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§162(l) — >2% S-Corp Shareholder Health Insurance Deduction

S-corp pays your health premiums, adds to W-2 (no FICA), you deduct above-the-line — net: pre-tax health.

Overview

A >2% S-corp shareholder-employee cannot use pre-tax cafeteria plans for health insurance. Instead: (1) S-corp PAYS the shareholder's health insurance premiums (or reimburses), (2) premiums are added to shareholder's W-2 Box 1 (subject to FIT but NOT FICA/Medicare), (3) shareholder takes an above-the-line §162(l) deduction on Form 1040 Schedule 1. Net effect: pre-tax for FIT purposes and permanently exempt from 15.3% FICA. Missing this step is one of the top S-corp mistakes.

Best fit
All >2% S-corp shareholder-employeesS-corp owners paying own health premiumsS-corp family businesses
Estimated impact
$2K–$5K/yr in FIT + full FICA savings on premiums

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