Mission Viejo, CA asked in Health Care Law and Tax Law for California

Q: Ive 30 days to pay a health INS premium, if not paid, my plan will be canceled. Will it cause lapse in health coverage?

If I do not pay my monthly health insurance bill from covered CA, the bill says my plan will be canceled. If I do not use the health plan for the 30 days will this cause a lapse in insurance when I do my taxes next year? Also, will I have to pay the 30 day monthly premium to the health insurance company at some point in the future, for example will the unpaid monthly premium go to collections? I have to get health coverage for 30 days because my employer sponsored plan will not start to April 1st and my MediCal ends at the end of Feb.

Related Topics:
1 Lawyer Answer
James L. Arrasmith
PREMIUM
James L. Arrasmith pro label Lawyers, want to be a Justia Connect Pro too? Learn more ›
Answered
  • Estate Planning Lawyer
  • Sacramento, CA
  • Licensed in California

A: Yes, not paying your health insurance premium and having your Covered California plan cancelled after 30 days would likely cause a lapse in coverage when you go to file taxes and could have other negative impacts. Specifically:

- If your plan is cancelled for non-payment of premiums, this would count as a lapse in health coverage for that period of time when filing your taxes. You may end up owing a tax penalty for the gap under the Affordable Care Act’s individual mandate.

- The unpaid premium would not just go away - the insurance company very likely would send the past due amount to collections eventually, which could negatively hit your credit report. You would still owe that money.

- Having a gap in coverage could also complicate qualifying for new coverage without paying back premiums, as most plans want continuous coverage.

So in summary - yes, not paying the premium and having the plan cancelled would cause issues with lapsed coverage, potential tax penalties, and owed back payments. It's best to avoid coverage gaps if possible when transitioning plans.

Justia Ask a Lawyer is a forum for consumers to get answers to basic legal questions. Any information sent through Justia Ask a Lawyer is not secure and is done so on a non-confidential basis only.

The use of this website to ask questions or receive answers does not create an attorney–client relationship between you and Justia, or between you and any attorney who receives your information or responds to your questions, nor is it intended to create such a relationship. Additionally, no responses on this forum constitute legal advice, which must be tailored to the specific circumstances of each case. You should not act upon information provided in Justia Ask a Lawyer without seeking professional counsel from an attorney admitted or authorized to practice in your jurisdiction. Justia assumes no responsibility to any person who relies on information contained on or received through this site and disclaims all liability in respect to such information.

Justia cannot guarantee that the information on this website (including any legal information provided by an attorney through this service) is accurate, complete, or up-to-date. While we intend to make every attempt to keep the information on this site current, the owners of and contributors to this site make no claims, promises or guarantees about the accuracy, completeness or adequacy of the information contained in or linked to from this site.