is the individual mandate penalty for not having ACA compliant coverage. It is accessed annually but not necessarily a $695 flat fee. It is calculated in 2 different ways – as a percentage of your household income, and per person. You’ll pay whichever is higher.

Percentage of income

  • 2.5% of household income
  • Maximum: Total yearly premium for the national average price of a Bronze plan sold through the Marketplace

Per person

  • $695 per adult
  • $347.50 per child under 18
  • Maximum: $2,085

However, most people don’t know it is prorated over 12 months. For example, if you had insurance half the year, your penalty would be $347.50 ($695/2), assuming you are a single household tax payer and $695 is less than 2.5% of your modified adjusted gross income (MAGI).

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