what is section 105?. the question large corporations can deduct 100 percent of medical expenses
TRANSCRIPT
What is Section 105?What is Section 105?
The Question
Large corporations candeduct 100 percent
of medical expenses.
The Idea
Why can’t familyfarmers and small business owners?
The Solution
Section 105
Levels the Playing Field!
Objectives
• What is Section 105?
• Who Qualifies?
• Calculating Tax Savings
• Choosing an Administrator
IRC Section 105(b) Amounts expended for medical care. Except in the case of amounts attributable to deductions under Section 213, gross income does not include amounts referred to in subsection (a), if such amounts are paid directly or indirectly, to the taxpayer to reimburse the taxpayer for expenses incurred by him for medical care as defined by Section 213(d) of the taxpayer, his spouse, and his dependents as defined by Section 152.
Breaking the Code
• Section 105 is a 1954 tax law that allows for family employment. In addition is tied to IRC Sections 79, 106, 162; and to Revenue Ruling 71-588 and is supported by Letter Ruling 9409006.
The Basic Concept
• Cash Wage
• Employee Benefits
• Tax Deductible
• Tax Free
very simple
Available BenefitsHealth Related
Insurance Premiums
Non-Insured Medical Expenses
(Out of Pocket Expenses)
Long-Term Care Premiums
Term Life and Disability Insurance
Premiums
Eligible Expenses
AcupunctureAlcoholismAmbulance hireArtificial limbs/teethBirth control pillsBirth prevention surgeryBracesBraille - books and magazinesCare for handicapped childChiropractorsChristian Science feesCo-insurance Communication equipment/deafContact lenses and cleaning solution
DeductiblesDental feesDenturesDiagnostic feesDrug and medical suppliesEducation for the blindEyeglasses, including exam feeHealing service feeHearing devices and batteriesHome improvements motivated bymedical consideration.Hospital bills/hospitalization insuranceInsulin
Laboratory feesLaetrile by prescriptionLead-base paint removal for children with lead poisoningMembership fee in association with furnishing medical services, hospitalization, and clinical careNeeded medical supplies, prescribed by doctorNurses’ feesObstetrical expensesOperationsHospital Expenses
Eligible Expenses
InsuranceInsulinLaboratory feesLaetrile by prescriptionLead-base paint removal Membership fees Needed medical suppliesNurses’ feesObstetrical expensesOperationsOrthodontiaOrthopedic shoesOsteopathsOxygenPrescribed medicines (includingover-the-counter)
Psychiatric carePsychologist feesRoutine physicals and othernon-diagnostic services and treatments“Seeing Eye” dog and its upkeep Sterilization feesSurgical feesTherapeutic care for drug/alcohol addictionTherapy treatmentsTransportation expenses primarily forrendition of medical services
Tuition at special school for handicappedWheelchairWigs (prescribed by a physician)X-rays
Did I Mention Over the Counter?
• Allergy Prevention and Treatment• Antacids and Acid Reducers• Anti-histamines• Anti-diarrheal and Laxatives• Anti-itch lotions and creams• Cold Sore/Fever Blister• Cough Suppressants• Decongestant• Cold Remedies• First Aid Supplies• Migraine
The Players
Plan Administrator
Financial Professional
Spouse-Employer
Spouse-Employee
Financial Professional
1. Inform qualified clients ofthis tax savings opportunity.
2. Tax Forms: SS-4, I-9, W-2, W-3, W-4, 941/943
3. Annual Consultation and Review
Client Responsibilities
6 Steps to Savings!
1. Enroll
2. Employ
3. Establish
4. Reimburse
5. Review
6. Renew
Clients Responsibility
1. Enroll with Administrator
2. Employ Spouse
3. Establish Compensation Package– Pay wages monthly or quarterly– Fringe Benefits
• Health, Dental & Long-Term Care Insurance
• Out of Pocket Medical Expenses• Term Life, Disability Insurance
Client Responsibility, Cont’d
4. Reimburse Medical Expenses
5. Submit Benefit Expenses Annually
6. Renew Benefits Annually
Step 1:Step 1: Enroll with Administrator
Can’t I do this myself?
