Is Health Insurance a Business Expense and What Small Businesses Need to Know

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As a small business owner, you're likely no stranger to the financial burdens that come with running a company. One of the most significant expenses for many small businesses is health insurance, which can be a major hit on the bottom line.

According to the IRS, business owners can deduct the cost of health insurance premiums as a business expense on their tax return. This can be a significant deduction, especially for businesses with multiple employees.

For example, if you're a sole proprietor and pay $5,000 per year in health insurance premiums for yourself and your family, you can deduct that entire amount from your taxable income. This can result in a substantial tax savings.

Businesses with multiple employees, on the other hand, may be eligible to deduct the cost of health insurance premiums for their employees as well. This can be a major expense, but it's one that can be written off as a business expense.

Tax Deduction Basics

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Health insurance premiums can be a business expense for companies and organizations that offer group insurance to their employees. This is because businesses can write off the amount they cover as a business expense every year come tax time.

Businesses can claim the health insurance premiums they cover as a business expense on their tax return. This is one of the rare insurance transactions where everyone wins, including the insurance companies, employees, and the employer.

The employer subsidy, which is the portion of the premium that the employer covers, is what they hope to claim as a business expense. This helps the employer lower their tax bill.

To claim the credit for small employer health insurance premiums, you must use Form 8941. This form is used to calculate the credit, and the instructions for filling out the form can be found on the IRS website.

If you're a small business, you can include the amount as part of the general business credit on your income tax return. If you're a tax-exempt organization, you include the amount on line 44f of the Form 990-T.

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You can deduct the full cost of your health care premiums from your taxable income if you get insurance in the Health Insurance Marketplace. However, there are two exceptions to this rule: if you have health insurance through an employer-sponsored plan or if you have health insurance through COBRA.

Here are the exceptions to deducting health insurance premiums:

  • If you have health insurance through an employer-sponsored plan, you can only deduct out-of-pocket premiums if you itemize deductions and if your total medical expenses exceed 7.5% of your adjusted gross income for the year.
  • If you have health insurance through COBRA, you can only deduct the premiums if you itemize and if your total medical expenses exceed 7.5% of your adjusted gross income for the year.

Keep in mind that if you use HSA funds to pay for COBRA premiums or expenses, these are not eligible for a deduction.

Self-Employed and Business Structures

Self-employed individuals and those with certain business structures have different rules when it comes to deducting health insurance premiums as a business expense. As a self-employed person, you can't write off health insurance costs as a business expense, but you can still claim them as a tax deduction.

If you're self-employed, you can deduct healthcare premiums, including health, dental, and vision insurance, as well as long-term care insurance for yourself, a spouse, and dependents. However, you must have made money during the year and show a net profit on your tax return.

Partners and LLC members who are treated as partners for tax purposes are considered self-employed and can claim the health insurance deduction. If the partnership or LLC pays the premiums, special tax reporting rules apply, but you can still claim the deduction for premiums paid for your coverage.

Self-Employed

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As a self-employed individual, you may have questions about deducting health insurance premiums. The good news is that self-employed people can write off healthcare premiums, including normal health insurance, dental and vision insurance, and even long-term care insurance for themselves, a spouse, and dependents, as tax-deductible expenses.

However, there are some caveats to keep in mind. If you're eligible for employer-subsidized insurance or spousal coverage, you can't write off health insurance costs. Additionally, you must have made money during the year in question and show a net profit on the Profit and Loss From Business Form (Schedule C).

You can claim the page 1 deduction if you directly pay your own health insurance premiums as a partner or LLC member. If the partnership or LLC pays the premiums, special tax reporting rules apply, but you can still claim the deduction for premiums paid for your coverage.

Here are the key points to remember:

  • Self-employed individuals can write off healthcare premiums as tax-deductible expenses.
  • Eligibility for employer-subsidized insurance or spousal coverage disqualifies you from writing off health insurance costs.
  • You must show a net profit on the Profit and Loss From Business Form (Schedule C) to claim the deduction.
  • Partners and LLC members can claim the page 1 deduction if they directly pay their own health insurance premiums.

S Corporations and Small Businesses

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S Corporations were specifically designed for small businesses to provide them with tax breaks that larger businesses are not granted. They don't pay business income taxes, which means health insurance premiums can't be written off as a business expense.

Profits and losses of an S Corporation are passed through individual tax returns, so the tax deduction is applied to personal tax returns rather than the business's filing. This can be a bit confusing, but it's essential to understand the difference.

Health insurance premiums can be paid by either the owner (shareholder) or the corporation itself, but they're still reported on a W-2 statement of the owner or shareholder. This means they're not considered a business expense, just a tax deduction.

In S Corporations, the policy must be in the corporation's name if the premiums are paid by the corporation. However, the premiums are still not considered a business expense, just a tax deduction.

