2016 shared responsibility payment worksheet 2017 instructions for form 8965 internal revenue service2017 instructions for form 8965health coverage exemptions and instructions for figuring your d responsibility payment or have health coverage make a d responsibility payment claim a coverage exemption on form 8965 or for each month you must either see the instructions for your tax return for information on reporting full year coverage.aca individual d responsibility provision calculatingto help estimate the amount of your payment check out the individual d responsibility payment estimator the monthly national average premium for qualified health plans that have a bronze level of coverage and are offered through exchanges in 2017 is $272 per individual.
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