Wouch Maloney CPAs & Business Advisors

Reminder for S Corps: Report Health Insurance Premiums on a W-2 for 2% Shareholder-Employee

Article updated December 8, 2021.

With three weeks remaining in the year, we want to remind you of specific year-end payroll processes as it relates to reporting health insurance premiums on a W-2 for a 2% Shareholder-Employee. Before finalizing your year-end payroll, remember to include shareholder medical insurance premiums in W-2 Wages for any shareholder-employee who owns more than 2% of the company.

We too frequently find that shareholder medical insurance premiums have not been included in the shareholder-employee W-2 wages and it often requires the preparation of amended payroll returns and W-2’s.

If your Company is an S-Corporation, the following guidelines should be followed to report on Form W-2 the cost of medical insurance premiums paid on behalf of 2% shareholder-employees:

  • The health insurance premiums are additional wages reportable in Box 1 (Wages) of Form W-2 and are subject to Federal income tax withholding.
  • The premiums are also additional wages reportable in Box 16 (State Wages) for some, BUT NOT ALL, states.
  • Premiums ARE included in State Wages for NJ residents
  • Premiums are NOT included in State or Local Wages for PA residents
  • The premiums are NOT included in Boxes 3 and 5 of Form W-2 and are not subject to Social Security or Medicare (FICA), or Unemployment (FUTA) taxes.

The health insurance premiums paid by the S corporation are reported on Form W-2, Box 14. There is no standard list of W-2 codes for Box 14, so employers can list any description they choose for 2% health premiums including SCORP, SEHLTH, INS, etc. This is the amount the shareholder deducts on Line 16, Schedule 1 (Form 1040) as a self-employed health insurance deduction.

WM WISDOM: If your Company uses a third-party payroll provider, do not forget to report these premiums to the provider prior to your final payroll of the year. This will ensure proper inclusion of the premiums in wages for the 4th quarter and year-end payroll returns and W-2s. Many third-party payroll providers will send email reminders or include deadline dates for reporting this information in the email signatures of their representatives, but the responsibility to provide the includible information still falls on the company itself.

Should you have questions about the above topic, or any other topics related to your personal or business situation, please contact us at any time.

Addition information regarding S Corporations may be found on the IRS website .

DISCLAIMER: The WM Update, WM Wednesday Wisdom, WM Daily Update COVID-19, COVID-19 Business Resources, COVID-19 Client News Alerts and other related communications are intended to provide general information, including information regarding legislative COVID-19 relief measures, as of the date of this communication and may reference information from reputable sources. Although our firm has made every reasonable effort to ensure that the information provided is accurate, we make no warranties, expressed or implied, on the information provided. As legislative efforts are still ongoing, we expect that there may be additional guidance and clarification from regulators that may modify some of the provisions in this communication. Some of those modifications may be significant. As such, be aware that this is not a comprehensive analysis of the subject matter covered and is not intended to provide specific recommendations to you or your business with respect to the matters addressed.

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Accounting for S-Corporation Shareholder health insurance premiums

Whenever an S-Corporation pays the health insurance premiums of a > 2% shareholder (including premiums for the shareholder’s spouse and dependents), those premiums are required to be reported on the shareholder’s W-2 to be deductible.

A few rules to note:

  • The shareholder’s health insurance premiums are NOT subject to FICA taxes.
  • The premiums cannot be covered under a separate group plan (e.g. through a spouse’s separate employment).
  • The company must either pay the premiums, or reimburse the shareholder for their premiums (even if recorded through the draw account).
  • The premiums need to be included in Boxes 1 and 16, as well as being noted in Box 14 of the W-2, following the steps below.
  • Total premiums should include health, dental, vision, and Medicare.

