Are Company Paid Insurance Premiums Taxable Income?

Most insurance premiums paid by employers is regarded as taxable income, with a few exceptions.

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Insurance premiums are the amount of money our employer or we pay to insurance companies for coverage. Whether or not employer-paid insurance premiums are considered taxable income by the IRS depends on the type of insurance, the amount of coverage, your role in the company and your salary.


Company-paid health and accident insurance premiums are not taxable income, but some life insurance premiums may be taxable.

Insurance Premiums May Be Taxable

The premiums paid by the employer in a business life insurance policy are tax exempt if the death benefit of the policy is $50,000 or less. If your employer pays for a life insurance policy for you that has a death benefit over $50,000, the amount of the premium that goes toward the extra coverage is subject to payroll taxes. That means your employer has to report the cost of the extra benefit as income and withhold payroll taxes from it. When it comes time to file your tax return, you’ll be reporting this as income.

Insurance Premium Exceptions

Health and accident insurance premiums paid by your company are exempt from federal and other payroll taxes. One exception is premiums for long-term care insurance provided in a tax-sheltered plan, such as a flexible spending account. This type of insurance covers costs associated with assisted living facilities or residential care for the disabled. The cost of it is subject to income tax but not Social Security or Medicare taxes.

Additionally, health insurance premiums that you pay are considered a medical expense. As such, they may be tax deductible. Include what you’ve paid out-of-pocket for health insurance premiums in your medical expenses for the year. For the 2019 tax year, if your medical expenses total more than 10 percent of your adjusted gross income, they’re deductible. Don’t forget that your mileage to and from medical appointments is considered a medical expense.

Tax Treatment for S Corporations

If the company is an S corporation, employees who own more than 2 percent of the company’s stock are considered partners, and their company-paid insurance premiums will be subject to income tax. However, this benefit is not subject to Social Security or Medicare taxes unless the company compensated the employee for a specific illness or injury.

Tax for Highly Compensated Employees

Company-paid premiums for plans that favor highly compensated employees or key employees are also taxable. Eligibility to participate, the amount of contributions, or extent of benefits are all ways that a plan might favor certain individuals. The company must include the value of the benefits the employee could have selected in their wages.

The IRS’s definition of a highly compensated employee is an officer of the company, a shareholder who owns more than 5% of the voting power or value of the company's stock, an employee who is highly compensated “based on the facts and circumstances.” A spouse or dependent of any of these persons is also considered a highly compensated employee. A key employee is an officer of the company whose annual pay is more than $175,000, or a 5% owner, or a 1% owner whose annual pay is more than $150,000.

Current Tax Year Information

For the 2019 tax year, there are currently no changes in the rules governing taxable and non-taxable insurance premiums. However, a related deduction has changed. The standard mileage rate for using your vehicle to obtain medical care has increased to 20 cents per mile (up by 2 cents from 18 cents in 2018). Also, the annual maximum you can contribute to a health care flexible spending account is $2,700 (up $50 from $2,650 in 2018.

Reimbursement of Cobra Premiums Taxable?

If your former employer is reimbursing you for your COBRA payments, this may or may not be considered taxable income. They may report it on your W2 in Box 12 with the code DD which means the amount in the box is the total of what you and your employer paid for your employer-sponsored health insurance for the year. However, amounts coded DD don’t affect the other numbers on your tax return, as they’re for informational purposes only.

But sometimes an employer will issue a Form 1099-MISC for the COBRA reimbursements. In this case it would have to be reported as income. It’s a good idea to talk to your former employer’s human resources people to find out how they’re going to handle the reimbursement and then talk to a professional tax preparer.

In general, if your company wants to treat this as a non taxable health insurance expenditure, it should either make the COBRA payments directly to COBRA or reimburse you only after you show them proof of making the payments yourself. COBRA reimbursements are not taxable if you’re required to prove to your former employer that you made the COBRA payments before they reimburse you. You should keep documentation of any arrangement you have with your former employer and for each COBRA payment you’ve made and each reimbursement you received.

Employer Pays COBRA For You

If your former employer is making the payments directly to COBRA for you, the exemption for employer-paid accident and health insurance premiums applies. It’s not considered income and should not be reported as taxable wages, provided the plan covered by the COBRA payments is a “qualified plan.”

See IRS Section 4980B(g) for details. There are no conditions on this continuation of coverage. The employer should exempt the premiums whether the employee quit or was temporarily laid off, or whether he was a permanent or temporary worker. If you’re paying your own COBRA premiums with out of pocket funds, you can add what you paid to your medical expenses for the tax year.