Health Insurance Mandate Penalty Worksheet: Health Insurance Mandate Penalty Worksheet (2024)
Rhode Island · RI Division of Taxation · Used for tax years 2024
The 2024 Rhode Island Shared Responsibility Worksheet calculates the individual health insurance mandate penalty using flat dollar amount, percentage of income, and bronze plan methods. The resulting penalty is entered on Form RI-1040 or Form RI-1040NR.
Who files this form
Use the 2024 Shared Responsibility Worksheet to determine your Rhode Island Individual Health Insurance Mandate penalty. The calculation counts months when members of your tax household did not have coverage or an exemption.
The worksheet says to attach it, along with Form IND-HEALTH, to your personal income tax return.
What you'll need
Have these forms and details available:
- Your name and Social Security number.
- The number of months without coverage or an exemption for all adults and, separately, all children under age 18.
- Your modified adjusted gross income and federal standard deduction. The worksheet refers you to instructions for these amounts, but those instructions are not included here.
- Your household size and Form IND-HEALTH, which should list all household members.
- The Flat Fee Method Worksheet on page IND-8, which is referenced on line 3.
- Form RI-1040 or Form RI-1040NR, where you will report the penalty.
How to file
Complete the worksheet’s three calculation steps: the Flat Dollar Amount Method, the Percentage of Income Method, and the Bronze Plan Method.
Enter the final penalty from line 15 on:
- Form RI-1040, page 1, line 12b; or
- Form RI-1040NR, page 1, line 15b.
Attach this worksheet and Form IND-HEALTH to your personal income tax return. The supplied text does not give a mailing address or e-file instructions.
Common mistakes
- Leaving household members off Form IND-HEALTH. The worksheet reminds you that all household members should be listed.
- Forgetting attachments. The worksheet says to attach both this worksheet and Form IND-HEALTH to your personal income tax return.
Questions people ask
Are adults and children calculated separately?
Yes. Under the Flat Dollar Amount Method, multiply the total months without coverage or an exemption for adults by $57.92. For children under age 18, multiply the total months by $28.96.
What percentage of income does the worksheet use?
The worksheet subtracts your federal standard deduction from your modified adjusted gross income, then multiplies the result by 2.5%. It also adjusts that amount using the months subject to the penalty and household size.
How precisely should I calculate the fraction on line 11?
Divide line 10 by line 9 and carry the result to four decimal places, shown as 0.0000.
How is the final penalty selected?
Line 13 uses the greater of line 3 or line 12. Line 14d uses the lesser of line 14b or line 14c. Your final penalty on line 15 is the lesser of line 13 or line 14d.