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Delta Dental Quoting

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ACA/Healthcare Reform

Are U.S. citizens and U.S. residents living abroad subject to the individual shared responsibility provision?

Yes, with the following exemptions:

  • U.S. citizens who are physically present in a foreign country for at least 330 full days during any period of 12-consecutive months are exempt from the individual shared responsibility payment for any month in the tax year that is included in that 12-month period.
  • U.S. citizens who are bona fide residents of a foreign country for an uninterrupted period which includes an entire taxable year are exempt for that year.
  • Resident aliens who are citizens or nationals of a foreign country with which the U.S. has an income tax treaty with a nondiscrimination clause, and who are bona fide residents of a foreign country for an uninterrupted period that includes an entire tax year also are exempt.

U.S. citizens who meet neither the physical presence nor residency requirements will need to maintain minimum essential coverage, qualify for a coverage exemption or make a shared responsibility payment. For this purpose, minimum essential coverage includes a group health plan provided by an overseas employer and certain expatriate health plans. One exemption that may be particularly relevant to U.S. citizens living abroad for a small part of a year is the exemption for a short coverage gap. This exemption provides that no shared responsibility payment will be due for a once-per-year gap in coverage that lasts less than three months.