Recording S-Corp Shareholder Health Insurance Premiums

There are two different ways that you can record this in QuickBooks. The first (Method 1) involves using an “Addition” payroll item and “Deduction” payroll item. We have sent instructions out for this method in prior years, so this may be what you have used in the past if you have been recording this adjustment for several years. We have also included instructions for a second way (Method 2) for recording this that uses a “Company Contribution” payroll item. You will need to choose Method 1 or Method 2 – do not do both. If you have used Method 1 in the past, continue to use it. If not, use Method 2 as it is a bit simpler.

Check to see if the two applicable payroll items are already created. From the QuickBooks Home Screen, click on “Lists”, and then click on “Payroll Item List.” In the Item Name column look for two items: an addition named “S-Corp Medical” and a deduction named “S-Corp Reimbursement.” These two items may have slightly different names in your file but should refer to the Officer’s Health Insurance. If they do exist review them because the taxability of these items may have changed from the prior year, as there was an IRS change in taxability requirements. To review, open the Addition item to make sure it is not set up as being subject to FICA taxes. From the Payroll Item list, find the Addition item titled S-Corp Medical (or similar title), and double click on it. Hit the “Next” button until you get to the screen titled “Taxes”. Make sure only the Federal Withholding and State Withholding lines are checked, NOT the Medicare or Social Security lines.

If they do not exist create them using the following steps:

For the “Addition” item:

  • From the Payroll Item List, click “Payroll Item” in the bottom left corner of the screen and then click, “New”. Select “Custom Setup” and click “Next.”
  • Select “Addition” and click “Next”.
  • In the “Name” field, enter “S-Corp Medical” and click “Next”.
  • In the “Account” field select “Officer Payroll Expense” from the drop down box and click “Next.” Your specific Payroll Expense account may be named slightly differently, or you may need to create a new account. Contact us if you’re not sure which expense account to select.
  • In the “Tax Tracking” field, select “SCorp Pd Med Premium” and click “Next.”
  • On this screen (Taxes), leave the default settings and click “Next.” Default settings should only check off “Federal Withholding” and “CO Withholding”. If any other taxes are checked off, uncheck them.
  • On this screen (Calculate based on quantity), select “Neither” and click “Next”.
  • On this screen (Default rate and limit), enter “0.00” for the default rate and click “Finish”.

For the “Deduction” item:

  • From the Payroll Item List, click “Payroll Item” in the bottom left corner of the screen and then click “New”. Select “Custom Setup” and click “Next”.
  • Select “Deduction” and click “Next”.
  • In the “Name” field, enter “S-Corp Reimbursement” and click “Next”.
  • On this screen (Agency for employee-paid liability), leave the first two spaces blank and in the “Liability account” field, select your health insurance expense account (or wherever the expense is booked when the insurance premiums are entered/paid) and click “Next”.
  • On this screen (Tax tracking type) select “None” from the drop down box and click “Next”.
  • On this screen (Taxes) no payroll items should be selected. Click “Next”.
  • On this screen (Calculate based on quantity) select “Neither” and click “Next”.
  • On this screen (Gross vs. net) select “Net pay” and click “Next”.
  • On this screen (Default rate and limit) enter “0.00” for the default rate and click “Finish”.

Once these payroll items are set up, you are ready to record the shareholder health insurance premiums. On the paycheck enter the total shareholder insurance amount for the applicable time period as both an addition and a deduction in the “Other Payroll Items” section when creating the paycheck. The S-Corp Medical will be a positive amount; the S-Corp Reimbursement will be negative. They will cancel each other out on the paycheck but the benefit will show on the W-2 form as an increase to the box 1 wages for the shareholder and will also show as a box 14 benefit, which is the method required by the IRS.

If you prefer to record the health insurance premiums on one annual paycheck (or other frequency) throughout the year, contact us if you need help to get that recorded.

