2019 Form NJ-1040
1
Line 52 – Shared Responsibility Payment
Beginning in 2019, New Jersey residents who are
required to le a return (and all members of their
tax household) must have minimum essential health coverage
for the entire year unless they qualify for an exemption. Part-
year residents must have coverage or qualify for an exemption
for each month of their New Jersey residency. If you or anyone
in your tax household did not have the required coverage and
does not qualify for an exemption, you owe a shared responsi-
bility payment.
If your income on line 29 is $20,000 or less ($10,000 if your
ling status is single or married/CU partner ling separate re-
turn), you do not owe a shared responsibility payment. Do not
complete line 52. Part-year residents, use income for the entire
year, not just the period of New Jersey residency.
Tax Household. This includes you, your spouse (if ling a
joint return), domestic partner claimed on your return, and any
individuals you claim as dependents on your NJ-1040. It also
includes any individuals you can, but do not, claim as depen-
dents on your return.
Minimum Essential Health Coverage. This is the amount
of coverage you need to satisfy the minimum essential health
coverage requirement. It includes, but is not limited to:
• Any health plan bought through the Health Insurance
Marketplace
• Individual health plans bought outside the Health Insur-
ance Marketplace, if they meet the standards for quali-
ed health plans
• Any “grandfathered” individual insurance plan you’ve
had since March 23, 2010, or earlier
• Most job-based plans, including retiree plans and
COBRA coverage
• Medicare Part A
• Most Medicaid coverage, except for limited coverage
plans
• The Children’s Health Insurance Program (CHIP)
• Coverage under a parent’s plan
• Most student health plans (check with your school to see
if the plan counts as qualifying health coverage)
• Health coverage for Peace Corps volunteers
• Certain types of veterans health coverage through the
Department of Veterans Affairs
• Most TRICARE plans
• Department of Defense Nonappropriated Fund Health
Benets program
• Refugee Medical Assistance
For more information on whether your plan qualies as mini-
mum essential health coverage, see IRS Form 8965.
Exemptions. If at any time during the year (part-year residents
consider only months as a New Jersey resident) you or anyone
in your tax household did not have minimum essential health
coverage, visit nj.gov/treasury/njhealthinsurancemandate/ex-
emptions.shtml to determine if an exemption applies. Exemp-
tions are available for income and healthcare related reasons,
group membership, incarceration, living abroad, and various
hardship reasons. If an exemption applies, complete the NJ
Insurance Mandate Coverage Exemption Application to get an
exemption number. You will need an exemption number for
each person who meets the requirements for an exemption. An
individual may have more than one exemption number if dif-
ferent exemptions applied to different parts of the year. Enter
the exemption number(s) on Schedule NJ-HCC. (See “Com-
pleting Line 52” below.)
Note: If an individual had coverage for any part of a month,
they are considered to be covered for the entire month. No ex-
emption is needed for that month.
Completing Line 52
If your income on line 29 (part-year residents use income for
the entire year) is at or below the ling threshold (see page 3),
you do not owe a shared responsibility payment. Make no en-
try on line 52 and continue with line 53.
Dependent on Another Person’s Return. If someone can
claim you as a dependent on their return, you do not owe
a shared responsibility payment. Complete only Part I of
Schedule NJ-HCC, lling in the “Yes” oval. Fill in the oval
at line 52, NJ-1040, and enclose Schedule NJ-HCC with your
return. If you are ling a joint return but one of you can be
claimed as a dependent on another person’s return, do not in-
clude information for that spouse on schedule NJ-HCC.
Full-Year Coverage. If you and everyone in your tax house-
hold had minimum essential health coverage for the entire year
(part-year residents consider only months as a New Jersey
resident), you do not owe a shared responsibility payment.
Complete only Part I of Schedule NJ-HCC. Fill in the oval at
line 52, NJ-1040, and enclose Schedule NJ-HCC with your
return.
Part-Year Coverage OR No Coverage. If at any time dur-
ing the year (part-year residents consider only months as a
New Jersey resident) you or anyone in your tax household did
not have minimum essential health coverage, you may owe a
shared responsibility payment. Complete Schedule NJ-HCC.
If you had coverage for any part of a month, you are consid-
ered covered for the entire month. When completing Part II,
check the box for every month each individual had minimum
essential coverage (part-year residents include only months
as a New Jersey resident). If an exemption applies for any
member(s) of your tax household (see “Exemptions” on page
37), check the box for each month to which an exemption ap-
plies, and enter the exemption number(s). If any individual
has more than one exemption number, enter only one of the
numbers for that person and check the box. If there are any