Health Insurance Penalty Exemptions Forms

Your Healthcare Check
Is Now Complete

Thanks for using Liberty Tax


Thank you for filling out the Health Insurance Exemptions Guide.

You're one step closer to having your health care related tasks for this upcoming tax season squared away. See for yourself how we make taxes easier for you.

What do I do now that I've checked to see if I Qualify?

    1. Print and Mail:Download your exemption application. Print and mail it to the address below to receive your Exemption Certificate Number (ECN). NOTE: It could take 2-8 weeks for the Insurance Marketplace to generate your ECN.
      Health Insurance Marketplace - Exemption Processing
      465 Industrial Boulevard
      London, KY 40741
    2. No Exemption Application needed for my return:
- Go to a Liberty Tax Service office for help with filing your return
- File online for FREE using DIY Tax
  1. Do Not Qualify: If the Exemption Guide determined that you do not qualify, visit a local Liberty Tax Service office near you to receive a personal assessment of your tax options.

For any questions regarding your application, please call 1-800-673-8600 or contact your closest Liberty Tax Service.