Tuesday, October 6, 2009

COBRA health subsidy: What you need to know

Job loss brings many challenges to families, and that often includes obtaining affordable health insurance coverage.. Under a 1985 federal law referred to as "COBRA," many employees who are discharged can keep health insurance coverage provided by their former employer for as many as 18 months. But to do so, the employee has to pay 100% of the COBRA premiums.

Employees' subsidy

The economic stimulus law enacted last February significantly reduces the cost of COBRA health coverage for those who lose their jobs.

Qualified individuals who timely elect COBRA coverage are required to pay only 35% (instead of 100%) of these premiums. The remaining 65% of premiums are paid by the employer, but reimbursed by the federal government through tax credits. This subsidy is available for up to nine months after the job loss.

Those qualified for the subsidy include terminated employees and their family members who are eligible for COBRA coverage at any time from September 1, 2008, to December 31, 2009.

Employees who voluntarily terminate employment or who are qualified to participate in another group health coverage plan (such as a spouse's employer's plan or Medicare) are not eligible for the subsidy.

The subsidy is phased out for higher-income taxpayers. For instance, the phase-out starts once modified adjusted gross income (AGI) exceeds $125,000. It is fully phased out at $145,000. The phase-out for couples filing jointly begins with modified AGI of $250,000 and is complete at $290,000.

Any part of the subsidy paid to an individual that is subject to phase-out because of their income limitations must be repaid as an additional tax on the employee's federal income tax return.

Employer' credit

COBRA coverage is only required for employers with 20 or more full- and part-time employees, but many states sponsor plans similar to COBRA for small employers.

An employer that sponsored a health insurance plan that included COBRA coverage is required to pay 65% of the COBRA premium if the terminated employee pays the remaining 35%. The government reimburses the employer through tax credits on the employer's quarterly payroll tax returns (Form 941, 943, or 944).

You can use the credit to reduce payroll tax deposits, or you can claim the entire amount at the end of each quarter.

Employees must be notified of the reduced premiums, and you'll need to keep copies of the notifications.

In addition, maintain records of payments you receive from employees who choose to participate, as well as proof of your remittance to your business's health insurance provider.

The only way to claim the COBRA credit is on payroll tax returns for applicable periods. If you overlooked it on your first quarter payroll return, please call. We can help you file an amended return and assist you with payroll return preparation in future quarters.

The new subsidy may make it possible for laid-off workers to continue affordable health insurance coverage until new employment and coverage can be found.

Kenneth Reid, ATP, CPB, CPP
President
MasterType Accounting & Business Services, P.C.
http://mabspc.com
mastertype@mabspc.com

2 comments:

SAM said...

What kind of GL account do you recommend setting up to show the COBRA premium tax credit and what account should be debited?

Kenneth Reid said...

Sam,

I would recommend that you set up a liability account and call it COBRA Subsidy Liability. I would also setup an expense account and call it COBRA Subsidy Expense.

When your former employees send you their COBRA payments, you will record this payment in the COBRA Subsidy Liability account. You would record your COBRA premium in the usual Accounts Payable account. When you pay the COBRA premium, you will pay the employer portion, which should be recorded in the COBRA Subsidy expense account, and the balance of the payment should come out of the COBRA Subsidy Liability account.

Ken Reid