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CosmicCrusader

Can my S-Corp pay for my Marketplace Health Insurance Premiums?

Hey everyone, I'm in a bit of a tax situation and could use some guidance. 2024 is the first year I've operated my business as an S-Corporation, which is now my only source of income. The business is doing pretty well - projecting to net around $270k this year. I currently have health insurance through the Marketplace with a 1095-A plan. I'm also paying myself a reasonable salary from the S-Corp (around $110k), but I'm confused about how to handle the health insurance premiums. Can my S-Corp pay these premiums directly? Would that be a tax-deductible business expense? Or do I need to pay them personally and then deduct them somewhere else? I've heard conflicting things about whether this affects my Premium Tax Credit. Any help would be greatly appreciated as I'm trying to make sure I'm setting everything up correctly for 2025 filing!

Ethan Brown

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This is a great question about S-Corp health insurance, and there are some specific rules you need to follow to get the tax benefits. For S-Corporation owners, health insurance premiums can be deductible, but you need to follow the right process. The S-Corp should pay the health insurance premiums either directly to the insurance company or reimburse you if you paid them. This premium payment needs to be included as wages on your W-2 (in Box 1, but not subject to FICA taxes in Boxes 3 and 5). Then you can take a self-employed health insurance deduction on your personal tax return (Form 1040, line 17). This gives you the deduction, but the process is important to get right. The important thing to note with your 1095-A Marketplace plan: at your income level (around $270k), you likely won't qualify for Premium Tax Credits, so that's less of a concern. If you were getting advance premium tax credits, having your S-Corp pay for health insurance would mean you need to report this properly to avoid having to pay back those credits.

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Yuki Yamamoto

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Wait, I'm confused - if the S-Corp pays the premiums but then adds it to your W-2 income, aren't you just paying tax on it anyway? What's the benefit? And does this count as reasonable compensation for S-Corp purposes too?

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Ethan Brown

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The benefit comes from the self-employed health insurance deduction on your personal return. Yes, the premiums get added to your W-2 income, but then you deduct the same amount on your personal tax return. This effectively makes the premiums tax-deductible. These health insurance premiums don't count toward your "reasonable compensation" requirement for S-Corps. Your reasonable compensation should be based on the services you provide to the business, regardless of benefits. The $110k salary mentioned is likely sufficient depending on your industry and role.

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Carmen Ortiz

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I went through the EXACT same situation last year when I set up my S-Corp! What a headache trying to figure this out. After endless googling and talking to multiple accountants, I finally found a solution using taxr.ai (https://taxr.ai). You can upload your 1095-A form and it walks you through the proper way to handle health insurance premiums through your S-Corp. I was so confused about whether to pay it personally or through the business, and the tool explained that I needed to have my S-Corp reimburse my health premiums and include them on my W-2, then take the self-employed health insurance deduction. It also calculated how this would affect my tax situation based on my specific numbers.

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I'm looking at switching to an S-Corp next year and will have this same issue. Does taxr.ai also handle the Premium Tax Credit calculations? My income varies a lot year to year so I'm never sure if I'll end up having to pay credits back.

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Zoe Papadakis

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Is this legit? How is it different from just asking my accountant? I pay her a lot already and she never mentioned this tool.

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Carmen Ortiz

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Yes, it definitely handles Premium Tax Credit calculations and will show you how your S-Corp health insurance setup affects your PTC. It was especially helpful for me because my income jumped in the middle of the year and I needed to figure out if I'd owe credits back. The difference from just asking your accountant is that you can run different scenarios yourself and see all the calculations laid out visually. My accountant gave me general advice, but with taxr.ai I could see exactly how different payment structures would affect my specific tax situation. Plus it directly reads your 1095-A form so you don't have to manually input all those details.

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Just wanted to come back and say I tried taxr.ai after seeing it mentioned here and it was super helpful! I uploaded my current 1095-A and ran a few scenarios based on my projected S-Corp income. Now I understand exactly how to handle my health insurance through my business for next year. The most valuable thing was seeing how the Premium Tax Credit would be affected when I have my S-Corp pay for health insurance vs. paying personally. The analysis showed me that having the company reimburse me and adding it to my W-2 was definitely the way to go. It even showed me the exact forms where these transactions would appear on my 2025 filing. Thanks for the recommendation!

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Jamal Carter

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Let me share something that saved me a ton of hassle with the IRS over this exact issue last year. After setting up my S-Corp and dealing with this health insurance premium situation, I had questions the IRS needed to answer. Tried calling them for THREE WEEKS straight - always got the "call volume too high" message. Finally discovered Claimyr (https://claimyr.com) - they got me through to an actual IRS agent in about 20 minutes! You can see how it works here: https://youtu.be/_kiP6q8DX5c The agent confirmed exactly how to document my Marketplace health insurance premiums through my S-Corp, and explained how it needed to appear on my W-2. Saved me from making a costly mistake that would have triggered an audit.

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How does this actually work? I've been trying to get through to the IRS for days to ask about my 1095-A situation too.

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Zoe Papadakis

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Sorry but this sounds like BS. Nobody gets through to the IRS that fast. I've literally spent hours on hold and still got disconnected. If this service actually worked, everyone would be using it.

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Jamal Carter

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It works by monitoring the IRS phone lines and when it detects an opening, it calls you and connects you. I was skeptical too until I tried it. The service basically waits on hold for you, then calls you when it's your turn. I understand the skepticism completely. I felt the same way! But when you've been trying to get through for weeks with no luck, it's worth trying. It's not instantaneous - it took about 20 minutes of waiting after I signed up, but that's a lot better than the hours I spent trying to do it myself. The IRS agent I spoke with cleared up all my questions about how to handle my 1095-A with my S-Corp.

