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Overview of Taxation of Employee Sponsored Benefits
Overview of Taxation of
Employee Sponsored Benefits
This page is not tax advice, it is an overview of how premiums and benefits
can be treated for income taxes. You should consult qualified tax advice to
apply this information. Use the menu to quickly go to your area of
interest.
Medical Premiums
Because there are different forms of a business, the taxation is different
for employees and owners. Basically, a business can deduct the premiums paid for
employee medical insurance without the premiums being income to the employee.
However, in a non-C corporation, such as a Sub-S, partnership and sole
proprietorship, the premiums paid for owners/stockholder are income to the
owners. The taxation of those premiums is the same as allowed for any person
paying their own medical premiums.
The IRS/DOL rules say that individual employees can not be discriminated
against in offering medical insurance and paying their premiums. An employer can
discriminate by class in both of these areas. Smaller employers do not have the
luxury of offering multiple levels of coverage to different classes of
employees, but larger ones can. However, all employers can discriminate by class
on the employer portion of the premium. An employer can institute a formal plan,
however most employers I work with want to discriminate by employee not
necessarily a whole class. The easiest way to do that is adopt a premium only
plan (POP, see cafeteria plans for more information.) then bonus
additional income to those employees to pay a larger portion of their premiums.
The additional bonus is income, but the POP allows employee premiums to be paid
pre-tax, so it washes the tax.
Read about Health Savings Accounts (HSA) and purchasing a large deductible
medical plan with a pre-tax account to fund the deductible with, click
here.
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Group Life Insurance
An employer can purchase up to $50,000 of group life insurance for each
employee without income incurring to the employee. Again, owner's premiums are
not income tax deductible such as in a Sub-S corporation or partnership. Any life insurance over $50,000 does create a taxable
event. The tax table to use is called Table 1. The taxable income must be
included on the employee's W2.
Often it is cheaper to purchase individual term life than use the
Table 1 costs. A common approach to this situation is for the employer to
provide one times income in life insurance to $50,000 and let the employee
purchase additional life on a payroll deduction basis themselves, since it is
after tax anyway. If the employer chooses to offer more than $50,000 of group
term, the Table 1 cost (so much per thousand) must be added to the employee's
W2.
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Group Long Term and Short
Term Disability Income
If the employer pays 100% of the disability premiums, it is fully deductible
with no income to the employees. Again, an owner's premiums are not deductible
unless the employer is a C corporation. However, since the employer is deducting
the premiums, at the time of claim, the benefits are income to the employee.
It it possible for the group disability to be contributory, meaning the
employees can pay part or all of the premium themselves. However, different
disability vendors have rules regarding a minimum size to allow the premiums to
be contributory. For example, UNUM requires employers from 2-9 employees
to pay 100% of premiums. Over 10 employees, there is more flexibility for
product and premiums. A fully contributory plan, meaning fully paid by the
employees, rarely works since the insurance companies require a minimum
participation. A solution for getting a plan accepted is for the employer to
offer at least a base plan, say cover 50-60% of income to $3,000 a month of
benefit. If the employees desire a higher level of coverage, they can add to it
on a payroll deduction plan. I use this option frequently to reduce the employer
out of pocket costs.
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Voluntary Benefits
Employees like to be able to add to their own personal insurance on a payroll
deduction basis. An employer can offer: life insurance for the employee and
family, disability, long term care, accident benefits to name the primary
products.
The voluntary benefits are all on a after tax basis. However, the
employee can elect to put certain "health" insurance plans into the
Premiums Only Plan (POP) of an employer sponsored 125/cafeteria plan. If the
employee chooses to have his disability income premiums be pre-tax, at the time
of claim the benefits would be subject to income tax. What is better, deduct
ongoing premiums and pay taxes on the benefits. Or pay taxes on the smaller
premium and get the benefits tax free. Most employees I work with do not elect
to pre-tax disability premiums. Long term care insurance is an exception.
Current tax law allows a portion if not all of qualifying long term care
premiums to be tax deductible.
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Retirement
Retirement plans such as profit sharing, 401k plans and Simplified Employee
Pension are all tax deductible to the employer with no income currently to the
employee. The benefits coming out are all subject to income tax. Withdrawals or
distributions prior to age 59 1/2 may also be subject to a 10% "early
withdrawal" penalty to the employee.
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Key Person Benefits
An employer can reward a specific employee by paying part or all of the
premiums on personal insurance. An employer may offer to pay, for example, 50%
of the premiums on additional disability for an employee. The employer paid
portion of that premium would be income to the employee. How the employee treats
the remaining premium would be the same as any voluntary disability plan. If the
premiums are pre-tax, the disability income benefits are taxable income.
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