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Our Team of New York income tax CPAs want you to know that individuals who are involuntarily terminated from employment on or after September 1, 2008 and on or before May 31, 2010 can elect to pay 35 percent of their NYC COBRA continuation coverage and be treated as paying the full amount. The former employer pays the remaining 65 percent and then seeks reimbursement from the IRS, through a New York City payroll income tax credit. The COBRA subsidy has been credited with helping millions of individuals maintain their health insurance coverage during the economic slowdown.
The COBRA premium subsidy was first introduced in the American Recovery and Reinvestment Act of 2009 (2009 Recovery Act) and extended in subsequent legislation. The latest extension was in the Continuing Extension Act of 2010. The Continuing Extension Act extended eligibility for COBRA premium assistance through May 31, 2010. Congress is expected to approve legislation extending the subsidy through December 31, 2010. If passed, this would greatly help people who have been wit by the economy with their Manhattan income taxes.
In New York, COBRA premium assistance is excluded from gross income. However, the subsidy phases out for higher income individuals. Individuals with modified adjusted gross income (AGI) between $125,000 and $145,000 ($250,000 and $290,000 married couples filing jointly) must repay a portion of the subsidy on their income taxes in Manhattan. If a taxpayer’s modified AGI exceeds $145,000 ($290,000 for married couples filing jointly) the full amount of the subsidy will be repaid as an additional tax. A higher income individual can elect to waive COBRA premium assistance.
If you believe you are eligible for COBRA premium assistance but your former employer or plan denied the subsidy, you may apply to the U.S. Department of Labor (DOL) to review the denial. DOL has posted, online, its process for individuals to appeal denials of COBRA premium assistance under the 2009 Recovery Act. The DOL has promised to expedite review of denials for the temporary subsidy for COBRA continuation coverage.
Individuals who believe they are eligible for COBRA premium assistance, but have been denied the subsidy, can appeal to the DOL. Individuals can file their appeals electronically at its web site ( www.dol.gov/cobra ) or, alternatively, can print the online appeals form and send it to the DOL by mail or fax.
Individuals filing an appeal should have:
• COBRA election notice;
• A “Request for Treatment as an Assistance Eligible Individual” or other form used to request the premium reduction;
• Insurance information card;
• Payroll stubs showing deductions for health benefits;
• Any documents detailing the date and circumstances of the termination; and
• Any documentation the individual received regarding the denial of the premium reduction.
The DOL processes appeals from individuals who were employed in the private sector. If the individual was employed by the federal government or a state or local government, the U.S. Department of Health and Human Services (HHS) processes the appeal. HHS has also posted information about appeals on its web site ( www.cms.hhs.gov ).
If you have questions about COBRA premium assistance in New York, or the COBRA denial and appeals process, please do not hesitate to call our team of Manhattan income tax CPAs. We can answer your New York income tax questions and provide you with more specific information that you may need.
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