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Dear Client:
The IRS has released guidance on the Manhattan personal income tax treatment of health care coverage for children under age 27 that may be relied upon pending the issuance of amended regulations by the IRS and Treasury Department.
The Patient Protection and Affordable Care Act (PPAC Act), as amended by the Health Care and Education Reconciliation Act of 2010 (2010 Reconciliation Act), added several provisions that expanded the health care tax benefits that apply to various workplace and retiree health plans and their personal income taxes in NYC. The benefits also apply to self-employed individuals who qualify for the self-employed health insurance deduction on their federal and New York personal income tax return.
Exclusion for employer reimbursements. The PPAC Act expanded the exclusion from an employee’s gross income for employer-provided reimbursements for medical care to cover the employee’s child who has not attained age 27 as of the end of the tax year. This new age 27 standard replaces the lower age limits that applied under prior tax law, as well as the requirement that a child qualify as a dependent for New York City personal income tax purposes.
The guidance clarifies that an employee’s child includes a son, daughter, stepchild, adopted child or eligible foster child. When determining the child’s age at year end, the tax year considered is the employee’s tax year. For purposes of the gross income exclusion, an employer can assume that an employee’s tax year is the calendar year and may rely upon the employee’s representation as to the child’s date of birth. The new Manhattan personal income tax benefit is available beginning March 30, 2010 for children who meet the year-end age requirement and are already covered under the employer’s plan or are added to the employer’s plan at any time during the year.
It should be noted that the PPAC Act requires group health plans and health insurance issuers to extend coverage to an adult child until age 26 rather than age 27, and this requirement is effective only for plan years beginning on or after September 23, 2010.
Cafeteria plan, health FSAs, and HRAs. Under the PPAC, the exclusion of coverage and reimbursements from an employee’s gross income for an employee’s child who is under age 27 at year end applies to the definition of qualified benefits for cafeteria plans, including health flexible spending accounts (health FSAs) and health reimbursement arrangements (HRAs). The IRS intends to amend the cafeteria plan rules to include change-in-status events affecting nondependent children under age 27. As a result, as of March 30, 2010 employers may permit employees to make pre-tax salary reduction contributions for accident or health benefits under a cafeteria plan for children under age 27, even if the cafeteria plan has not yet been amended to cover these individuals and their personal income taxes in NYC.
Self-employed health insurance deduction. Insurance paid by a self-employed individual for any child who is not age 27 at year end qualifies for the self-employed health insurance deduction. However, this deduction is denied if the self-employed individual can participate in any subsidized plan, including that of an employer of a dependent or child under age 27 at year end.
The IRS guidance clarifies that these additional tax benefits are provided by the PPAC for adult children who have not attained age 27 at year end:
• Exemption from FICA, FUTA, RRTA, or income tax withholding for health insurance coverage and employer reimbursements provided under a plan for employees and their dependents
• Sickness and accident benefits under a Voluntary Employees’ Beneficiary Association (VEBA)
• Sickness, accident, hospitalization, and medical expense benefits offered by a retired employee’s pension or annuity plan
These health care benefits provided to children under age 27 are meant to encourage the shared responsibility for health insurance coverage of all Americans. If you have any questions regarding this New York personal income tax issue or any other provision of the health reform legislation, please call our Manhattan personal income tax CPAs at your earliest convenience.
About us: MEDOWS CPA, PLLC is a boutique New York CPA NY Firm serving the needs of Individuals & Small Businesses in New York City and throughout the nation. We work with the self-employed, freelancers, LLC, C-Corporations and S-Corporations to help them with their accounting and tax needs.
Jonathan Medows, CPA
MEDOWS CPA, PLLC
A Unique, Boutique New York CPA Firm Serving the Needs of Individuals & Small Businesses