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2010 HealthCare
      Small Business Tax Credit Guide

4 Million Small Businesses Are Eligible for 35% Tax CREDIT!




                                 ExpertQuote Insurance Services, Inc.
                                            www.expertquote.com
Fact Sheet: Small Business Health Care Tax Credit
      Health reform legislation signed by President Obama includes a Small Business Health Care
      Tax Credit to help small businesses afford the cost of covering their workers.


      Key Facts about the Small Business Health Care Tax Credit
            1. The tax credit, which is effective immediately, can cover up to 35 percent of the
               premiums your small business pays to cover your workers. In 2014, the rate will
               increase to 50 percent.
            2. Both small for-profit businesses and small not-for-profit organizations1 are eligible.


      Key Elements
              Available Immediately. The credit is effective January 1, 2010. As a result, if you
               provide health care for your workers, you will receive immediate help with your
               premium costs, and additional firms that initiate coverage this year will get a tax cut as
               well.
              Broad Eligibility. The Council of Economic Advisors estimates that 4 million small
               businesses are eligible for the credit if they provide health care to their workers. To
               qualify, you must have less than the equivalent of 25 full-time workers (e.g., a business
               with fewer than 50 half-time workers would be eligible), pay average annual wages
               below $50,000, and cover at least 50 percent of the cost of health care coverage for
               your workers.
              Substantial Benefit. The credit is worth up to 35 percent of your small business
               premium costs in 2010. On January 1, 2014, this rate increases to 50 percent.
              Firms Can Claim Credit for Up to 6 Years. Your business can claim the credit for 2010
               through 2013 and for any two years after that. You can begin claiming the credit
               starting with your 2010 business income tax return that you file in 2011. The credit will
               be taken as a general business credit on your income tax return.
              Non-Profits Eligible. Tax-exempt organizations are eligible for a 25 percent tax credit in
               2010. In 2014, this rate increases to 35 percent.1
              Gradual Phase-Outs. The credit phases out gradually for businesses with average
               wages between $25,000 and $50,000 and for businesses with the equivalent of between
               10 and 25 full-time workers.
              Premium Cost Eligibility. To avoid an incentive to choose a high-cost plan, an
               employer’s eligible contribution is limited to the average cost of health insurance in that
               state. For example, in California, your business cannot pay more than the average cost
               of all health insurance plans.




Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only.              1
Small Business Health Care Tax Credit:
      Four Cases



       1                       EXAMPLE
                                                                2                       EXAMPLE

               Auto Repair Shop with 10 Employees                           Restaurant with 40 Part-Time
                Gets $24,500 Credit for 2010                          Employees Gets $28,000 Credit for 2010

      Main Street Mechanic:                                     Downtown Diner:

         Employees: 10                                           Employees: 40 half-time employees (the
         Wages: $250,000 total, or $25,000 per                    equivalent of 20 full-time workers)
          worker                                                  Wages: $500,000 total, or $25,000 per
         Employer Health Care Costs: $70,000                      full-time equivalent worker
                                                                  Employer Health Care Costs: $240,000
      2010 Tax Credit: $24,500 (35% credit)
      2014 Tax Credit: $35,000 (50% credit)                     2010 Tax Credit: $28,000 (35% credit with
                                                                phase-out)
                                                                2014 Tax Credit: $40,000 (50% credit with
                                                                phase-out)


      3                        EXAMPLE
                                                                4                       EXAMPLE

                  Foster Care Non-Profit with 9                         Manufacturing Company with 12
           Employees Gets $18,000 Credit for 2010                  Employees Gets $14,700 Credit for 2010

      First Street Family Services.org:                         Acme Air Conditioning, LLC:

         Employees: 9                                             Employees: 12
         Wages: $198,000 total, or $22,000 per                    Wages: $420,000 total, or $35,000 per
          worker                                                    worker
         Employer Health Care Costs: $72,000                      Employer Health Care Costs: $90,000