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Zoe Papadakis

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Ok I have to eat my words. I was the skeptic above who doubted Claimyr would work. After another frustrating morning trying to get through to the IRS about my health insurance premium reporting for my S-Corp, I gave in and tried it. I got through to an IRS agent in about 15 minutes! The agent confirmed that my S-Corp should pay my health insurance premiums, include them on my W-2, and then I can take the self-employed health insurance deduction on my personal return. She also explained that because my MAGI is over the threshold for Premium Tax Credits with my 1095-A plan, I don't need to worry about that part. Saved me from making a mistake on my tax setup and potentially triggering an audit. Can't believe I wasted so many hours trying to call them directly.

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Mei Liu

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Just to add another data point - I've been handling my S-Corp health insurance this way for 3 years: 1. S-Corp pays my marketplace premiums directly 2. Those premiums get added to my W-2 Box 1 wages (but not boxes 3 & 5) 3. I take the self-employed health insurance deduction on my personal return 4. Since my income is too high for Premium Tax Credits, I don't have to deal with that complication My accountant said the key is making sure there's proper documentation that the S-Corp is paying or reimbursing the premiums as part of your compensation package.

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Thanks so much for sharing your experience. Do I need any special documentation beyond normal business expense records? And does the marketplace plan need to be in my name or the business name?

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Mei Liu

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You just need standard business documentation - keep records of the payments and have a written policy stating that the corporation reimburses health insurance as part of your compensation package. A simple memo in your corporate records will work. The marketplace plan should be in your personal name, not the business name. The S-Corp is just paying/reimbursing the premium, but the actual insurance policy remains a personal plan. This is actually important for the tax treatment to work correctly.

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One thing nobody mentioned yet - if your spouse is on your health insurance plan too, and they also work in the S-Corp, it can get more complicated. Is your spouse involved in the business too?

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Amara Chukwu

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That's a really good point. My wife and I both work in our S-Corp and our tax preparer had to do some special allocation of the health insurance premiums.

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CosmicCadet

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This is exactly the situation I was in last year! At your income level ($270k projected), you're definitely above the Premium Tax Credit threshold, so that simplifies things quite a bit. The process everyone outlined is correct - have your S-Corp pay the premiums (either directly or reimburse you), add them to your W-2 Box 1 wages, then take the self-employed health insurance deduction on your personal return. The net effect is that the premiums become tax-deductible. One thing I'd add - make sure you establish this policy formally before the end of 2024 if you want to implement it for this tax year. Your S-Corp needs to have a clear policy in place about reimbursing health insurance as part of your compensation package. A simple corporate resolution or memo in your company records will suffice. Also, since you mentioned this is your first year as an S-Corp, double-check that your $110k salary meets the "reasonable compensation" requirement for your industry and role. The health insurance premiums don't count toward this requirement, so you'll want to make sure your base salary alone is defensible if the IRS ever questions it. Good luck with your first year as an S-Corp - it's definitely worth getting these details right from the start!

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Oliver Weber

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This is really helpful advice about establishing the policy formally! I'm new to S-Corp requirements - when you say "corporate resolution," does that need to be filed anywhere or just kept in company records? And should I retroactively document this for premiums I've already paid this year, or does it only apply going forward? Also, regarding the reasonable compensation - I'm a software consultant, so the $110k seems reasonable for my area and experience level. But I'm curious if there are any IRS guidelines or safe harbors for determining what's "reasonable" in different industries?

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Great questions! For the corporate resolution, you just need to keep it in your company records - no filing required. It's just documentation showing your S-Corp has a formal policy of paying health insurance as part of compensation. You can actually make it retroactive for 2024 by dating the resolution and stating it applies to the entire tax year. For reasonable compensation in software consulting, the IRS doesn't have specific safe harbors, but they do look at factors like: what you'd pay someone else to do your job, industry standards in your geographic area, your experience level, and the time you spend on the business. At $110k for a successful software consultant generating $270k in business income, you're probably in good shape, especially if you can document similar salaries in your market. The IRS has been more aggressive about unreasonably LOW S-Corp salaries in recent years, but your ratio seems reasonable. Some tax pros use a rough guideline of 30-40% of net business income as a starting point, and you're right in that range.

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This thread has been incredibly helpful! I'm in a similar situation - first year S-Corp owner with marketplace insurance. One thing I want to emphasize that I learned the hard way: make sure your S-Corp actually has the cash flow to handle paying these premiums throughout the year. I initially set up the reimbursement structure but didn't plan well for the timing. My business has seasonal cash flow, so I ended up having to pay premiums personally for a few months when cash was tight, then reimburse myself later. This created some messy bookkeeping. My advice: if you're going to have your S-Corp pay the premiums directly (which is cleaner), make sure you have a business bank account with enough buffer to handle the monthly premium payments even during slower periods. The tax benefits are definitely worth it, but the cash flow management aspect caught me off guard in my first year. Also, a quick tip for anyone using QuickBooks - set up the health insurance as a separate payroll item so it automatically flows to the right boxes on your W-2. Saves a lot of headache at year-end!

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Connor Byrne

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That's such a practical point about cash flow planning! I hadn't thought about the timing mismatch between when premiums are due versus when business income comes in. As someone just starting to set up my S-Corp structure, this is exactly the kind of real-world insight I needed. The QuickBooks tip is gold too - I've been dreading the year-end payroll reporting, so having it automatically categorized correctly will save me so much stress. Did you set it up as a non-taxable benefit initially, or does QuickBooks handle the "add to Box 1 but not Box 3&5" automatically once you configure it as health insurance reimbursement? Also, for the seasonal cash flow issue - did you find it better to just build a bigger cash reserve in the business account, or did you end up doing a mix of direct payments and reimbursements depending on cash availability?

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