The Self-Employed Health Insurance Deduction: A Valuable Personal Deduction (2024)

This special personal deduction allows self-employed people who qualify to deduct 100% of their health insurance premiums for themselves, their spouses, and their dependents.

By Stephen Fishman, J.D. · USC Gould School of Law

If you're one of the millions of self-employed people who have to pay for your own health insurance for yourself and your family, you might be entitled to a special tax deduction. If you are, be absolutely sure you take it because it can be one of the largest deductions you have.

Self-employed people who qualify are allowed to deduct 100% of their health insurance premiums (including dental and long-term care coverage) for themselves, their spouses, their dependents, and any nondependent children aged 26 or younger at the end of the year. It's important to understand, however, that this isn't a business deduction. It's a special personal deduction for the self-employed. The deduction applies only to your federal, state, and local income taxes, not to your self-employment taxes.

To qualify for the deduction, you must meet two requirements:

  • You have no other health insurance coverage. You may not take the self-employed health insurance deduction if you're eligible to participate in a health insurance plan maintained by your employer or your spouse's employer.
  • You have business income. You may deduct only as much as the net income you earn from your business. If your business earns no money or incurs a loss, you get no deduction. If you have more than one business, you can't combine the income from all your businesses for purposes of the income limit. You may only use the income from a single business you designate to be the health insurance plan sponsor.

Designating Your Plan Sponsor

If you qualify, you get the health insurance deduction whether you purchase your health insurance policy as an individual or have your business obtain it. If you purchase your health insurance plan in the name of one of your businesses, that business will be the sponsor. However, the IRS says you may purchase your health coverage in your own name and still get the self-employed health insurance deduction. (IRS Chief Counsel Memo 200524001.) This tactic might be advantageous because it allows you to pick which of your businesses will be the sponsor at the start of each year. Obviously, you should pick the business you think will earn the most money that year.

Moreover, if you have more than one business, you can have one purchase medical insurance and the other purchase dental insurance and deduct 100% of the premiums for each policy, subject to the income limits discussed above. This approach will be helpful if no single business earns enough income for you to deduct both policies through one business.

Tax Reporting

Because the self-employed health insurance deduction is a personal deduction, it doesn't go on your Schedule C if you're a sole proprietor. You deduct it in the "Adjustments to Income" section on Schedule 1 of Form 1040. If you itemize your deductions and don't claim 100% of your self-employed health insurance costs on Schedule 1, you may include the rest with all other medical expenses on Schedule A, subject to the 7.5% of Adjusted Gross Income limit. You would have to do this, for example, if your health insurance premiums exceed your business income.

To learn more about what you can deduct, see Nolo's Personal Tax Deductions and Tax Breaks section.

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The Self-Employed Health Insurance Deduction: A Valuable Personal Deduction (2024)

FAQs

The Self-Employed Health Insurance Deduction: A Valuable Personal Deduction? ›

The deduction – found on Schedule A of your income tax return — covers a wide range of medical expenses, and also includes premiums you pay for health insurance (including Medicare) or qualified long-term care. And you can only deduct expenses in excess of 7.5% of your adjusted gross.

Can I deduct my health insurance premiums if self-employed? ›

If you're a self-employed person, you may deduct up to 100% of the health insurance premiums you paid during the year. To take the deduction, you must meet certain criteria. We'll go over those rules in this post and explain how you can deduct them on your return.

Is it worth claiming medical expenses on taxes? ›

Normally, you should only claim the medical expenses deduction if your itemized deductions are greater than your standard deduction (TurboTax can also do this calculation for you). If you elect to itemize, you must use IRS Form 1040 to file your taxes and attach Schedule A.

Which of the following regarding the self-employed health insurance deduction is correct? ›

Option E is the correct answer. This deduction allows self-employed individuals to deduct the cost of health insurance premiums paid for themselves, their spouses, and their dependents as an adjustment to their income. It is available even if the taxpayer has an overall business loss from self-employment.

Can a single member LLC deduct health insurance premiums? ›

You can generally deduct the cost of individual health insurance from your taxes as a self-employed LLC member, although this ultimately depends on several factors, including the tax classification of the LLC and for whom the deduction is being taken out.

Can 1095-A be a self-employed health insurance deduction? ›

Additionally, as someone who is self-employed, you use the premium you paid, found on your Form 1095-A to determine your self-employed health insurance deduction or itemized medical deductions on Schedule A of your tax return.

Do Medicare premiums qualify for self-employed health insurance deduction? ›

If you're self-employed and receive Medicare, you may 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.

How much health insurance can you write off? ›

Generally, you are allowed to deduct health insurance rates on your taxes if you itemize your deductions, pay your health insurance premiums directly, and your medical expenses totaled more than 7.5% of your income for the year.

What proof do I need to deduct medical expenses? ›

You should also keep a statement or itemized invoice showing: What medical care was received. Who received the care. The nature and purpose of any medical expenses.

How much do you get back in taxes for medical expenses? ›

Calculating Your Medical Expense Deduction

The Consolidated Appropriations Act of 2021 made the 7.5% threshold permanent. You can get your deduction by taking your AGI and multiplying it by 7.5%. If your AGI is $50,000, only qualifying medical expenses over $3,750 can be deducted ($50,000 x 7.5% = $3,750).

What is the deductible for health insurance? ›

The amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself.

Are employee deductions for health insurance taxable? ›

Reporting the cost of health care coverage on the Form W-2 does not mean that the coverage is taxable. The value of the employer's excludable contribution to health coverage continues to be excludable from an employee's income, and it is not taxable.

How does self-employed health insurance deduction work? ›

Self-employed people who qualify are allowed to deduct 100% of their health insurance premiums (including dental and long-term care coverage) for themselves, their spouses, their dependents, and any nondependent children aged 26 or younger at the end of the year.

Can I claim my health insurance premiums on my taxes? ›

Health insurance premiums are deductible if you itemize your tax return. Whether you can deduct health insurance premiums from your tax return also depends on when and how you pay your premiums: If you pay for health insurance before taxes are taken out of your check, you can't deduct your health insurance premiums.

Can you deduct health insurance premiums without itemizing? ›

“Self-employed health insurance premiums are deductible as an 'above the line' deduction on Form 1040, which means you can deduct the premium even if you don't itemize deductions on Schedule A,” says Hunsaker. The rules are much stricter if you're a W-2 employee.

Are self-employed life insurance premiums tax deductible? ›

Can you write off life insurance if you're self-employed? Generally, life insurance premiums are not deductible, even life insurance for self-employed individuals. However, if the life insurance policy is a necessary business expense, it may be deductible. Consult a tax advisor for personalized guidance.

What is the deductible part of self-employment tax? ›

You can claim 50% of what you pay in self-employment tax as an income tax deduction. For example, a $1,000 self-employment tax payment reduces taxable income by $500. In the 25 percent tax bracket, that saves you $125 in income taxes.

Is home insurance tax deductible for self-employed? ›

Self-employed individuals and home-based business owners might have the opportunity to write off a portion of their homeowners insurance. This deduction is contingent upon meeting certain conditions. You can contact a tax professional to determine if this option aligns with your specific situation.

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