      2010 Tax Credit: $18,000 (25% credit)                     2010 Tax Credit: $14,700 (35% credit with
      2014 Tax Credit: $25,200 (35% credit)                     phase-out)
                                                                2014 Tax Credit: $21,000 (50% credit with
                                                                phase-out)




Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only.                2
Questions & Answers About the Tax Credit

      Businesses eligible for the credit

      1. Which businesses are eligible for the small business health care tax credit?
           Small business that provide health care coverage to their employees and that meet certain
           requirements (“qualified employers”) generally are eligible for a Federal income tax credit
           for health insurance premiums they pay for certain employees. In order to be a qualified
           employer,
              1. you must have fewer than 25 full-time equivalent employees (“FTEs”) for the tax
                 year,
              2. the average annual wages of your employees for the year must be less than $50,000
                 per FTE, and
              3. you must pay the premiums under a “qualifying arrangement” described in question
                 3 below.
           See questions 9 through 15 for further information on calculating FTEs and average annual
           wages and see question 22 for information on anticipated transition relief for tax years
           beginning in 2010 with respect to the requirements for a qualifying arrangement.

      2. Can a not-for-profit (tax exempt) organization be a qualified business?
           Yes. The same definition of qualified employer applies to an organization described in
           Code section 501(c) that is exempt from tax under Code section 501(a). However, special
           rules apply in calculating the credit for a not-for-profit employer. A governmental
           employer is not a qualified employer unless it is an organization described in Code section
           501(c) that is exempt from tax under Code section 501(a). See question 6 below for more
           information.


      Calculating the tax credit

      3. What expenses are counted in calculating the credit?
           If you pay only a portion of the premiums for the health coverage provided to your
           employees (with employees paying the rest), the amount of premiums counted in
           calculating the credit is only the portion paid by you.
           For example, if you pay 80 percent of the premiums for an employees’ coverage (with your
           employees paying the other 20 percent), the 80 percent premium amount paid by you
           counts in calculating the credit. If you have a 125 cafeteria plan, any premium paid because
           of a salary reduction arrangement is not included as being paid by your business.



Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only.           3
The amount of your premium payments that counts for the credit is capped by the premium
           payments you would have made under the same arrangement if the average premium for
           the small group market in California (or an area within the California) were substituted for
           the actual premium. In other words, your small business cannot receive more tax credit
           than a similar small business.
           If you pay only a portion of the premium for the coverage provided to your employees (for
           example, under the terms of the plan you pay 80 percent of the premiums and your
           employees pay the other 20 percent), the premium amount that counts for purposes of the
           credit is the same portion (80 percent in the example) of the premiums that would have
           been paid for the coverage if the average premium for the small group market in California
           were substituted for the actual premium.

      4. What is the average premium for the small group market in California (or an area
           within California)?
           The average premium for the small group market in California (or an area within the
           California) will be determined by the Department of Health and Human Services (HHS)
           and published by the IRS. Publication of the average premium for the small group market
           on a State-by-State basis is expected to be completed by the end of April 2010.

      5. What is the maximum credit for a for-profit small business?
           For tax years beginning in 2010 through 2013, the maximum credit for a for-profit small
           business is 35 percent of your premium expenses that count towards the credit.
           Example. For the 2010 tax year, Ace Laundry has 9 FTEs with average annual wages of
           $23,000 per FTE. Ace Laundry pays $72,000 in health care premiums for those employees
           (which does not exceed the average premium for the small group market in California) and
           otherwise meets the requirements for the credit. The credit for 2010 equals $25,200 (35% x
           $72,000).

      6. What is the maximum credit for a not-for-profit small business?
           For tax years beginning in 2010 through 2013, the maximum credit for a not-for-profit
           business is 25 percent of your premium expenses that count towards the credit. However,
           the amount of the credit cannot exceed the total amount of income and Medicare (i.e.,
           Hospital Insurance) tax you are required to withhold from your employees’ wages for the
           year and your share of Medicare tax on your employees’ wages.
           Example. For the 2010 tax year, a Grace Charities has 10 FTEs with average annual wages
           of $21,000 per FTE. Grace Charities pays $80,000 in health care premiums for those
           employees (which does not exceed the average premium for the small group market in
           California) and otherwise meets the requirements for the credit. The total amount of your



Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only.           4
business income tax and Medicare tax withholding plus your business share of the
           Medicare tax equals $30,000 in 2010.

