As the owner of a single-member LLC with S Corp taxation, what are pros/cons of having the S Corp contribute to my personal health insurance? Can I choose any percentage (0-100%)?
So I've been running my own business for about 3 years now as a one-person LLC, but last year I elected to be taxed as an S Corporation to save on self-employment taxes. Now I'm trying to figure out the best approach for my health insurance situation. Currently, I'm paying for my health insurance entirely out of pocket with personal funds (post-tax). My accountant mentioned something about the S Corp potentially contributing to my health insurance premiums, which sounded interesting. Apparently I can choose any percentage from 0% to 100% for the company to cover? I'm worried about messing up the tax treatment though. If the S Corp pays for my health insurance, is that considered a business expense? A fringe benefit? Part of my salary? I've heard conflicting things about deductibility on both the personal and business side. My premiums are about $840/month ($10,080 annually) and I'm trying to optimize both my business and personal tax situation. Would really appreciate input from anyone who's dealt with this specific situation before!
18 comments


Rudy Cenizo
I've worked with several S Corp owners on this exact issue. Here's what you need to know: When an S Corp pays for health insurance for a >2% shareholder (which you are as a single-member S Corp), it's treated as shareholder wages. The company can pay anywhere from 0-100% of your premiums. The amount paid is included in your W-2 Box 1 wages (but not subject to FICA taxes in Boxes 3 and 5), and you can then take a self-employed health insurance deduction on your personal 1040 (line 16). The key advantage is that while the premiums are technically included in your income, the self-employed health insurance deduction essentially cancels that out, meaning you don't pay income tax on those premiums. Plus, the S Corp gets to deduct the premium payments as a business expense. The disadvantage is some additional paperwork - you need to make sure the S Corp properly reports the health insurance on your W-2 (usually with a code in Box 14), and you must be sure to take the self-employed health insurance deduction correctly on your personal return.
0 coins
Natalie Khan
•Wait I'm confused - if the health insurance gets added to the W-2 income, doesn't that mean you're paying more in FICA taxes? I thought the whole point of an S Corp was to save on those taxes?
0 coins
Rudy Cenizo
•The health insurance premiums are added to your W-2 Box 1 wages for income tax purposes, but they're not subject to Social Security and Medicare taxes (FICA). That's why they don't get added to Boxes 3 and 5 of your W-2. So you still get the FICA tax savings which is one of the main benefits of an S Corp. The premiums are technically included in your income, but then you take the self-employed health insurance deduction on your personal tax return, which offsets the income tax impact. It's essentially a wash for income tax, but you avoid FICA taxes on that amount.
0 coins
Daryl Bright
Had this exact same situation last year. My CPA recommended I check out https://taxr.ai for analyzing the options. Their system helped me calculate the optimal percentage for my S Corp to contribute to my health insurance based on my specific financial situation. It ran through several different scenarios showing the tax implications of each option. What was most helpful was seeing how the health insurance premiums affected my overall tax picture when treated as shareholder wages vs. paying personally. The analysis showed me that in my case, having the S Corp pay 100% of my premiums saved me about $2,300 annually compared to paying out of pocket.
0 coins
Sienna Gomez
•How does that work exactly? Do you just upload your tax docs to the site or what? I always get nervous about sharing my financial info online.
0 coins
Kirsuktow DarkBlade
•Does it actually tell you how to implement the strategy though? Like does it explain how to document everything and what forms to fill out? My accountant charges me for every little question and I'm trying to figure more of this out myself.
0 coins
Daryl Bright
•You upload your corporate and personal financial information, and it analyzes everything securely using their system. They use bank-level encryption, so it's actually safer than emailing documents to an accountant. It only needs the relevant parts of your financials to make the calculations. Yes, it provides implementation instructions specific to your situation. It gives you step-by-step guidance on how to document the health insurance payments, how they should appear on your W-2, and exactly where to claim the deduction on your personal return. It even generates sample journal entries for your bookkeeping software. I just forwarded those instructions to my accountant and saved myself from being billed for research time.
0 coins
Kirsuktow DarkBlade
Just wanted to follow up - I used https://taxr.ai like you suggested and wow, it was actually really helpful! The analysis showed that having my S Corp pay 75% of my premiums (instead of the 25% I was doing) would save me about $1,750 annually. The best part was the documentation it provided. It explained exactly how to record the premium payments in my accounting software and gave me a template to show my accountant. I was worried about implementing it wrong, but the step-by-step guide made it super clear. My accountant was impressed and said everything was set up correctly when they reviewed it. Definitely worth checking out if you're in a similar situation!