What if I have other employees?
It seems complicated?
Step 1:Step 1: DOL Guidelines (Eliminate not Discriminate)
• Part Time (Max of 25 hours)
• Seasonal Employee (Max 7 months)
• Employees Age (Max 25 years old)
• Current Employees (Max 36 months)
• New Employees (Max 36 months)
Step 2:Step 2: Employing Spouse
Need to create a bonafide employer-employee relationship
Step 3: Establish Benefits & Compensation
W-2 Wage
Benefits
Insurance
Out of Pocket
Long Term Care
Life Insurance
Total
“Reasonable”
Compensation
What is Reasonable Compensation?
Total Benefits
+Total W-2
Wage =Total Comp
Total Comp
÷Number of Hours Worked
=Hourly Wage
Is the Hourly Wage Reasonable for duties, location, tenure?
Example 11.1. What are your health expenses?
-Health Insurance = $12,000
-Out of Pocket = $5,000
Total Expenses = $17,000 2.2. Calculating W-2 Wage
-Total Expenses = $17,000
-% Multiplier (i.e. 25%) = $4,250
Total W-2 Wage = $4,250
Example 1, Cont’d
3.3. Calculating Total Compensation
-Total Expenses = $17,000
-Total W-2 Wage = $4,250
Total Compensation = $21,250
4.4. Calculating Hourly Wage
-Number of Annual Hours = 1080
-Total Comp ÷ Hours = $19.67
Hourly Wage = $19.67
Example 1, Concluded
5.5. Duties, responsibilities and reasonableness
Is Hourly Wage $19.67 reasonable?
Yes or No?
Why or Why Not?
Is the Hourly Wage Reasonable for duties, location, tenure?
What if you had to advertise for this position what would you have to pay to get someone to do the same work?
Step 3: Establish Plan
• Payroll Component– Paycheck Processing– Quarterly or Annual Tax Filings– W-2 Processing
• Weekly, Monthly, Quarterly
• Easy to outsource!
Step 4:Step 4: Reimburse for Expenses
Spouse-Employer
Spouse-Employee
Provider Office, Pharmacy etc
Serv
ice R
en
dere
d/P
aym
en
t M
ad
e
Receipts Submitted
Expenses Reimbursed
Employer Must “Reimburse” Employee and not pay Provider
directly!
Step 5:Step 5: Review Reimbursements
• Year End Process– Tally Reimbursement– Review Eligibility– Take Deduction!– Retain Receipts
Step 6:Step 6: Review Plan Design
• Review Plan Design– Employee Eligibility– Benefits and Maximums– Carryover Balance– Reasonable Compensation– Return on Investment
What is Carryover?
• IRS allows Section 105 Plans to “carry over” unused medical expenses (out of pocket) up to a pre-determined maximum
Carryover Example
2006
OOP Maximum = $5,000
Used OOP = $2,500
2007
OOP Maximum = $5,000
Carryover Bal = $2,500
Total Available = $7,000
By implementing a Carryover you can have unused funds in one year cover years where expenses were more than expected without changing Reasonable Compensation calculations!
Who Qualifies?
• Small Businesses and Farmers who can declare the following employment criteria– Legitimate employment
• employee who receives a W-2 wage.
– Necessary duties • employee who performs necessary duties for the
company.
– Reasonable compensation • compensation to the employee that is reasonable
for the type of duties he or she performs.
Comparison
Managed By
Income Taxes
Can Owner Part. in EE Benefits?
Sole-P Proprietor Pass Through
No
Partnership Partners Pass Through
No
LLP Partners Pass Through
No
LLC-Inc Members Separate Yes
C-Corp Board Separate Yes
S-Corp Board Pass Through
Limited
Non-Profit Members or Trustees
-- Yes
In Other Words…
• Small Businesses and Farmers who file tax forms Schedule C, F or corporate tax forms.
