1099-R Box 5 Insurance Premium not reducing Gross Distribution - error or normal?
I'm helping my sister figure out her pension annuity 1099-R and I'm completely confused about the numbers. Here's what the form shows: Box 1. Gross distribution: $52,410.00 Box 2a. Taxable amount: $51,728.80 Box 5. Insurance Premium: $15,675.50 I've gone through all the statements she received throughout the year, and I'm 100% certain that Box 5 amount is for Insurance Premiums. From what I understand, insurance premiums on pension annuities should reduce the taxable amount, right? So why is Box 2a still showing $51,728.80? Shouldn't the premium of $15,675.50 be subtracted from the gross distribution in Box 1 ($52,410.00 - $15,675.50 = $36,734.50)? Am I missing something obvious here? Does this have anything to do with claiming the insurance premium as a medical expense on Schedule A for itemized deductions instead? Or is the 1099-R just wrong? Getting really frustrated trying to figure this out before her filing deadline!
20 comments


Andre Dupont
Tax preparer here. This is actually a common source of confusion with pension annuities. The insurance premium in Box 5 doesn't automatically reduce the taxable amount in Box 2a - it depends on the specific type of annuity and how it's structured. If this is a qualified plan distribution, the Box 5 amount typically represents after-tax contributions or premiums paid with after-tax dollars. These amounts are already accounted for in the calculation of Box 2a. The plan administrator should have calculated Box 2a correctly based on their records of pre-tax vs. after-tax contributions. For most pension annuities, Box 2a = Box 1 - (non-taxable portions, which can include amounts in Box 5 but not always). The calculation depends on the specific tax treatment of the annuity and whether premiums were paid with pre-tax or after-tax dollars.
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Carmen Sanchez
•Thanks for responding. But I'm still confused - if the premiums were paid with after-tax dollars, shouldn't they NOT be taxed again when distributed? The difference between Box 1 and Box 2a is only about $681, not the full $15,675.50 in premiums. Also, does it matter that the premium is specifically for life insurance as part of the pension plan? I read somewhere that life insurance premiums aren't tax-deductible, but I thought that was for individual policies, not ones included in pension plans.
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Andre Dupont
•The $681 difference between Box 1 and Box 2a likely represents a different non-taxable portion of the distribution, not the insurance premium. For pension distributions, insurance premiums paid are often handled separately from the taxation of the distribution itself. Life insurance premiums included in qualified retirement plans have special tax treatment. If the plan is purchasing life insurance for the participant, the "cost of current life insurance protection" (sometimes called PS58 costs) is generally taxable to the participant each year it's provided. This could be why the premiums aren't reducing the taxable amount - they may have already been accounted for in previous years' taxation.
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Zoe Papadakis
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Giovanni Marino
Don't forget to check if your pension plan is sending you a separate annual statement that explains how they calculated the taxable amount. My Fidelity pension does this, and it has a detailed breakdown showing: - Total distribution - Portion representing return of previously taxed contributions - Portion representing taxable income - Insurance premium details The statement might clarify why the Box 5 amount isn't being subtracted from Box 1 in the way you're expecting. In my case, the insurance premium was actually being paid from the gross distribution AFTER taxation, which is why it didn't reduce my taxable amount.
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Carmen Sanchez
•That's a good idea, I'll ask my sister if she received any annual statements beyond just the 1099-R. The pension is through Nationwide, do you know if they typically provide that kind of detailed breakdown? She might have received it and just filed it away without realizing its importance.
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Giovanni Marino
•Nationwide definitely sends detailed annual statements! My father has a Nationwide pension and they provide a complete breakdown usually in January or February. It's often labeled something like "Annual Benefit Statement" or "Pension Distribution Summary" and has a full page explanation of the tax treatment. Check both paper mail and her online account - sometimes they default to electronic delivery unless you specifically request paper. The statement should clearly show whether the insurance premiums are being paid with pre-tax or after-tax dollars, which is the key to understanding why Box 5 isn't reducing Box 2a the way you expected.
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Fatima Al-Sayed
Has anyone dealt with 1099-R forms from multiple years where the Box 5 amounts suddenly changed? My mom's pension had $0 in Box 5 for years then suddenly showed $8,200 this year with no explanation, but the taxable amount barely changed.
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Andre Dupont
•That could indicate they changed how they're administering the pension plan's insurance component. Sometimes plans will shift costs between the employer and retirees, or change insurance providers altogether which can affect how premiums are reported. If the taxable amount didn't change much despite the new Box 5 entry, it likely means these insurance premiums were already being accounted for in previous years' calculations but weren't being explicitly reported in Box 5. I'd recommend requesting a detailed explanation from the plan administrator about what changed in the reporting structure.
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Fatima Al-Sayed
•Thanks for the explanation! I'll have my mom call her pension administrator tomorrow. She did receive a notice about switching insurance providers last year but we didn't connect that to the tax form changes. That makes a lot more sense now.
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Luca Bianchi
I work in retirement plan administration and see this confusion constantly! The key thing to understand is that Box 5 insurance premiums don't always reduce Box 2a because of how qualified plans handle different types of contributions and costs. In your sister's case, that $15,675.50 in Box 5 likely represents premiums for life insurance coverage that was purchased as part of her pension plan. If these premiums were paid with pre-tax dollars from the plan (which is common), then they're already included in the taxable calculation - they don't get subtracted. The small difference between Box 1 ($52,410) and Box 2a ($51,728.80) is probably from a completely different source - maybe after-tax contributions she made to the plan years ago that are now being returned tax-free. I'd strongly recommend having her contact Nationwide directly to request a detailed breakdown of how they calculated Box 2a. They should be able to explain exactly what portion of the distribution represents taxable income vs. return of basis vs. insurance costs. Don't guess on this - pension taxation can be really complex and getting it wrong could trigger an audit or penalties.
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