Individual Shared Responsibility

Purpose:

To reduce the number of individuals who do not have health coverage by requiring individuals to be enrolled in a health plan that provides minimum essential coverage


Intent:

To make coverage available to more individuals and reduce costs by sharing the expenses across more individuals


Related Provisions:

Cost-sharing Limits

Maximum Deductible Limit

Essential Health Benefits

Minimum Value of Coverage

Qualified Health Plan (QHP)

Marketplaces (Exchanges)

Play-or-Pay Penalty


Health Plans Affected by this Provision:


Year Effective: 2014
Medical Plan: Yes
Dental/Vision Plan: No
HRA: No
Health Care FSA: No

Document Downloads:


Document Title Last Updated
Extension of 2015 Due Dates
  01/05/2016
Form 1094-B Insurer's/Employer's Master transmittal of coverage enrolled in
  01/05/2016
Individual Shared Responsibility Flyer
  
Form 1095-B, Report of Coverage 10/10/2017
Instructions for Forms 1094-B & 1095-B 10/10/2017
Notice 2015-68 (reporting minimum essential coverage)
 09/21/2015
6055 HRA Reporting 10/27/2015
1401(b) – Individual Shared Responsibility