IND-HEALTH: Individual Health Insurance Mandate Form (2024)

Rhode Island · RI Division of Taxation · Used for tax years 2024

Rhode Island Form IND-HEALTH records minimum essential health coverage or exemptions for each member of your tax household by month. It also reports the number of months without an applicable exemption and total periods adults and children did not have coverage.

What you'll need

Have these details ready to complete the 2024 form:

  • The name and Social Security number of each member of your tax household.
  • Each member’s monthly minimum essential health coverage or exemption information.
  • Any exemption numbers issued through HealthSource RI.
  • Whether each member was under age 18 as of January 1, 2024.

The form also asks for each member’s number of months without an applicable exemption and totals for periods when adults and children did not have coverage.

Common mistakes

Keep these form reminders in mind:

  • Include every member of your tax household. If there are more than five members, complete multiple IND-HEALTH forms.
  • Enter the appropriate code for each month in which a household member had minimum essential health coverage or an exemption.
  • If someone qualified for an exemption through HealthSource RI, enter the exemption number or numbers in the space provided.
  • Check the age box for each member who was under 18 as of January 1, 2024.

Questions people ask

What code shows that someone had minimum essential health coverage?

Use code X for the corresponding months.

What if my tax household has more than five members?

Complete multiple IND-HEALTH forms.

How do I record an exemption through HealthSource RI?

The form lists code RI for a HealthSource RI exemption. Enter the exemption number or numbers in the space provided.

Which date determines whether I check the under-18 box?

For the 2024 form, check the box if the household member was under 18 as of January 1, 2024.

Where does the form direct me for details about exemption types?

It directs you to the Individual Mandate Instructions for details and instructions on the listed coverage exemption types.

Official sources

All versions of IND-HEALTH