           The credit is calculated as follows:

             1. Initial amount of credit determined before any reduction: (25% x $80,000) = $20,000
             2. Employer’s withholding and Medicare taxes: $30,000
             3. Total 2010 tax credit is $20,000 (the lesser of $20,000 and $30,000)

      7. How is the credit reduced if the number of FTEs exceeds 10 or average annu al wages
           exceed $25,000?
           If the number of full-time employees (FTEs) exceeds 10 or if average annual wages exceed
           $25,000, the amount of the credit is reduced as follows (but not below zero).


            IF the…                              THEN the reduction is…
            number of FTEs exceeds 10,           determined by multiplying the otherwise applicable credit
                                                 amount by a fraction, the numerator of which is the number
                                                 of FTEs in excess of 10 and the denominator of which is 15.
                                        Note: The result of the calculation is subtracted from the
                                        otherwise applicable credit to determine the credit to which
                                        your business is entitled.
            average annual wages exceed determined by multiplying the otherwise applicable credit
            $25,000,                    amount by a fraction, the numerator of which is the amount
                                        by which average annual wages exceed $25,000 and the
                                        denominator of which is $25,000.
                                                 Note: The result of the calculation is subtracted from the
                                                 otherwise applicable credit to determine the credit to which
                                                 your business is entitled.
            small business has more than         the sum of the amount of the two reductions. This sum may
            10 FTEs and                          reduce the credit to zero for some employers with fewer
            average annual wages                 than 25 FTEs and average annual wages of less than
            exceeding $25,000,                   $50,000.

           Example. For the 2010 tax year, Two-Mug Coffee Shop has 12 FTEs and average annual
           wages of $30,000. Two-Mug Coffee Shop pays $96,000 in health care premiums for those
           employees (which does not exceed the average premium for the small group market in the
           employer's State) and otherwise meets the requirements for the credit.




Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only.                 5
The credit is calculated as follows:

             1. Initial amount of credit determined before any reduction: (35% x $96,000) = $33,600
             2. Credit reduction for FTEs in excess of 10: ($33,600 x 2/15) = $4,480
             3. Credit reduction for average annual wages in excess of $25,000: ($33,600 x
                $5,000/$25,000) = $6,720
             4. Total credit reduction: ($4,480 + $6,720) = $11,200
             5. Total 2010 tax credit: ($33,600 – $11,200) = $22,400

      8. Can premiums paid by the employer in 2010, but before the new health reform
           legislation was enacted, be counted in calculating the credit?
           Yes. In computing the credit for a tax year beginning in 2010, you may count premiums for
           that tax year.


      Determining Full Time Employees (FTEs) & Average Annual Wages

      9. How is the number of FTEs determined for purposes of the credit?
           The number of your FTEs is determined by dividing (1) the total hours for which you pay
           wages to your employees during the year (but not more than 2,080 hours for any employee)
           by (2) 2,080. The result, if not a whole number, is then rounded to the next lowest whole
           number. See questions 12 through 14 for information on which employees are not counted
           for purposes of determining FTEs.
           Example. For the 2010 tax year, We Transcribe Audio pays 5 employees wages for 2,080
           hours each, 3 employees wages for 1,040 hours each, and 1 employee wages for 2,300
           hours.
            We Transcribe Audio’s FTEs would be calculated as follows:

            1. Total hours not exceeding 2,080 per employee is the sum of:

                  a. 10,400 hours for the 5 employees paid for 2,080 hours each (5 x 2,080)
                  b. 3,120 hours for the 3 employees paid for 1,040 hours each (3 x 1,040)
                  c. 2,080 hours for the 1 employee paid for 2,300 hours (lesser of 2,300 and 2,080)

