Keeping up with the ever-evolving world of health insurance rules and regulations has probably never been quite as difficult or confusing as it is currently. It is essential to understand current policies, future deadlines, and available options to help your small business be informed and make the best choices for your employees and their health insurance while remaining compliant with government rules. To learn more, visit here. Let’s take a closer and more in-depth look at methods the Internal Revenue Service (IRS) permits employers of small businesses to reimburse employees for the cost of health insurance premiums in three ways. If the regulations were not followed for reimbursement, please note that these reimbursements would then be considered taxable income for the employee.
Reimbursement Method #1: Reimbursements that are administered by the Employer
A payment may be issued to the employee by the employer to reimburse them for a portion or for their full health insurance premiums. If this payment is received, it is the responsibility of the employee to provide proof of both payment and coverage for the times in which they received reimbursement. If the employer does obtain proof from the employee that the funds received from the employer were used by the employee to purchase health insurance, the payments are not taxable income. Instead of paying just the employee, the employer has the option to give a check that is made payable to the employee’s insurance company that must be remitted to the insurance provider. The most important factor of this method is sufficient proof obtained by the employer from the employee that the reimbursement is being used for health insurance and that there was coverage throughout the course of time in which there was reimbursement.
Reimbursement Method #2: HSA- Health Savings Account
Employers are allowed to contribute towards the amount of the premiums of an employee’s health savings account, but the combined amount maximum contributed between employers and employees has limits established by the IRS. Employer contributions do not count as taxable income on the part of the employee, but this is only the case if the funds are used to pay medical expenses and premiums. If they are not expenses that would be deductible, the employee must then report this and pay tax on this amount.
Reimbursement Method #3: HRA- Health Reimbursement Arrangement
With a health reimbursement arrangement (HRA), an employer may establish one for employees that can stand alone or be offered alongside other plans (flexible spending, cafeteria plan, etc.). HRAs can only be contributed to by the employer, and contributions are not included as part of the employee’s taxable income. The IRS does not put limitations on HRAs so there are not limits on the deductible or the employee expenses, and the employer has flexibility in how the plan terms are established.
Policies that are not eligible for reimbursement by employers
The three methods above are acceptable forms of reimbursements for employee health coverage, but there are policies and plans that do not meet IRS regulations. This means these would not qualify for a medical expense deduction cannot be tax-exempt reimbursements. These include hospitalization plans and policies that pay a flat amount for hospitalization or falling ill. Life insurance is not included either. Finally, policies that pay wages of employees while they are ill or disabled are also not included.
As Beck and Company’s Certified Public Accountants and Business Advisors, we understand that you, as small business owners, want to do what you can for your employees and hope the information has helped you understand what you can and cannot do in terms of health coverage reimbursement. Our client accounting services are designed with you and your business in mind to help with the complexities and changes of health insurance and taxation policies. We want to help you understand and navigate through confusing rules and regulations so you can protect your business and still care for your employees and their health insurance needs. To learn more about our accounting services to help you in this process and many others, visit here.
Contact Beck and Company CPAs for further assistance and for us to help you answer any personalized or specific questions you have related to these health insurance reimbursement guidelines.