Life & Health Insurance Exam (National Portion)Health InsuranceHard

A 45-year-old self-employed individual is looking for a health insurance plan that allows them to deduct 100% of their health insurance premiums from their gross income for tax purposes. Which of the following conditions must generally be met for this deduction to apply?

  1. AThe deduction is capped at a certain percentage of the individual's adjusted gross income (AGI).
  2. BThe individual (or their spouse) cannot be eligible to participate in an employer-sponsored health plan.
  3. CThe deduction can only be taken if the individual itemizes deductions on their tax return.
  4. DThe individual must be eligible for coverage under an employer-sponsored health plan.
Show answer & explanation

Correct answer: B. The individual (or their spouse) cannot be eligible to participate in an employer-sponsored health plan.

Self-employed individuals can deduct 100% of their health insurance premiums if they (and their spouse, if applicable) are not eligible to participate in an employer-sponsored health plan. This provision prevents those with access to employer plans from double-dipping on tax benefits. It is not limited by itemized deductions or AGI percentage, unlike medical expense deductions.

Why the other options are wrong

  • A. This deduction is 100% of premiums and is not subject to the AGI percentage floor that applies to medical expense itemized deductions.
  • C. The self-employed health insurance deduction is an 'above-the-line' deduction, meaning it reduces gross income and does not require itemizing.
  • D. Being eligible for an employer-sponsored plan would generally *prevent* the 100% deduction for self-employed individuals.

Self-Employed Health Insurance Deduction

A federal tax deduction that allows self-employed individuals to deduct 100% of their health insurance premiums from their gross income, provided they are not eligible to participate in an employer-sponsored health plan.

  • 100% deduction 'above-the-line'.
  • Cannot be eligible for employer plan.
  • Applies to health, dental, and long-term care premiums.

Memory trick: Self-Employed: No Employer Plan, No Problem!

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