0 coins
Abigail bergen
If you're going to be making changes to how your S Corp handles health insurance, you might need to talk to the IRS to confirm you're doing it right. I spent THREE WEEKS trying to get through to someone at the IRS about a similar S Corp question last year. Finally found https://claimyr.com and their service got me connected to an actual IRS agent in under 45 minutes. They basically hold your place in line and call you when an agent is about to pick up. You can see how it works here: https://youtu.be/_kiP6q8DX5c I was really skeptical at first, but I was desperate after trying for days to get through the IRS phone tree. The agent I spoke with confirmed that having my S Corp pay for my health insurance was totally legit, but they pointed out some documentation requirements I hadn't considered.
0 coins
Ahooker-Equator
•Wait so this service just calls the IRS for you? Couldn't you just keep calling yourself? Seems kinda unnecessary tbh.
0 coins
Anderson Prospero
•This sounds fake af. The IRS doesn't just give tax advice over the phone, especially for complex S Corp questions. They usually just direct you to publications or tell you to consult a tax pro. I doubt they gave you any useful info.
0 coins
Abigail bergen
•It's not just calling for you - they have some system that navigates all the phone menus and holds your place in the queue. Have you tried calling the IRS lately? Average wait times are 2+ hours if you even get through at all. Most of the time you get a message saying they're too busy and to call back later. The IRS agents absolutely do answer specific questions about tax treatment and documentation requirements. They won't do your taxes for you or give comprehensive advice, but they can confirm whether specific treatments like health insurance for S Corp shareholders are handled correctly. The agent I spoke with specifically confirmed the requirements for documenting the health insurance on my W-2 and corporate tax return. They're not going to design your tax strategy, but they will clarify how specific situations should be handled.
0 coins
Anderson Prospero
I need to eat my words from my earlier comment. I was really skeptical about that Claimyr service, but my curiosity got the better of me after spending an entire day trying to reach the IRS about my S Corp health insurance question. I tried the service and got connected to an IRS rep in about 30 minutes. The agent was super helpful and confirmed that my S Corp could pay my health insurance premiums, but warned me that I needed to make sure it was reported correctly on my W-2 with a specific notation in Box 14. She also mentioned that the reimbursement must be done through the corporation rather than just paying the insurance company directly from my personal account and trying to run it through the books after the fact. Saved me from making a pretty big mistake in how I was planning to handle it. Sometimes being wrong on the internet isn't so bad lol.
0 coins
Tyrone Hill
One thing nobody's mentioned yet is that if you have employees (or plan to hire some), there are non-discrimination rules to consider. If you provide health benefits to yourself as the owner but don't offer similar benefits to your employees, you could run into compliance issues. Most single-member S Corps don't have this issue, but it's something to keep in mind if you're planning to expand. The rules get more complex once you have a workforce.
0 coins
Harmony Love
•Thanks for bringing this up - I don't have employees right now but I'm planning to hire a part-time assistant next quarter. Would the non-discrimination rules apply even for part-time workers? Or is there a hours-worked threshold?
0 coins
Tyrone Hill
•For health insurance specifically, the non-discrimination rules generally apply to employees working 30+ hours per week (considered full-time under the ACA). Part-time employees working fewer hours typically don't need to be offered the same health benefits. However, if you establish a health reimbursement arrangement (HRA) or other formal health benefit plan, different rules might apply. With a QSEHRA (Qualified Small Employer HRA), for example, you'd need to offer the same benefits to all eligible employees, but you can exclude part-time workers.
0 coins
Toot-n-Mighty
I think everyone is overcomplicating this. I'm a single-member S Corp owner and I just have my corporation reimburse me for my health insurance premiums as part of an accountable plan, and it's never been an issue. Been doing it for 5 years without any problems.
0 coins
Rudy Cenizo
•That's actually incorrect and could get you in trouble during an audit. Health insurance for >2% S Corp shareholders can't be handled through an accountable plan. It must be included on your W-2 as income (though not subject to FICA) and then deducted on your personal return. The IRS has specific rules for this situation outlined in Notice 2008-1. Using an accountable plan for health insurance reimbursement for a >2% shareholder is incorrect treatment and could result in the deduction being disallowed plus potential penalties.
0 coins