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By Ryan Kennelly

November 29, 2016

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  • Individual & Family Health Insurance
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Who should I include in my household to determine subsidy?

November 29, 2016

  • Individual & Family Health Insurance
Who should I include in my household to determine subsidy?

For the Health Insurance Marketplace, a household usually includes the tax filer, their spouse if they have one, and their tax dependents.

Tax filer + spouse + tax dependents = household

Follow these basic rules when including members of your household:

  • Include your spouse if you’re legally married.
  • If you plan to claim someone as a tax dependent for the year you want coverage, do include them on your application.
  • If you won’t claim them as a tax dependent, don’t include them.
  • Include your spouse and tax dependents even if they don’t need health coverage.

See the limited exceptions to these basic rules in the chart below.

Learn more about who you can claim as a tax dependent from the IRS.

Who to include in your household
RelationshipInclude in household?Notes
Dependent children, including adopted and foster children

Yes

Include any child you’ll claim as a tax dependent, regardless of age.
Children, shared custody

Sometimes

Include children whose custody you share only during years you claim them as tax dependents.

Non-dependent child under 26

Sometimes

Include them only if you want to cover them on your Marketplace plan.
Children under 21 you take care ofYesInclude any child under 21 you take care of and who lives with you, even if not your tax dependent.

Unborn children

No

Don’t include a baby until it’s born. You have up to 60 days after the birth to enroll your baby.
Dependent parentsYesInclude parents only if you’ll claim them as tax dependents.
Dependent siblings and other relativesYesInclude them only if you’ll claim them as tax dependents.
SpouseYesInclude your legally married spouse, whether opposite sex or same sex. In most cases, married couples must file taxes jointly to qualify for savings.

Legally separated spouse

No

Don’t include a legally separated spouse, even if you live together.
Divorced spouseNoDon’t include a former spouse, even if you live together.

Spouse, living apart

YesInclude your spouse unless you’re legally separated or divorced. (See next row for an important exception.)
Spouse, if you’re a victim of domestic abuse, domestic violence, or spousal abandonmentNot requiredIn these cases, you don’t have to include your spouse. See rules for victims of domestic abuse, domestic violence, or spousal abandonment.

Unmarried domestic partner

Sometimes

Include an unmarried domestic partner only if you have a child together or you’ll claim your partner as a tax dependent.
RoommateNoDon’t include people you just live with — unless they’re a spouse, tax dependent, or covered by another exception in this chart.

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