The Individual Mandate for Health Insurance Coverage: In Brief

: Matches New Jersey's formula with a $695 per adult minimum or 2.5% of income.

: Penalties are approximately $950 per adult and $475 per child , or 2.5% of household income above the filing threshold, whichever is higher.

: While individuals generally aren't fined federally, "Applicable Large Employers" (50+ full-time employees) still face federal penalties if they fail to offer affordable coverage.

: Has a mandate to report coverage but currently imposes no financial penalty for being uninsured. Key Considerations for 2026

: Uses a sliding scale based on income; monthly penalties can range from $23 to $135 per adult .