            These add up to 15,600 hours

            2. FTEs: 7 (15,600 divided by 2,080 = 7.5, rounded to the next lowest whole number)




Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only.        6
10. How is the amount of average annual wages determined?
           The amount of average annual wages is determined by first dividing (1) the total wages you
           paid to your employees during your tax year by (2) the number of your FTEs for the year.
           The result is then rounded down to the nearest $1,000 (if not otherwise a multiple of
           $1,000). For this purpose, wages means wages as defined for FICA purposes (without
           regard to the wage base limitation). See questions 12 through 14 for information on which
           employees are not counted as employees for purposes of determining the amount of
           average annual wages.

           Example. For the 2010 tax year, Mega Earth Movers pays $224,000 in wages and has 10
           FTEs.
           Mega Earth Movers average annual wages would be: $22,000 ($224,000 divided by 10 =
           $22,400, rounded down to the nearest $1,000)

      11. Can an employer with 25 or more employees qualify for the credit if some of its
           employees are part-time?
           Yes. Because the limitation on the number of employees is based on FTEs, a business with
           25 or more employees could qualify for the credit if some of its employees work part-time.
           For example, Burger Heaven, with 46 half-time employees (meaning they are paid wages
           for 1,040 hours), has 23 FTEs and therefore may qualify for the credit (divide the total
           number of half-time employees by 2 to determine the total FTEs for your business).

      12. Are seasonal workers counted in determining the number of FTEs and the amount of
           average annual wages?
           Generally, no. Seasonal workers are disregarded in determining FTEs and average annual
           wages unless the seasonal worker works for you more than 120 days during the tax year.

      13. If an owner of a business also provides services to it, does the owner count as an
           employee?
           Generally, no. A sole proprietor, a partner in a partnership, a shareholder owning more than
           two percent of an S corporation, and any owner of more than five percent of other
           businesses are not considered employees for purposes of the credit. Thus, the wages or
           hours of these business owners and partners are not counted in determining either the
           number of FTEs or the amount of average annual wages, and premiums paid on their behalf
           are not counted in determining the amount of the credit.




Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only.           7
14. Do family members of a business owner who work for the business count as
           employees?
           Generally, no. A family member of any of the business owners or partners listed in
           question 13, or a member of such a business owner’s or partner’s household, is not
           considered an employee for purposes of the credit. Thus, neither their wages nor their hours
           are counted in determining the number of FTEs or the amount of average annual wages,
           and premiums paid on their behalf are not counted in determining the amount of the credit.
           For this purpose, a family member is defined as a child (or descendant of a child); a sibling
           or step-sibling; a parent (or ancestor of a parent); a step-parent; a niece or nephew; an aunt
           or uncle; or a son-in-law, daughter- in-law, father-in-law, mother-in-law, brother-in-law or
           sister-in-law.

      15. How is eligibility for the credit determined if the employer is a member of a controlled
           group or an affiliated service group?
           Members of a controlled group (e.g., businesses with the same owners) or an affiliated
           service group (e.g., related businesses of which one performs services for the other) are
           treated as a single business for purposes of the credit. Thus, for example, all employees of
           the controlled group or affiliated service group, and all wages paid to employees by the
           controlled group or affiliated service group, are counted in determining whether any
           member of the controlled group or affiliated service group is a qualified small business.
           Rules for determining whether a business is a member of a controlled group or an affiliated
           service group are provided under Code section 414(b), (c), (m), and (o).


      How to Claim the Credit

      16. How does an employer claim the credit?
           The credit is claimed on your businesses annual income tax return. For a not-for-profit
           business, the IRS will provide further information on how to claim the credit.

      17. Can a small business (other than a not-for-profit business) claim the credit if it has no
           taxable income for the year?
           Generally, no. Except in the case of a not-for-profit business, the credit for a year offsets
           only your businesses actual income tax liability (or alternative minimum tax liability) for
           the year. However, as a general business credit, an unused credit amount can generally be
           carried back one year and carried forward 20 years. Because an unused credit amount
           cannot be carried back to a year before the effective date of the credit, though, an unused
           credit amount for 2010 can only be carried forward.




Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only.             8
18. Can a not-for-profit business claim the credit if it has no taxable income for the year?
           Yes. For a not-for-profit business, the credit is a refundable credit, so that even if you have
           no taxable income, you may receive a refund (so long as it does not exceed the income tax
           withholding and Medicare tax liability, as discussed in question 6).

      19. Can the credit be reflected in determining estimated tax payments for a year?
           Yes. The credit can be reflected in determining estimated tax payments for the year to
           which the credit applies in accordance with regular estimated tax rules.

      20. Does taking the credit affect a small businesses deduction for health insurance
           premiums?
           Yes. In determining your business’ deduction for health insurance premiums, the amount of
           premiums that can be deducted is reduced by the amount of the credit.

      21. May a small business reduce employment tax payments (i.e., withheld income tax,
           social security tax, and Medicare tax) during the year in anticipation of the credit?
           No. The credit applies against income tax, not employment taxes.


      Anticipated Transition Relief for Tax Years Beginning in 2010
      22. Is it expected that any transition relief will be provided for tax years beginning
          in 2010 to make it easier for taxpayers to meet the requirements for a
          qualifying arrangement?
           Yes. The IRS and Treasury intend to issue guidance that will provide that, for tax years
           beginning in 2010, the following transition relief applies with respect to the requirements
           for a qualifying arrangement described in question 3:
            a. If you pay at least 50% of the premium for each of your employees enrolled in
               coverage offered them, your business will not fail to maintain a qualifying
               arrangement merely because you do not pay a uniform percentage of the premium for
               each employee. Accordingly, if your business otherwise satisfies the requirements for
               the credit described above, you will qualify for the credit even though the percentage
               of the premium you pay is not uniform for all employees.
            b. The requirement that you pay at least 50% of the premium for an employee applies to
               the premium for single (employee-only) coverage for your employee. Therefore, if
               your employee is receiving single coverage, you satisfy the 50% requirement with
               respect to the employee if it pays at least 50% of the premium for that coverage. If
               your employee is receiving coverage that is more expensive than single coverage (such
               as family or self-plus-one coverage), you satisfy the 50% requirement with respect to
               your business if you pay an amount of the premium for such coverage that is no less


Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only.              9
than 50% of the premium for single coverage for that employee (even if it is less than
                 50% of the premium for the coverage the employee is actually receiving).

      Getting the Word Out to Small Businesses
      To ensure that small businesses know about the credit and how to claim it, the US Government
      is initiating a nationwide educational campaign for small businesses and tax preparers.

      WhiteHouse.gov Web Feature. Whitehouse.gov features a special section on health reform
      for small business including information on the health care tax credit.
      http://www.whitehouse.gov/healthreform/small-business

      Millions of Postcards to Small Businesses. In the coming weeks, IRS will send out postcards
      to millions of small businesses who may be eligible for the health care tax credit, urging
      you to look at the criteria and take advantage if you qualify.

      Over 1,000 Tax Workshops and Small Business Forums. Every year, tens of thousands of
      small businesses and tax professionals around the country attend small business forums
      and tax workshops where they can hear from IRS representatives about new developments
      in tax law. This year, IRS Outreach will have a special focus on the small business credit
      to get the word and answer questions about how the credit works and how to claim it.

      Email Blast to 175,000 Tax Professionals. IRS will use its IRS e-news for tax professionals
      mailing list to notify over 175,000 tax professionals.

      Special Section on IRS.gov. IRS is featuring a new section on the front page of www.irs.gov
      on new tax tips, detailed frequently asked questions and a worksheet to help you
      determine if you qualify as a small business owner.


      1
          Special rules apply in calculating the credit for a tax-exempt qualified employer. The credit
          rates are lower for non-profits to ensure that the value of the credit is approximately equal to
          that provided to for-profit firms that cannot claim a tax deduction for the amount of the credit
          claimed.




Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only.              10
3 Simple Steps to Determine If You Own a Small Business
      Follow the 3 simple steps below to determine if your business qualifies for the Small Business
      Health Care Tax Credit.




Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only.        11
Information adapted from
           Fact Sheet: Small Business Health Care Tax Credit. The White House. (April 1, 2010).
           Retrieved April 22, 2010 from http://www.whitehouse.gov/the-press-office/fact-sheet-
           small-business-health-care-tax-credit#1
           New for 2010: Tax Credit Helps Small Employers Provide Health Insurance Coverage.
           (April 1, 2010) Retrieved April 23, 2010 from http://www.irs.gov/newsroom/article/0,,id
           =220848,00.html
           Small Business Health Care Tax Credit: Frequently Asked Questions. (April 19, 2010).
           Retrieved on April 23, 2010 from http://www.irs.gov/newsroom/article/0,,id=220839,00.html




      About ExpertQuote

      ExpertQuote is a corporate benefits firm specializing in complete group health insurance (medical,
      dental, and vision) and 401K consulting for Start-Ups to the San Jose Sharks! ExpertQuote helps
      businesses transition from traditional to consumer-driven health plans and save over 18% on their
      premiums per year, while providing identical or richer benefits! ExpertQuote will illustrate how to
      implement a Partial Self-Funding Health Insurance, Self-Funding Dental and Self-Funding Vision Plans
      that will save a company $25-$50K+ of annual premiums using no carrier. We are the only broker in
      California marketing these strategies. See our websites www.SelfFundingDental.com &
      www.SelfFundingVision.com




      Copyright & Disclaimer

      All of our materials are protected under federal and state copyright laws. You may not make copies
      except for your own personal use. That means YOU CANNOT SELL, TRADE, COPY, ASSIGN, or
      LICENSE YOUR RIGHTS IN THESE MATERIALS. We make no representations or guarantees that the
      materials, and we disclaim any warranties, express, implied or for any particular purpose you may
      need. You understand that all legal forms are provided for example only and that it is strongly advise
      that you seek legal counsel to review the impact of this material on your business. It is also advised that
      you review the potential financial and tax implications of any transaction with a qualified professional
      before proceeding.




Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only.                     12

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Tax credit small business v 3

