Thanks to the Patient Protection and Affordable Care Act (also known as the Health Care Act) beginning in 2010 qualified small business employers may receive a health insurance tax credit for purchasing health insurance for their employees.
A qualified small business employer is one that meets all three of the following criteria.
- The Organization employs no more than 25 full time equivalent (FTE) employees during the tax year, where one FTE equals 2,080 hours for the year. In this calculation seasonal workers who work less than 120 days during the tax year would be excluded.
- Total wages divided by the number of FTE employees is less than $50,000 after rounding down to the nearest $1,000.
- The employer pays at least 50% of the premiums of a qualified health plan for employee coverage and the same percentage of premium is paid for each employee.
For tax-exempt qualified small business employers for tax years beginning in 2010 and through 2013, the credit equals 25% of the lesser of:
- The amount of contributions the employer made during the tax year to its qualified health arrangement for qualifying health coverage for its employees. (Employee elective contributions do not qualify.)
- The amount of contributions the employer would have made during the tax year to its qualified health arrangement if each employee had enrolled in coverage with a small business benchmark premium.
The small business benchmark premium will be determined by the Secretary of Health and Human Services each year on a state-by-state basis. The IRS will then provide the information. In addition, the credit cannot exceed the total amount of income and Medicare tax the employer is required to withhold from employees’ wages for the year plus the employer’s share of Medicare.
For tax years beginning after 2013, the credit for tax-exempt qualified small business employers rises to 35%. For for-profit qualified small business employers, the applicable credit percentages are 35% for tax years beginning in 2010 and ending before 2014 and 50% for tax years beginning after 2013.
A phase-out is in place for organizations that employ more than 10 FTE employees that have average FTE wages of more than $25,000. However, any organization under these thresholds qualifies for the full credit.
For for-profit organizations the credit is claimed on the employer’s annual income tax return. For a tax-exempt employer, the IRS will provide further information on how to claim the credit.
Jodi Garrison
jgarrison@ddfky.com






