If you want health coverage under the Affordable Care Act...

If you want health coverage under the Affordable Care Act starting Jan. 1, you must enroll by Dec. 15. Credit: iStock

The second open-enrollment period has begun (now, through Feb. 15, next year) for individual health care coverage under the Affordable Care Act. Despite a dreadful rollout, during the first open enrollment period, 8 million individuals signed up for non-group coverage through federal and state marketplaces.

If you didn't sign up for coverage in the first go-round, you will be able to enroll for 2015 at HealthCare.gov, which has been revamped for the new season. Note: If you want coverage starting Jan. 1, you must enroll by Dec. 15.

If you signed up last year, use this time to renew or change policies and to ensure that your current plan is still the best choice for you, especially if you are one of the about 85 percent of marketplace enrollees who is receiving premium tax credits to make coverage more affordable. (Remember that you claim the credit by filing a federal income tax return.)

While it may seem easy to renew coverage without updating, unless you update your income data, you won't have accurate information about how much you are eligible for in tax credits and what your out-of-pocket premium contribution for a plan actually is. If your income has increased, you may no longer be entitled to the credit, a fact that you don't want to discover when you file taxes and have the nasty surprise of owing the government money!

Even if your personal circumstances have not changed, the cost of your plan may rise next year. PricewaterhouseCoopers' Health Research Institute found that, on average, premiums for individual insurance plans are expected to increase by 6 percent in 2015, though actual changes and premium prices vary significantly across states.

Your cost of health care is not just measured in premiums, but in out-of-pocket expenses like deductibles, copays and coinsurance. All marketplace plans are required to set a cap on total out-of-pocket spending for in-network services in a year. The maximum out-of-pocket cap for 2015 will increase to $6,600 for an individual ($13,200 for a family policy), compared with $6,350/$12,700 in 2014.

Another change for 2015 is the penalty for not having health care coverage. The fee is the higher of 2 percent of your income or $325 per adult/$162.50 per child, with a maximum penalty per family of $975. You'll pay the fee on the federal income tax return you file for the year you don't have coverage. If you don't pay the fee, the IRS will hold back the amount of the fee from any future tax refunds, but there are no liens, levies or criminal penalties for failing to pay it.

According to the Kaiser Family Foundation, you may be exempt from the requirement to maintain qualified health care coverage if:

You cannot afford coverage (defined as those who would pay more than 8 percent of their household income for the lowest-cost bronze plan available through the marketplace).

You are not a U.S. citizen, a U.S. national, or a resident alien lawfully present in the U.S.

You had a gap in coverage for less than three consecutive months during the year.

You will not file a tax return because your income is below the filing threshold. (In 2014, the tax filing thresholds are $10,150 for individuals and $20,300 for married filing jointly.)

You are unable to qualify for Medicaid because your state has chosen not to expand.

You participate in a health care sharing ministry or are a member of a recognized religious sect with objections to health insurance.

You are a member of a federally recognized Indian tribe.

You are incarcerated.

Kaiser also notes some exemptions must be obtained by applying directly to the marketplace and those who may be eligible for exemptions and who have not yet applied for one can still do so before the end of the year. Some exemptions can be claimed on the income tax return with IRS Form 8965, though the exemption for people who don't earn enough to file taxes is automatic.

If you need help, you can call the federal Health Insurance Marketplace at 800-318-2596, where one of 14,000 customer service representatives (an increase of 1,000 from last year) can answer questions.

Jill Schlesinger, a certified financial planner, is a CBS News business analyst. She welcomes emailed comments and questions.

SUBSCRIBE

Unlimited Digital AccessOnly 25¢for 6 months

ACT NOWSALE ENDS SOON | CANCEL ANYTIME