AI/AN Exemption

Tribal members, Alaska Native Claims Settlement Act (ANCSA) or Alaska Native shareholders, descendants, and other Indians eligible for services from an Indian/Tribal/Urban health facility (I/T/U), may qualify for an exemption from the individual shared responsibility payment.

Exemption-Photo

 

Two Exemption Categories for American Indians and Alaska Natives (AI/AN)

Two Ways to Claim the AI/AN Exemption

  1. Tax return filing process
  • Use IRS Tax Form 8965 Health Coverage Exemptions:
  • Claim exemption in:
    • Part I: If have an Exemption Certificate Number (ECN), insert name and Social Security Number (SSN) of each individual
      •    If filed for an ECN through the Marketplace and have not received a number yet, enter “pending”
    • Part II: If eligible for specific income exemptions
    • Part III: If no Exemption Certificate Number, self-attest and claim a specific exemption (i.e. must indicate type).
      •    In Column C, enter “E”
  1. Marketplace application
  • Mail application to the Marketplace
    • Health Insurance Marketplace – Exemption Processing

465 Industrial Blvd.

London, KY 40750-0001

  • Submit with application proof of membership of a federally recognized Tribe or eligibility to receive I/T/U services. Send only copies, never originals.
  • Types of acceptable documentation:
    • Tribal identification card
    • Bureau of Indian Affairs form
    • Certificate of Degree of Indian Blood (CDIB)
    • Indian Health Service eligibility letter
  • Marketplace will send an Exemption Certificate Number (ECN)

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