Check to see if the one applicable payroll item is already created. From the QuickBooks Home Screen, click on “Lists”, and then click on “Payroll Item List.” In the Item Name column look for one item: a Company Contribution named “S-Corp Medical Insurance.” This item may have a slightly different name in your file but should refer to the Officer’s Health Insurance. If the item is not there create it using the following steps. Because the taxability of this item may have changed from the prior year, if this item already exists in the file, open the item to make sure it is not set up as being subject to FICA taxes. From the Payroll Item list, find the item titled “S-Corp Medical Insurance” (or similar title), and double click on it. Hit the “Next” button until you get to the screen titled “Taxes”. Make sure only the Federal Withholding and State Withholding lines are checked, NOT the Medicare or Social Security lines.

For the “Company Contribution” item:

  • From the Payroll Item List, click “Payroll Item” in the bottom left corner of the screen and then click, “New”. Select “Custom Setup” and click “Next”.
  • Select “Company Contribution” and click “Next”.
  • In the “Name” field, enter “S-Corp Medical Insurance” and click “Next”.
  • You can leave the fields blank for name of agency to which liability is paid and number that identifies you to agency. These fields are not necessary to record the S-Corp medical insurance.
  • In the “Liability Account” field select your Health Insurance Expense account (or whichever account the expense is booked to when the insurance premiums are entered/paid) from the drop down box. Your specific Health Insurance account may be named slightly differently, or you may need to create a new account. Contact us if you’re not sure which expense account to select.
  • In the “Expense Account” field select Officer Payroll Expense from the drop down box and click “Next.” Your specific Payroll Expense account may be named slightly differently, or you may need to create a new account. Contact us if you’re not sure which expense account to select.

Once this payroll item is set up, you are ready to record the shareholder health insurance premiums. On the paycheck enter the total shareholder insurance amount for the applicable time period in the “Other Payroll Items” section when creating the paycheck. Choose “S-Corp Medical Insurance” and enter the shareholder health insurance as a positive amount. The benefit will show on the W-2 form as an increase to the box 1 wages for the shareholder and will also show as a box 14 benefit, which is the method required by the IRS.

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COMMENTS

  1. entry for S corp owners health premiums - QuickBooks

    There are two steps to accomplish this: 1. Open the employee profile for the officer (s) in question, go to "pay types", and put a checkmark in the "S-Corp Owners Health Insurance" pay item (you will probably find this in the "common pay types" section). Click done and close out that screen. 2.

  2. Solved: Schedule K-1 (1120S) Medical Insurance Premium for ...

    If the health insurance premiums were paid or reimbursed by the S-Corp and CPA is claiming the 2% shareholder-employees health insurance premiums as S-Corp deductions on Form 1120S would be fraudulent. Pass-thru business owners can never be the beneficiary of pre-tax health benefits. Regardless the paid or reimbursed health insurance premiums ...

  3. Reminder for S Corps: Report Health Insurance Premiums on a W ...

    If your Company is an S-Corporation, the following guidelines should be followed to report on Form W-2 the cost of medical insurance premiums paid on behalf of 2% shareholder-employees: The health insurance premiums are additional wages reportable in Box 1 (Wages) of Form W-2 and are subject to Federal income tax withholding.

  4. Reimbursement to shareholder for ACA susidy - Intuit ...

    The shareholder notified the marketplace mid year, and the shareholder is now paying the full premium and being reimbursed by S corp. ( will be included as box 1 wages on W-2) Can the shareholder be reimbursed currently from the S corp in 2020 for Return of Advance Premium Tax credit that will be reported on the tax return, which in substance ...

  5. A Beginner's Guide to S Corp Health Insurance - The Motley Fool

    Report your S corporations contributions to non-shareholder health insurance premiums on line 19 of Form 1120-S. Image source: Author 5. Deduct your insurance premiums on your personal tax return

  6. S-Corporation Health Insurance Instructions | Wych Tax

    Whenever an S-Corporation pays the health insurance premiums of a > 2% shareholder (including premiums for the shareholders spouse and dependents), those premiums are required to be reported on the shareholders W-2 to be deductible. The shareholders health insurance premiums are NOT subject to FICA taxes. The premiums cannot be covered ...