Tax Credit for Contributions to Employee Health Coverage

There is a new credit to encourage small employers (no more than the equivalent of 25 full-time employees) to help pay for employee health coverage. The credit is very complicated; it varies with the number of employees, their average full-time wages, the amount of premiums paid, and the average premiums by state for the small group market.

The tax credit is up to 35% of the employer’s contribution to pay for employee health insurance. This credit is limited to small employers; they are defined as having no more than the equivalent of 25 full-time employees (FTEs) with average annual wages of less than $50,000. A full credit is available to those with 10 or fewer FTEs with average wages of less than $25,000.

The amount of the credit is based on a percentage of the lesser of: (1) the amount of nonelective contributions paid by an eligible small employer on behalf of employees, or (2) the amount of nonelective contributions the employer would have paid under the arrangement if each such employee were enrolled in a plan that had a premium equal to the average premium for the small group market in the state (or in an area in the state) in which the employer is offering health insurance coverage. The average premium amounts are fixed by the Department of Health and Human Services. The average premium amounts for 2011 are found in Table 19.1. The amounts for 2012 can be found in the Supplement.

TABLE 19.1 Average Premiums for 2011 by State for the Small Group Market

State Employee-Only Coverage Family Coverage
Alabama $4,778 $12,084
Alaska 6,729 14,701
Arizona 4,614 11,063
Arkansas 4,378 9,849
California 4,740 11,493
Colorado 5,007 12,258
Connecticut 5,640 14,097
Delaware 5,902 13,411
District of Columbia 5,721 14,024
Florida 5,218 12,550
Georgia 5,085 11,440
Hawaii 4,622 11,529
Idaho 4,379 10,066
Illinois 5,565 13,176
Indiana 5,262 12,097
Iowa 4,694 11,051
Kansas 4,693 11,909
Kentucky 4,456 10,560
Louisiana 5,143 11,911
Maine 5,261 12,255
Maryland 5,073 12,530
Massachusetts 5,900 15,262
Michigan 5,195 12,539
Minnesota 5,048 12,790
Mississippi 5,433 10,501
Missouri 4,787 10,860
Montana 4,923 10,789
Nebraska 5,130 12,057
Nevada 4,781 10,836
New Hampshire 5,858 14,523
New Jersey 5,868 14,093
New Mexico 5,146 12,328
New York 5,589 13,631
North Carolina 5,136 11,949
North Dakota 4,545 11,328
Ohio 4,706 11,627
Oklahoma 4,922 11,200
Oregon 4,881 11,536
Pennsylvania 5,186 12,671
Rhode Island 5,956 14,553
South Carolina 5,036 11,780
South Dakota 4,733 11,589
Tennessee 4,744 11,035
Texas 5,172 12,432
Utah 4,532 11,346
Vermont 5,426 12,505
Virginia 5,060 12,213
Washington 4,776 11,151
West Virginia 5,356 12,724
Wisconsin 5,284 13,911
Wyoming 5,430 12,867

This credit applies in 2010, 2011, 2012, and 2013 and can be claimed in each year in which the employer qualifies. For years beginning after 2013, the credit applies only for a maximum of 2 years, and only for small employers that purchase health coverage through a State exchange. Potentially, a small employer could qualify for the credit for up to 6 years: 4 years under the initial credit phase (health coverage from a state-licensed insurance company), and then for 2 years under the second phase (health coverage through a State exchange).

The credit is part of the general business credit. The credit can be used to offset alternative minimum tax liability.

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