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  • Weird Tax/Healthcare Question

    I'm basically looking for info. on who to contact to fix this, if I need to fix it at all. I tried the healthcare.gov line and all they could do was give me advice on how to file my taxes. OK, I just did that and that's how I found the problem.

    I got a 1095C form from the retail. For 2015 I had been told that I was part-time status and no longer eligible for health insurance, but that I would be for marketplace, so I did that. So for 2016 I mistakenly figured I still wasn't eligible for insurance through my job and went again with Marketplace. Now, at time of enrollment I was up to full-time status but didn't know it. I was under the impression it was 32 hours, but the line was dropped to 29.5. I don't remember doing anything for the enrollment period. I really don't remember insurance being on offer to me but that doesn't mean it wasn't. So I had a subsidy from Marketplace all through 2016, though now I realize that may not have been valid.

    So there was a kerfuffle at the tax preparers' office but after me calling the retail benefits line and them going over the paperwork the supervisor said, "No look--it's right there: she is paying back $300." The other guy hadn't gotten to that screen. And he found that I ended up paying more through marketplace than if I'd just gone with work insurance I didn't know I could've had. Well, that doesn't bother me. I'm just unsure if I should've gotten the subsidy or not and I don't know who else to talk to beside the Marketplace. They're no help. If they did ask me if insurance were offered through work I would've said no because that's what I believed to be true.

    I'm not sure where to go or what to do now.
    "Is it hot in here to you? It's very warm, isn't it?"--Nero, probably

  • #2
    you got the subdidy or u wouldn't be paying back your paying back because your income increased and it was not accounted for when u enrolled if u end up making more money they pay less into it for you here in florida since we didn't expand I don't have to have health covrage and im part of the gap were I make to much for Medicaid but health insurance is unaffordable I make 1600 or around there a month they want 1300 for medical and the lowest one 100 per check.

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    • #3
      I know I got it but I don't think I should have. It would've been only $48 bi-weekly and according to my income that would be considered affordable, unless they use the adjusted income to calculate it. Well, I guess I can't do anything about that now. I did find out there's a $300 payback cap so even if I wanted to correct the mistake I don't think I could. I'm so glad I'm on employer group insurance now so I don't have to go through this next year.
      "Is it hot in here to you? It's very warm, isn't it?"--Nero, probably

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      • #4
        If I were to articulate how much I hate that advance credit repayment and shared responsibility payment (i.e. giving clients that news), the mods would ban me from this forum
        I'm glad to see that the OP straightened this up.
        I'm trying to see things from your point of view, but I can't get my head that far up my keister!

        Who is John Galt?
        -Ayn Rand, Atlas Shrugged

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        • #5
          Thanks, Karl. Yeah, other than the $300 repayment there's nothing I can do. I'm not upset about that at all; I'm not hurting for money. I'd have been fine with no refund. I just wanted it to be legal and correct, you know?
          "Is it hot in here to you? It's very warm, isn't it?"--Nero, probably

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