Expense Claims and Payments

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As a self-employed individual or a partner in a partnership, you may be wondering if you can claim health insurance as a business expense. The good news is that you can, but there are some rules to keep in mind.

Partners in a partnership can deduct medical insurance, dental, and health insurance, and long-term care insurance either as individuals or through the partnership itself. This is reported as a personal tax deduction rather than a business expense on Form 1065, Schedule K-1.

To qualify for the medical deduction, your unreimbursed medical and/or dental expenses need to exceed 7.5% of your adjusted gross income (AGI) for the year. This means that most Americans don't regularly meet this threshold, but if you've had a significant health event or a chronic health condition, it's worth exploring.

Deductible medical expenses include preventive care, mental health services, dental and vision insurance premiums, long-term care insurance premiums, and travel and lodging for medical appointments in certain circumstances.

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Here are some examples of deductible medical expenses:

  • Preventive care
  • Mental health services
  • Dental and vision insurance premiums
  • Long-term care insurance premiums
  • Travel and lodging for medical appointments in certain circumstances

Businesses and organizations can also deduct group insurance as a company, but only the portion that they cover can be written off as a business expense. This is a great benefit for employees, as they get cheaper insurance due to the employer subsidy.

Tax Credits and Savings

You can save money on your health insurance premiums through a tax credit. The credit is available to eligible small business employers and small tax-exempt employers, and it can be worth up to $10,000 per year.

The credit is available for two consecutive taxable years, and it's available even if your small business doesn't owe tax during the year. You can carry the credit back or forward to other tax years, and you can still claim a business expense deduction for the premiums in excess of the credit.

Here's a breakdown of the credit:

  • 50 percent of premiums paid for small business employers
  • 35 percent of premiums paid for small tax-exempt employers

The credit is refundable, so if you're tax-exempt and have no taxable income, you may be eligible to receive the credit as a refund. However, refund payments issued to small tax-exempt employers claiming the refundable portion of the credit are subject to sequestration.

Tax Credit Claim

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You can claim the credit by using Form 8941, Credit for Small Employer Health Insurance Premiums, to calculate the credit. For detailed information on filling out this form, see the instructions for Form 8941 PDF.

The credit is available to eligible employers for two consecutive taxable years. It's a sliding scale, with the smaller the employer, the bigger the credit. If you have more than 10 full-time equivalent employees or if the average wage is more than $25,000 (as adjusted for inflation), the amount of the credit you receive will be less.

The credit is refundable, so if you're tax-exempt and have no taxable income, you may be eligible to receive the credit as a refund so long as it does not exceed your income tax withholding and Medicare tax liability. Refund payments issued to small tax-exempt employers claiming the refundable portion of the credit are subject to sequestration.

You can benefit from the credit this year or in previous years. If you didn't claim it on your tax return, there's still time to file an amended return. Refund limitations may apply. Generally, a claim for refund must be filed within three years from the time the return was filed or two years from the time the tax was paid, whichever of such periods expires the later, or if no return was filed by the taxpayer, within two years from the time the tax was paid.

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Here's a summary of the credit:

  • 50 percent of premiums paid for small business employers
  • 35 percent of premiums paid for small tax-exempt employers
  • The credit is available to eligible employers for two consecutive taxable years

As a small business employer, you may be able to carry the credit back or forward. And if you are a small tax-exempt employer, you may be eligible for a refundable credit.

Determining FTEs for Tax Credit

You'll consider all employees who perform services for the small employer during the tax year when determining the number of full-time equivalent employees.

For the FTE calculation, don't include the wages and hours worked of certain types of employees, such as the owner of a sole proprietorship, partner in a partnership, shareholder of S Corporation owning more than 2 percent, owner of more than 5 percent of the business or other businesses, and their family members.

One FTE generally equals 2,080 hours per year, which is different from other provisions of the Affordable Care Act that count 30 hours per week as one FTE.

You can count any number of part-time employees that work a combined number of hours equal to that of a full-time employee as one FTE. For example, two half-time employees count as one FTE.

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To calculate FTEs, exclude hours that exceed 2,080 from the total. Also, exclude seasonal employees who work 120 or fewer days per year from the calculation of the number of FTEs and average annual wages.

Here's a quick reference to help you understand which employees to exclude from the FTE calculation:

  • Owner of a sole proprietorship
  • Partner in a partnership
  • Shareholder of S Corporation owning more than 2 percent
  • Owner of more than 5 percent of the business or other businesses
  • Family members of the above

Remember, you can still count the health insurance premiums paid by the employer on behalf of these employees in determining the amount of the credit.

Angelo Douglas

Lead Writer

Angelo Douglas is a seasoned writer with a passion for creating informative and engaging content. With a keen eye for detail and a knack for simplifying complex topics, Angelo has established himself as a trusted voice in the world of finance. Angelo's writing portfolio spans a range of topics, including mutual funds and mutual fund costs and fees.

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