IND-HEALTH: Individual Health Insurance Mandate Form (2025)
Rhode Island · RI Division of Taxation · Used for tax years 2025
Rhode Island Form IND-HEALTH, Individual Health Insurance Mandate Form, records each tax household member’s monthly minimum essential health coverage or exemption status. It also records HealthSource RI exemption numbers and totals periods without coverage for adults and children
What you'll need
Have the following information ready:
- 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 number(s) for a member who qualified for an exemption through HealthSource RI.
- Whether each member was under age 18 as of January 1, 2025.
The form also asks for each member’s number of months for which an exemption did not apply, and total periods that adults and children did not have coverage.
Common mistakes
- Do not leave out household members. The form says to enter the name and Social Security number for each member of your tax household.
- If your tax household has more than five members, complete multiple IND-HEALTH forms.
- Enter the appropriate code for each corresponding month in which a member had minimum essential health coverage or an exemption.
- If a member qualified for an exemption through HealthSource RI, enter the exemption number(s) in the space provided.
Questions people ask
Which code means a household member had minimum essential health coverage?
Use code X, listed as “Had Minimum Essential Health Coverage.”
Which code is listed for a HealthSource RI exemption?
The chart lists code RI. If a household member qualified for an exemption through HealthSource RI, also enter the exemption number(s) in the space provided.
What if my tax household has more than five members?
Complete multiple IND-HEALTH forms.
When should I check the under-18 box on the 2025 form?
Check the box for a household member who was under age 18 as of January 1, 2025.
Where does the form say to look for details about exemption types?
It directs you to the Individual Mandate Instructions for details and instructions on the listed coverage exemption types.