  • 1. 2010 HealthCare Small Business Tax Credit Guide 4 Million Small Businesses Are Eligible for 35% Tax CREDIT! ExpertQuote Insurance Services, Inc. www.expertquote.com
  • 2. Fact Sheet: Small Business Health Care Tax Credit Health reform legislation signed by President Obama includes a Small Business Health Care Tax Credit to help small businesses afford the cost of covering their workers. Key Facts about the Small Business Health Care Tax Credit 1. The tax credit, which is effective immediately, can cover up to 35 percent of the premiums your small business pays to cover your workers. In 2014, the rate will increase to 50 percent. 2. Both small for-profit businesses and small not-for-profit organizations1 are eligible. Key Elements  Available Immediately. The credit is effective January 1, 2010. As a result, if you provide health care for your workers, you will receive immediate help with your premium costs, and additional firms that initiate coverage this year will get a tax cut as well.  Broad Eligibility. The Council of Economic Advisors estimates that 4 million small businesses are eligible for the credit if they provide health care to their workers. To qualify, you must have less than the equivalent of 25 full-time workers (e.g., a business with fewer than 50 half-time workers would be eligible), pay average annual wages below $50,000, and cover at least 50 percent of the cost of health care coverage for your workers.  Substantial Benefit. The credit is worth up to 35 percent of your small business premium costs in 2010. On January 1, 2014, this rate increases to 50 percent.  Firms Can Claim Credit for Up to 6 Years. Your business can claim the credit for 2010 through 2013 and for any two years after that. You can begin claiming the credit starting with your 2010 business income tax return that you file in 2011. The credit will be taken as a general business credit on your income tax return.  Non-Profits Eligible. Tax-exempt organizations are eligible for a 25 percent tax credit in 2010. In 2014, this rate increases to 35 percent.1  Gradual Phase-Outs. The credit phases out gradually for businesses with average wages between $25,000 and $50,000 and for businesses with the equivalent of between 10 and 25 full-time workers.  Premium Cost Eligibility. To avoid an incentive to choose a high-cost plan, an employer’s eligible contribution is limited to the average cost of health insurance in that state. For example, in California, your business cannot pay more than the average cost of all health insurance plans. Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only. 1
  • 3. Small Business Health Care Tax Credit: Four Cases 1 EXAMPLE 2 EXAMPLE Auto Repair Shop with 10 Employees Restaurant with 40 Part-Time Gets $24,500 Credit for 2010 Employees Gets $28,000 Credit for 2010 Main Street Mechanic: Downtown Diner:  Employees: 10  Employees: 40 half-time employees (the  Wages: $250,000 total, or $25,000 per equivalent of 20 full-time workers) worker  Wages: $500,000 total, or $25,000 per  Employer Health Care Costs: $70,000 full-time equivalent worker  Employer Health Care Costs: $240,000 2010 Tax Credit: $24,500 (35% credit) 2014 Tax Credit: $35,000 (50% credit) 2010 Tax Credit: $28,000 (35% credit with phase-out) 2014 Tax Credit: $40,000 (50% credit with phase-out) 3 EXAMPLE 4 EXAMPLE Foster Care Non-Profit with 9 Manufacturing Company with 12 Employees Gets $18,000 Credit for 2010 Employees Gets $14,700 Credit for 2010 First Street Family Services.org: Acme Air Conditioning, LLC:  Employees: 9  Employees: 12  Wages: $198,000 total, or $22,000 per  Wages: $420,000 total, or $35,000 per worker worker  Employer Health Care Costs: $72,000  Employer Health Care Costs: $90,000 2010 Tax Credit: $18,000 (25% credit) 2010 Tax Credit: $14,700 (35% credit with 2014 Tax Credit: $25,200 (35% credit) phase-out) 2014 Tax Credit: $21,000 (50% credit with phase-out) Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only. 2
  • 4. Questions & Answers About the Tax Credit Businesses eligible for the credit 1. Which businesses are eligible for the small business health care tax credit? Small business that provide health care coverage to their employees and that meet certain requirements (“qualified employers”) generally are eligible for a Federal income tax credit for health insurance premiums they pay for certain employees. In order to be a qualified employer, 1. you must have fewer than 25 full-time equivalent employees (“FTEs”) for the tax year, 2. the average annual wages of your employees for the year must be less than $50,000 per FTE, and 3. you must pay the premiums under a “qualifying arrangement” described in question 3 below. See questions 9 through 15 for further information on calculating FTEs and average annual wages and see question 22 for information on anticipated transition relief for tax years beginning in 2010 with respect to the requirements for a qualifying arrangement. 2. Can a not-for-profit (tax exempt) organization be a qualified business? Yes. The same definition of qualified employer applies to an organization described in Code section 501(c) that is exempt from tax under Code section 501(a). However, special rules apply in calculating the credit for a not-for-profit employer. A governmental employer is not a qualified employer unless it is an organization described in Code section 501(c) that is exempt from tax under Code section 501(a). See question 6 below for more information. Calculating the tax credit 3. What expenses are counted in calculating the credit? If you pay only a portion of the premiums for the health coverage provided to your employees (with employees paying the rest), the amount of premiums counted in calculating the credit is only the portion paid by you. For example, if you pay 80 percent of the premiums for an employees’ coverage (with your employees paying the other 20 percent), the 80 percent premium amount paid by you counts in calculating the credit. If you have a 125 cafeteria plan, any premium paid because of a salary reduction arrangement is not included as being paid by your business. Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only. 3
