Can an S Corp pay for owners Medicare premiums?

Asked by: Catharine Spinka IV  |  Last update: March 28, 2025
Score: 4.1/5 (40 votes)

If you've established your business as an S corporation, the corporation can either pay your Medicare premiums directly on your behalf (and count them as a business expense) or the corporation can reimburse you for the premiums, with the amount included in your gross wages reported on your W2, and you can then deduct ...

Can my S corporation pay my Medicare premiums?

If You Are an S Corporation Shareholder-Employee

You can pay the premiums yourself, or the S corporation can pay them and report the premium amounts on your Form W-2 as additional taxable wages.

Can an S Corp reimburse an owner for health insurance premiums?

The company can either pay the insurance company directly or reimburse the S-corp owner for the premiums. Don't forget to chat with your payroll provider about this, since owner payments are managed differently than those for non-owners. Check out the specifics on the IRS website here.

Are Medicare premiums deductible for as a corp shareholder?

Treating medical insurance premiums as wages

Health and accident insurance premiums paid on behalf of a greater than 2-percent S corporation shareholder-employee are deductible by the S corporation and reportable as wages on the shareholder-employee's Form W-2, subject to income tax withholding.

Can business owners deduct Medicare premiums?

If you're self-employed and your business shows a profit you can claim your health insurance premiums as a tax deduction. This includes premiums for Medicare Parts A and B, Medicare Advantage, Part D prescription drug plans and Medicare Supplement plans .

S corporation Owner Compensation Tax Strategy

20 related questions found

Can my company pay my Medicare premiums?

Can my employer pay my Medicare premiums? Employers can't pay employees' Medicare premiums directly. However, they can designate funds for workers to apply for health insurance coverage and premium payments with a Section 105 plan.

Can a small business owner deduct health insurance premiums?

Yes, they are deductible if you have qualifying insurance and if you're an eligible self-employed individual.

Can S Corp owners deduct life insurance premiums?

Life insurance premiums are only deductible if the S corporation offers life insurance as an employee benefit.

Do you pay Medicare tax on S Corp distributions?

Shareholder distributions aren't subject to Social Security or Medicare taxes, which is major when it comes to taxes. This means you save money on taxes because you only pay income tax on the distributions you receive.

How do I report an S Corp shareholder health insurance on W-2?

They should be included in Box 1 wages and in Box 14 as “2% Owner S-Corporation Shareholder Insurance” on your W-2.

Can an owner of an S Corp owner get reimbursed expenses?

Accountable plans offer S Corp owners a flexible way to reimburse themselves for business expenses paid using personal money. They're easy to set up and use, but remember to document your expenses carefully in case the IRS wants to check your records.

Can S Corp pay out of pocket medical expenses?

The IRS allows S-corporations to pay for (and deduct) the medical expenses of their shareholders, but only under certain stipulations. First, the employee or owner must be a more-than-two-percent shareholder of the corporation.

What is the 60 40 rule for S Corp salary?

The 60/40 rule is a simple approach that helps S corporation owners determine a reasonable salary for themselves. Using this formula, they divide their business income into two parts, with 60% designated as salary and 40% paid as shareholder distributions.

Can a S Corp pay health insurance premiums for owners only?

In short, you can ensure you don't incur the cost of those additional payroll taxes if you offer insurance to all employees. If your S Corp only provides insurance for owners, the premiums are subject to both income and payroll taxes.

What is reasonable compensation for a S Corp owner?

You may or may not have heard of the S Corp Salary 60/40 rule. The guideline encourages setting reasonable compensation between 60% and 40% of the business's net profits. The IRS does not set this guideline. It should not be relied on as the only factor for deciding S corporation reasonable compensation.

Do business owners pay Medicare tax?

Self Employment Tax

Self-employment tax is social security and Medicare tax for people who are self-employed. This tax applies to those who are sole proprietors with a net profit of $400 or more during the year.

Can I deduct Medicare premiums on S Corp?

If you've established your business as an S corporation, the corporation can either pay your Medicare premiums directly on your behalf (and count them as a business expense) or the corporation can reimburse you for the premiums, with the amount included in your gross wages reported on your W2, and you can then deduct ...

Is an S Corp owner considered an employee?

Courts have consistently held that S corporation officer/shareholders who provide more than minor services to their corporation and receive or are entitled to receive payment are employees whose compensation is subject to federal employment taxes.

Can an S Corp owner have an HSA?

Any contributions from the S Corp business to the owners' HSAs are considered taxable income—you can't make pretax contributions to your HSA. But while the S Corp HSA contributions are taxable to the owners, they're also tax deductible to the business as a compensation expense.

What is the 2% rule for S Corp?

Some unique income tax rules apply to S corporations regarding compensation and fringe benefits paid to shareholders who own greater than 2% of the corporation. Under these S corp income tax rules, a greater than 2% shareholder is taxed as a partner in a partnership for fringe benefits received.

Can s corp deduct long-term care premiums?

Tax-Qualified Long-Term Care Insurance premiums paid by a S-Corporation on behalf of an employee are fully deductible providing the S-Corporation retains no interest in the policy. This would also apply to premiums paid on behalf of the employee's spouse and other tax dependents.

Does S Corp income affect social security benefits?

The Social Security Administration looks only at wages earned, not your overall income. Money you make working for an employer or that you pay yourself as a reasonable salary are wages and count toward your benefits. Things like investment income or distributions from your S Corp do not.

Can self-employed people deduct Medicare premiums?

If you're self-employed and receive Medicare, you might be able to deduct all your Medicare insurance premiums. The IRS has ruled that Medicare recipients who have self-employment income may deduct the premiums they pay for Medicare coverage, the same as the premiums for any other type of health insurance.

Can a small business owner deduct life insurance premiums?

Small-business owners may be able to deduct the premiums for the group life insurance provided to their employees and for other small-business insurance policies like key-man insurance which protects the business from the loss of an indispensable employee. However, restrictions often apply.

What are the family attribution rules for health insurance paid by S Corp?

Health Insurance paid for family members (even though not owners) of S Corp. must be included in family members W-2 as federal gross wages (and State gross wages). Health Insurance Plan must be a S Corp. health insurance plan.