What are We Doing?
Income – Expenses = Taxable Income
Taxable Income x Tax Rate = Taxes Payable
Goal of Individuals & Businesses = Reduce Taxes Payable by wisely increasing allowable Expenses
Can’t I Already Do This?
• Schedule A?
• Deductibility of Health Insurance?
• Health Savings Account?
Schedule A
• Itemized (Schedule A) is a variable deduction amount based on your individual expenses for the tax year
• Deduction ExamplesReported on Schedule A– Medical & Dental Expenses– Property Taxes– Mortgage Interest– Charitable Gifts
Schedule A Cont’d
• Under Schedule A can include Medical & Dental Expenses
• EXCEPTION! – Medical expenditures must be greater than 7.5% of Adjusted Gross Income (AGI) in order to claim benefit and then you can only take the difference!
Example 1
• $62,000 Adjusted Gross Income (AGI = I – E)
• $3,200 in Medical Expenses
• Multiply $62,000 by 7.5% = $4,650• If answer = more than total Medical
Expenses, the allowable deduction is -0-
With Section 105 the Medical Deduction would be $3,200 filing under the Schedule C!
Example 2
• $62,000 Adjusted Gross Income • $10,000 in Medical Expenses
• $62,000 * 7.5% = $4,650• $10,000 - $4,650 = $5,350 Medical Deduction
With Section 105 the Medical Deduction would be $10,000 filing under
the Schedule C!
If Not “A”, Then “HSA”?
• Pros of HSA– No Marriage
Restrictions– IRA Rollover
• Cons of HSA– Restrictions on
Coverage Options– Required to be
Pre-Funded– No Self
Employment Tax Savings
– Limited Compliance Assistance
Federal Deductibility?
• Clinton Administration signed in 100% Federal Deductibility of Health Insurance Premiums– Added lines to Federal Tax forms
related to Medical expenses
• Does not include State or Self-Employment taxes!
Comparison
Without Section 105
Premium Deduction 100%$4,000 x 100% = $4,000Federal Tax Rate $4,000 x 15% = $ 600Tax Savings = $ 600
Non-Insured Expenses 0%$3,000 x 0% = $ 0Federal & State TaxTax Savings = $ 0
Total Expenses = $7,000Total Deduction = $4,000
Total Tax Savings $600
With Section 105
Premium Deduction 100%$4,000 x 100% = $4,000Federal, State & SE Tax Rate$4,000 x 35% = $1,400Tax Savings = $ 1,400
Non-Insured Expenses 100%$3,000 x 100% = $3,000Federal, State & SE Tax 35%Tax Savings $1,050
Total Expenses $7,000Total Deduction $7,000
Total Tax Savings$2,450
Then What?
• Itemized on business Schedules– Schedule C for “Company” – Schedule F for “Farmer”
Deduction ExamplesReported on Schedule C/F
• Car & Truck Expenses
• Mortgage• Rent or Lease• Legal &
Professional Services*
• Repairs & Maintenance
• Depreciation• Employee Benefit
Programs*• Pension & Profit
Sharing Plan
*Section 105 deductions falls under these
categories
How Self-Employment Tax is Impacted
• What is Self-Employment (SE) Tax?– Equivalent to FICA on W2 Wages (Employee
pays 7.65% of gross wage and employer matches 7.65%)
– Must be paid if earnings are more than $400
• This tax equals 15.3% (FICA multiplied by 2) of Net Profit or Loss from Schedule C/F
Self Employment Tax Cont’d
• Because the Net Profit (Loss) has been reduced by AgriPlan/BizPlan the Self-Employment tax payable will also be reduced, increasing the total amount of savings.
