History
The eligibility criteria for the premium tax credit is determined by section 1401 of the Affordable Care Act (Obamacare). The Act was signed into law on March 23, 2010, and specified the credits are only available to individuals and families who have enrolled in a health plan offered on a healthcare exchange. On May 23, 2012, the Internal Revenue Service (IRS) adopted a regulation that said tax credits would be made available to eligible individuals who enroll in a health plan through either a state or a federally-facilitated exchange. The IRS based this on their interpretation of Section 1401. On June 11, 2012 the IRS published Internal Revenue Bulletin: 2012-24 which obtains the final regulations that amend the Income Tax Regulations (26 CFR part 1) under section 36B relating to the PTC. Four legal challenges were filed in four different states contesting the IRS regulation. The plaintiffs in all these challenges claim that a federally run exchange does not qualify as a health plan exchange and therefore cannot dispense premium tax credits. On July 22, 2014, the Fourth Circuit Court of Appeals and the Court of Appeals for the D.C. Circuit both issued conflicting opinions, with the Fourth Circuit confirming the validity of the IRS regulation in King v. Burwell, but the D.C. Circuit rejecting its validity in Halbig v. Burwell. In November 2014 the IRS commissioner,Eligible households
There are three factors that determine if a household is eligible to receive the PTC: * Household income *Household size *State of residence Individuals planning to use the filing status Married Filing Separately (MFS) are not eligible for the PTC.Household income
Income for the purpose of determining the eligibility for, and the amount of the PTC, is Adjusted Gross Income (AGI) modified by adding non-taxable items, such as tax-free interest, non-taxable social security benefits and tax-free foreign earned income. The household income is the total of the modified AGI for all individuals in the household except those who are not required to file an income tax return.Family size
The proposed regulations (Internal Revenue Bulletin: 2012-24 published June 11, 2012) define a taxpayer's family as the individuals for whom a taxpayer claims a deduction for a personal exemption under section 151 for the taxable year, which may include the taxpayer, the taxpayer's spouse, and dependents.State of residence
The PTC is available to households whose income is between 100 and 400% of theAmount of the PTC
There are four factors that determine the amount of the PTC: *Household income *Size of household *Age of individuals making up the household *State county of residenceCalculation of the PTC
The premium tax credit applies to households with an annual income of between 100% and 400% of the Federal Poverty Level (FPL) and is intended to limit the cost of health insurance (based on the Silver plan) to between 2% and 9.6% of the enrollee's household income, depending on income level. Those at the lower end of the income range would receive the largest tax credit (and therefore pay the lowest percentage .e., 2%of their income toward the cost of insurance premiums) while those at the higher end would receive a correspondingly lower tax credit and pay a correspondingly higher percentage .e., up to 9.6%of their income toward the cost of premiums.IRS forms
The IRS introduced several new forms connected with the Premium tax credit (PTC): *Form 8962, the Premium Tax Credit (PTC) must be filed with a 1040 income tax return by individuals who already received advance subsidies through a healthcare exchange. The form was released by the IRS on November 17, 2014, without accompanying instructions. *Form 8965, Health Coverage Exemptions *Three forms: 1095-A, 1095-B, 1095-C will be issued, respectively, by a health exchange, insurance company or an employer to taxpayers. The taxpayer will rely on these forms for proof satisfying theReferences
External links
* https://www.irs.gov/pub/irs-pdf/i8962.pdf * https://www.irs.gov/uac/The-Premium-Tax-Credit *https://www.irs.gov/irb/2012-24_IRB/ar05.html#d0e183 (Internal Revenue Bulletin: 2012-24 June 11, 2012) * http://kff.org/interactive/subsidy-calculator/ *https://web.archive.org/web/20141016191204/http://www.cbpp.org/files/QA-on-Premium-Credits.pdf ( Center on Budget and Policy Priorities) {{PPACA , state=autocollapse tax credit Subsidies Tax credits Personal taxes in the United States