Household for Health Care Marketplace Insurance

By | March 2, 2015

The application for insurance in the healthcare marketplace asks about each person in your household. Determining who is in your household can have big consequences for insurance and insurance rates. The health insurance marketplace uses your answers to determine eligible individuals and income. The information on this page can help you understand what your household will be considered for the insurance market. The government uses your household’s combined Modified Adjusted Gross Income, or MAGI, as a basis to determine your eligibility for a government health insurance subsidy under the Affordable Care Act.


Tax filers + tax dependents = Head of Household for Health Insurance

For the health care marketplace, your home usually includes tax returns, in addition to their tax dependents. If you claim someone as a dependent, include it in your application, even if you are not applying for insurance. There are exceptions. Sometimes the market includes people living with you who are not in your tax home. The marketplace takes into account the income for each of these people and considers them part of your home depending on things like your age and relationship to you, the type and amount of income you have, and more. In general, you can estimate your Modified Adjusted Gross Income by finding the Adjusted Gross Income listed on your most recent federal tax return and adjusting it based on any changes (additional income or reductions) you expect to see in your income for this year. A final decision on how much subsidy assistance you may receive is made only by the government exchange authority in your state.


When Purchasing Marketplace Insurance Include

  • You
  • Your spouse
  • His children who live with you, even if they earn enough money to make their own tax return
  • Anyone you include on your tax return as a dependent, even if not living with you
  • Any person under 21 years of age who are dependents and live with you
  • Your partner (not married), only occurs if one or both of these situations:
    • It is a dependent for tax purposes
    • It is the parent of your child / a

To learn more about who qualifies as a dependent, see the publication of IRS Publication 501

Getting Married and ACA Health Insurance

If married, you must file your tax return together in 2016 to receive tax credits and savings of-pocket in the coverage of Market Health Insurance in 2015 . You file your tax return 2016 in April 2017. If you file separate statement, you can enroll in the insurance market, but can not receive premium tax credits or other savings. If you claim your child or another person as a dependent on your taxes, it can be included in your application for health insurance.


Domestic Violence Exemption

Yes. If you are not living with spouse and can not file a joint return with your spouse, as a result of domestic violence, will be allowed in the application detailing the market that you are single / a. This will allow the market to determine if you qualify for premium tax credits and other savings. These savings will depend on your family income and family size. More information about Marketplace Rules for victims of domestic abuse