Deciphering Tax Forms
• Individuals– 1040– Schedule A (only if
choosing to itemize)
• Individuals who own Businesses– 1040– Schedule A– Schedule C and/or F– Schedule SE
Form 1040
• Line 12 Schedule C Income or (Loss)
• Line 18 Schedule F Income or (Loss)
• Line 31 – Self-Employed Health Insurance Deduction *Common Misconception to Use this Line!*
• Adjusted Gross Income (AGI)
Schedule C
• Line 14 Employee Benefit Programs (Medical Expenses Reimbursed to Employees under AB)
• Line 17 Legal & Professional Services (AB Administration Fee)
Schedule F
• Line 17 Employee Benefit Programs (Medical Expenses Reimbursed to Employees under AB)
• Line 34 Other Expenses (AB Administration Fee)
Schedule A
• Lines 1-4 Medical and Dental Expenses
• Lines Would not be used if AgriPlan/BizPlan Client amounts would be calculated on Schedule C/F
105 with Tax Filing Status
• AgriPlan and BizPlan works with all filing structures
• Spousal Employment is required for some
• See comparison chart…
Federal Individual Tax Rate
Taxable Income* Rate*
$0 $14,600 10%
$14,600 $59,400 15%
$59,401 $119,950 25%
$119,951 182,800 28%
$182,801 $326,450 33%
$326,450 Over 35%
*Indexed 2005
Federal Corporate Tax Rate
Taxable Income* Rate*
$0 $50,000 15%
$50,000 $75,000 25%
$75,000 $100,000 34%
$100,000 $335,000 39%
$335,000 $10,000,000 34%
$10,000,000 $15,000,000 35%
$15,000,000 $18,333,333 38%
$18,333,333 Over 35%
*Indexed 2005
Determine Your Personal Tax Savings
This illustration assumes an average state tax of 5% and a 15.3% FICA rate when calculating your multiplier. Actual savings may vary.
2. Determine your multiplier:
If your taxable income is:0-14,000
14,001-56,80056,801-114,650
114,651-174,700174,701-311,950
311,951 +
Your Federal Tax is:
10%15%25%28%33%35%
Your Multiplier is:
.30
.35
.45
.48
.53
.55
__________________ x __________________ = __________________
3. Determine your tax savings:
Enter # from A Your multiplier TOTAL TAX SAVINGS
1. Add together the following:
Family Medical & Long-Term Care Insurance Premiums:
Family Non-Insured Medical Expenses:
Total Tax Deductible Expenses: (A)
Let’s ReviewHealth Insurance = $ 6,000
Non-Insured Expenses = $ 4,000
W-2 Wage = $ 3,000
Total Compensation = $13,000
Tax SavingsReimbursed Medical Expenses $10,000
Federal Tax x 15%
State Tax x 5%
Self Employment Tax x 15%
Total Tax Saving = $3,500
Period of Coverage
• Period of Coverage applies if first Plan Year begins Mid-Year
Example:
March 14th Enrolled in Section 105 Plan
Premiums January 1st
Out of Pocket Expenses March 1st
Choosy Professionals Choose TASC
• Plan Document
• Adoption Agreement
• Summary Plan
Description
• Claims Review
• Re-election of
Benefits
• Renewal
• Audit Guarantee
• Year-round, toll-free
assistance
• Tax Savings
Guarantee
The Bottom Line
100% Deductibility
Worry Free Administration
Audit Guarantee
Tax Savings = $2,450
Less than $200 a year!
Tax Awareness vs. Tax Avoidance
I live in Alexandria Va. Near the Supreme Court chambers is a toll bridge across the Potomac. When I rush, I pay the dollar toll and get home early. However, I usually drive outside the downtown section of the city and across the Potomac on a free bridge.
This bridge was placed outside the downtown Washing ton D.C. area to serve a useful social service – getting drivers to drive the extra mile and help alleviate congestion during the rush hour.
If I went over the toll bridge and through the barrier without paying the toll, I would be committing tax evasion.
If, however, I drive the extra mile and drive outside the city of Washington to the free bridge, I am using a legitimate, logical and suitable method of tax avoidance and I am performing a useful social service by doing so.
For my tax evasion I should be punished. For my tax avoidance I should be commended. The tragedy of life today is that so few people know that the free bridge exists.
Justice Louis D. Brandeis