Are COBRA payments pretax?

Asked by: Jerrod Kozey I  |  Last update: October 31, 2025
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Typically, premium payments deducted from your paycheck are pre-tax payments—what you pay toward your premiums doesn't count as income when you file your taxes. With COBRA, you need to pay the premiums with after-tax funds.

Are COBRA payments pre or post tax?

Most employers also set-up an IRS Section 125 plan so both the employer and employee contributions towards premium are paid on a pre-tax basis. With COBRA, you pay the full premium yourself, plus a 2% additional fee collected by the COBRA administrator, without the benefit of doing so via a pre-tax paycheck deduction.

How are COBRA premiums paid?

The three ways to pay COBRA premiums are through ACH (linked to your bank account), credit/debit card or check. We recommend paying by ACH.

How do I report COBRA payments on my taxes?

According to the Federal tax laws, your unreimbursed COBRA payments are, in fact, deductible as medical expenses on your 1040 tax return in the same way that you can deduct unreimbursed payments for legal medical services provided by physicians, surgeons, dentists, and other medical practitioners, as well as any ...

Can COBRA premiums be deducted on taxes?

Are my COBRA premiums deductible? Yes they are tax deductible as a medical expense. There isn't necessarily a “COBRA Tax Deduction”. You can only deduct the amount of COBRA medical expenses on your federal income tax in excess of 7.5% of your Adjusted Gross Income and then only if you itemize deductions.

COBRA Insurance | What You Need to Know

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Are COBRA payments reported on W-2?

In general, each employer providing coverage will have to report the prorated cost on the employee's W-2. If the employee is terminated, the employer can also include the COBRA payment amounts paid by the employee after termination.

Is health insurance pre-tax on payroll?

Is health insurance a pre-tax payroll deduction? Most employer-based health insurance is pre-tax and gets deducted from wages before taxes. It's the employer's responsibility to calculate the employee's deductible during the payroll process. Afterward, employers only apply income tax to the leftover pay.

Where do I enter COBRA payments on TurboTax?

Enter your COBRA premiums under Medical insurance premiums.

Is COBRA premium subsidy taxable income?

Taxability of Subsidies

The premium subsidy is not included in the individual's income. However, there is a phase-out of eligibility for the subsidy, which will increase some high-income individuals' tax liability if they receive the subsidy.

Do health insurance premiums reduce taxable income?

If you enroll in a medical plan that requires you to pay a premium, you'll be automatically enrolled for pretax deduction of your premium costs from your paycheck. This reduces your taxable income and increases your take-home pay.

Is COBRA coverage worth it?

If you're close to meeting your deductible on your current insurance plan and you have high health care costs, it may be worth it to temporarily stay on your COBRA plan,” explains Donovan. The same holds true if you're far into your employer plan's year and have already met your deductible.

What is the 60 day loophole for cobras?

You have 60 days to enroll in COBRA once your employer-sponsored benefits end. Even if your enrollment is delayed, you will be covered by COBRA starting the day your prior coverage ended.

What happens if I don't pay COBRA premium?

You can be required, however, to make an initial premium payment within 45 days after the date of your COBRA election (that is the date you mail in your election form, if you use first-class mail). Failure to make any payment within that period of time could cause you to lose all COBRA rights.

Do I get a tax form for COBRA?

If you had job-based health coverage. Depending on the kind of job-based coverage you had (including COBRA or retiree coverage), you may get one of these from your employer or insurance company: Form 1095-B, Health Coverage. Form 1095-C, Employer-Provided Health Insurance Offer and Coverage.

Who do you pay COBRA premiums to?

When on COBRA continuation, you'll pay the premium out-of-pocket. Traditionally, the former employer will process the monthly premium payments they receive by mail in the form of a check or money order, made payable to the employer.

What is the tax penalty for COBRA?

The minimum tax levied by the IRS for non-compliance discovered after a notice of examination is generally $2,500. The maximum tax for “unintentional failures” is the lesser of 10% of the amount paid during the preceding tax year by the employer for group health plans, or $500,000.

Is COBRA pretax or post tax?

Typically, premium payments deducted from your paycheck are pre-tax payments—what you pay toward your premiums doesn't count as income when you file your taxes. With COBRA, you need to pay the premiums with after-tax funds.

Who pays for COBRA after termination?

COBRA and Cal-COBRA

COBRA allows former employees, retirees, and their dependents to temporarily keep their health coverage. If you get COBRA, you must pay for the entire premium, including any portion that your employer may have paid in the past.

Is COBRA subsidized by employer?

Although not legally required, employers may provide terminated employees with a subsidy to pay for a portion (or for the total) premiums for COBRA continuation coverage for a specified period of time.

Can I pay COBRA premiums with HSA?

Can you use HSA for COBRA premiums? The short answer is yes. You can use funds from your Health Savings Account (HSA) to pay for COBRA premiums. This option is particularly beneficial for individuals who want to maintain their health insurance coverage but face the financial burden of COBRA premiums.

Can you get tax credits for COBRA?

If your coverage is from a former employer, such as COBRA or retiree coverage, you can decline the employer coverage, even if it is affordable and provides minimum value, and may be eligible for the Premium Tax Credit for your Marketplace coverage.

Can you deduct health insurance premiums without itemizing?

Whether you can deduct health insurance premiums from your tax return also depends on a few factors. First, you'll only be able to deduct premiums as medical expenses if you itemize deductions on your tax return, but not if you take the standard deduction. See more details at the bottom of this section.

Is cobra reimbursement taxable?

Answer: Reimbursement for COBRA payments are not taxable to the former employee and should not be reported on a Form 1099, Miscellaneous Information, or a Form W-2, Wage and Tax Statement. This is true regardless of whether the reimbursement is paid by the former employer or the employee's current employer.

What is an example of a pre-tax?

Pre-tax money means income you receive that you have not paid income tax on. It doesn't necessarily mean you will never have to pay tax on those dollars. For example, you contribute pre-tax dollars to your 401(k) plan, but you will eventually pay tax on those dollars when you withdraw the money from the plan.

What decreases your taxable income?

There are a few methods recommended by experts that you can use to reduce your taxable income. These include contributing to an employee contribution plan such as a 401(k), contributing to a health savings account (HSA) or a flexible spending account (FSA), and contributing to a traditional IRA.