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How to Write-Off Your Health Insurance

July 23, 2024

Writing Off Health Insurance as a Small Business Owner

Small business accountant in Anoka County, MN

As a small business owner, managing expenses and maximizing deductions is crucial for maintaining financial health. One significant opportunity for savings is writing off your health insurance premiums. Understanding how to properly deduct these expenses can lead to substantial tax benefits, easing the financial burden of health care costs.



Health Insurance Deduction for the Self-Employed

If you’re a sole proprietor, partner in a partnership, or a shareholder owning more than 2% of an S-corporation, you may be eligible to deduct health insurance premiums directly on your Form 1040. This is known as the self-employed health insurance deduction. It’s an "above-the-line" deduction, meaning it reduces your adjusted gross income (AGI), which can, in turn, lower your overall tax liability.


Eligibility Criteria

To qualify for the self-employed health insurance deduction:

  1. Net Profit Requirement: You must have a net profit from your business. If your business operates at a loss, you cannot take the deduction.
  2. Policy Ownership: The health insurance policy must be established under your business. For sole proprietors, this means the policy can be in your name or the name of the business.
  3. No Employer-Sponsored Plan: You must not be eligible for an employer-sponsored health plan, either through your own job (if you have another job) or through your spouse's employer.


Calculating the Deduction

  1. Include Eligible Premiums: Total your health insurance premiums, including medical, dental, and long-term care insurance for yourself, your spouse, and your dependents.
  2. Subtract Premiums Covered by Your Business: If your business has already deducted the premiums, subtract these amounts to avoid double-dipping.
  3. Limit by Business Income: Your deduction is limited to the amount of your business's net profit. If your business’s net profit is less than your total premiums, you can only deduct up to the amount of the net profit.


Other Considerations

  1. S Corporation Rules: If you are an S-corporation shareholder owning more than 2%, your health insurance premiums must be included in your W-2 as wages. You can then deduct these premiums on your personal tax return.
  2. Additional Deductions: If you itemize deductions, you may also be able to include unreimbursed medical expenses that exceed 7.5% of your AGI, including any health insurance premiums not covered by the self-employed health insurance deduction.
  3. Consult a Tax Professional: Navigating tax regulations can be complex. A tax advisor or accountant can provide personalized guidance to ensure you maximize your deductions and comply with IRS rules.



Writing off health insurance premiums as a small business owner can lead to significant tax savings. By understanding the eligibility requirements and properly calculating your deduction, you can reduce your taxable income and alleviate some of the financial pressures associated with health care costs. Always consider consulting with a tax professional to optimize your deductions and maintain compliance with tax laws.

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