The Tax Cuts and Jobs Act ended the individual mandate starting in 2019. So for 2018, you’ll be penalized unless you have minimum essential health coverage or qualify for an exemption from coverage. You can find a list of exemptions in the instructions to Form 8965 (https://www.irs.gov/pub/irs-pdf/i8965.pdf).
A 20% withholding rule applies to nonperiodic distributions, such as lump-sum distributions, paid directly to employees from an employer plan.