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2023 Health Insurance for S Corporation Owners: An Update



Here’s an update on the latest developments in 2023 health insurance for S corporation owners. As a more- than-2-percent S corporation owner, you are entitled to some good news when it comes to your health insurance.


To ensure that your health insurance deductions are in order, and to avoid the $100-a-day penalties for violating the rules of the Affordable Care Act (ACA), you should take the following steps:


  • Get the cost of the health insurance on the S corporation’s books, either by making the premium payments directly or through reimbursement.

  • Ensure that the S corporation includes the health insurance premiums on the owner- employee’s W-2 form, including the additional compensation in box 1 but not in boxes 3 or 5.

  • If you are an owner-employee with more than 2 percent ownership, claim the health insurance deduction as “self-employed health insurance” on line 17 of Schedule 1 of Form 1040. You must meet the two rules of not having access to employer-subsidized health insurance and having adequate salary


For rank-and-file employees, the S corporation does not have to provide health insurance benefits, but if it does, it must use an acceptable ACA plan, such as (among others) the qualified small employer health reimbursement arrangement (QSEHRA) or the individual coverage HRA (ICHRA).


The S corporation can reimburse more-than-2-percent owners for individually purchased insurance without any penalties, but if it reimburses rank-and-file employees without using the QSEHRA or ICHRA, it faces the $100-a-day penalty per employee.


If you are looking to provide health benefits to employees through the S corporation, there are many tax-advantaged options available. If the S corporation provides group health insurance to all employees, including the shareholder-employee, the same rules apply.

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