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If you, or any member of your applicable household, did not have qualifying health care for the entire year, but had MEC and/or an exemption(s) for any month use form FTB 3853.
Make sure you have health care coverage To avoid a penalty, you need minimum essential coverage (MEC) for each month of the year for: Yourself. Your spouse or domestic partner. Your dependents.
Health care coverage documents You are not required to send the IRS information forms or other proof of health care coverage when filing your tax return. However, its a good idea to keep these records on hand. This documentation includes: Form 1095 information forms.
The fee for not having health insurance (sometimes called the Shared Responsibility Payment or mandate) ended in 2018. This means you no longer pay a tax penalty for not having health coverage. If you dont have health coverage, you dont need an exemption to avoid paying a tax penalty.
You will have to pay a penalty, the Individual Shared Responsibility Penalty, when you file your state tax return if: You did not have health coverage. You were not eligible for an exemption from coverage for any month of the year.
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Affordability is calculated on the lowest-cost coverage available to you through an employer or Covered California. This coverage is considered unaffordable if your costs are more than 8.17 percent of your projected annual household income in 2023, 7.97 percent for tax year 2024 and 7.28 percent for tax year 2025.
Use Form FTB 3853 to determine if you owe an individual shared responsibility penalty or to claim exemptions from the state individual health coverage mandate on your California state tax return.

form 3853 exemption codes