With the 2012 presidential election decided, we now know that Barack
Obama will remain president for the next four years, and the Democrats
will control the Senate for at least two more years.
The result
means businesses and individuals should prepare for full implementation
of the Patient Protection and Affordable Care Act of 2010 (ACA).
The
ACA, also widely referred to as Obamacare, includes some significant
tax-related provisions affecting employers and individuals that are
scheduled to take effect in 2013 and 2014.
In this post, we will
discuss what employers should expect as Obamacare is implemented and
several related tax provisions: a tax on wages, self-employment and
unearned income, flexible spending account contributions, and the pay or
play provisions.
Wages and self-employment tax
Starting
in 2013, individuals will face an extra 0.9 percent Medicare tax on
wages and self-employment (SE) income in excess of $250,000 for married
couples filing jointly and $200,000 for single taxpayers. This tax is in
addition to the current Medicare tax on salary and/or SE income of 2.9
percent split between the employer and employee.
Employers must
withhold the extra 0.9 percent in Medicare taxes, but are not required
to match that extra payment. To avoid penalties, employers must do
little more than arrange to withhold the additional amounts.
Nonetheless, it’s a good idea to alert affected employees that, upon
reaching the threshold amount, they will see a drop in their paychecks.
Tax on investment income
Also
starting in 2013, a 3.8 percent Medicare tax on unearned income will be
applied to individuals, trusts, and estates. The tax will be equal to
3.8 percent of the lesser of net investment income or the excess of
Modified AGI in excess of $250,000 for married couples filing jointly
and $200,000 for single filers.
Net investment income includes
interest, dividends and rents, passive trade or business income (i.e.,
most income reported on Form K-1), and capital gains. It does not
include qualified retirement plan distributions from an IRA or tax
exempt income, such as interest from municipal bonds.
Flexible spending accounts contributions
Starting
in 2013, the ACA applies a $2,500 limit to employee contributions in
flexible spending accounts (FSA). According to the IRS, the $2,500 limit
on pre-tax employee FSA contributions applies on a plan-year basis.
Thus, non-calendar-year plans must comply with the plan year that starts
in 2013.
Employers must amend their plans and summary plan
descriptions to reflect the $2,500 limit (or a lower one if they wish)
by Dec. 31, 2014, and institute measures to ensure that employees don’t
elect contributions that exceed the limit. There will continue to be no
limit on employer contributions to FSAs.
Shared responsibility provisions
Starting
in 2014, a penalty tax will be levied on individuals who don’t purchase
health insurance, with a penalty that will be no more than $285 per
family or 1 percent of income, whichever is greater. In 2015, the cap
rises to $975 or 2 percent of income. And by 2016, the penalty will go
to $2,085 per family or 2.5 percent of income, whichever is greater.
Although
the ACA does not require employers to provide health care coverage,
employers will face a “shared responsibility” excise tax scheduled to
take effect Jan. 1, 2014. These provisions levy stiff penalties if
larger employers do not offer coverage or provide coverage that does not
qualify as “affordable” or provide “minimum value.” These penalties are
not deductible, so they are more expensive after tax than premium
payments.
Employers with 50 or more full-time employees or
equivalents (those working 30 hours or more per week) that don’t provide
employees with health coverage will be assessed a penalty if just one
of their workers receives a premium tax credit when buying insurance in a
health insurance exchange. The annual penalty is $2,000 per full-time
employee in excess of 30 workers. For example, if the employer has 53
full-time employees, the penalty would be $46,000 (53 – 30 = 23 x
$2,000).
Penalties will also be triggered if the coverage
provided does not encompass at least 60 percent of covered health care
expenses for a “typical population,” or the premium for the coverage
exceeds 9.5 percent of a worker’s income. In such cases, the worker can
opt to obtain coverage in an exchange and qualify for a tax credit. For
each worker receiving the credit, the employer must annually pay the
lesser of $3,000 per employee for each employee receiving a premium
credit or $2,000 for each full-time employee beyond the first 30
employees.
The amount of the penalties is indexed for inflation,
but it is tied to increases in the costs of health care premiums. And
with health insurance premiums expected to rise at a faster rate than
wages, employers with no one in the “over 9.5 percent” group currently
could find that trend reversed quickly in later years.
Next steps
From
a business and individual planning standpoint, the time to act is now.
We don’t know what additional tax changes the future will bring,
especially with the fiscal cliff looming. However, we do know the
changes the ACA will bring to employers and individuals.
Check
back soon for a post that will go into greater detail on the mandates,
expansion of coverage, and state insurance exchanges associated with the
ACA.
Kenneth Hoffman counsels Entrepreneurs, Professionals and
Select Individuals in taking control of their taxes, and businesses.
Discover how I can help you overcome your tax and business challenges.
To start the conversation or to become a client, call Kenneth Hoffman at
(954) 591-8290 Monday - Friday between 8:30 a.m. to 1:00 p.m. for a no
cost consultation, or drop me a note.
If
you found this article helpful, I invite you to leave a commit and
please share it on twitter, facebook or your favorite social media site
and with your friends, family and colleagues. Thank you.