  • 5. The amount of your premium payments that counts for the credit is capped by the premium payments you would have made under the same arrangement if the average premium for the small group market in California (or an area within the California) were substituted for the actual premium. In other words, your small business cannot receive more tax credit than a similar small business. If you pay only a portion of the premium for the coverage provided to your employees (for example, under the terms of the plan you pay 80 percent of the premiums and your employees pay the other 20 percent), the premium amount that counts for purposes of the credit is the same portion (80 percent in the example) of the premiums that would have been paid for the coverage if the average premium for the small group market in California were substituted for the actual premium. 4. What is the average premium for the small group market in California (or an area within California)? The average premium for the small group market in California (or an area within the California) will be determined by the Department of Health and Human Services (HHS) and published by the IRS. Publication of the average premium for the small group market on a State-by-State basis is expected to be completed by the end of April 2010. 5. What is the maximum credit for a for-profit small business? For tax years beginning in 2010 through 2013, the maximum credit for a for-profit small business is 35 percent of your premium expenses that count towards the credit. Example. For the 2010 tax year, Ace Laundry has 9 FTEs with average annual wages of $23,000 per FTE. Ace Laundry pays $72,000 in health care premiums for those employees (which does not exceed the average premium for the small group market in California) and otherwise meets the requirements for the credit. The credit for 2010 equals $25,200 (35% x $72,000). 6. What is the maximum credit for a not-for-profit small business? For tax years beginning in 2010 through 2013, the maximum credit for a not-for-profit business is 25 percent of your premium expenses that count towards the credit. However, the amount of the credit cannot exceed the total amount of income and Medicare (i.e., Hospital Insurance) tax you are required to withhold from your employees’ wages for the year and your share of Medicare tax on your employees’ wages. Example. For the 2010 tax year, a Grace Charities has 10 FTEs with average annual wages of $21,000 per FTE. Grace Charities pays $80,000 in health care premiums for those employees (which does not exceed the average premium for the small group market in California) and otherwise meets the requirements for the credit. The total amount of your Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only. 4
  • 6. business income tax and Medicare tax withholding plus your business share of the Medicare tax equals $30,000 in 2010. The credit is calculated as follows: 1. Initial amount of credit determined before any reduction: (25% x $80,000) = $20,000 2. Employer’s withholding and Medicare taxes: $30,000 3. Total 2010 tax credit is $20,000 (the lesser of $20,000 and $30,000) 7. How is the credit reduced if the number of FTEs exceeds 10 or average annu al wages exceed $25,000? If the number of full-time employees (FTEs) exceeds 10 or if average annual wages exceed $25,000, the amount of the credit is reduced as follows (but not below zero). IF the… THEN the reduction is… number of FTEs exceeds 10, determined by multiplying the otherwise applicable credit amount by a fraction, the numerator of which is the number of FTEs in excess of 10 and the denominator of which is 15. Note: The result of the calculation is subtracted from the otherwise applicable credit to determine the credit to which your business is entitled. average annual wages exceed determined by multiplying the otherwise applicable credit $25,000, amount by a fraction, the numerator of which is the amount by which average annual wages exceed $25,000 and the denominator of which is $25,000. Note: The result of the calculation is subtracted from the otherwise applicable credit to determine the credit to which your business is entitled. small business has more than the sum of the amount of the two reductions. This sum may 10 FTEs and reduce the credit to zero for some employers with fewer average annual wages than 25 FTEs and average annual wages of less than exceeding $25,000, $50,000. Example. For the 2010 tax year, Two-Mug Coffee Shop has 12 FTEs and average annual wages of $30,000. Two-Mug Coffee Shop pays $96,000 in health care premiums for those employees (which does not exceed the average premium for the small group market in the employer's State) and otherwise meets the requirements for the credit. Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only. 5
  • 7. The credit is calculated as follows: 1. Initial amount of credit determined before any reduction: (35% x $96,000) = $33,600 2. Credit reduction for FTEs in excess of 10: ($33,600 x 2/15) = $4,480 3. Credit reduction for average annual wages in excess of $25,000: ($33,600 x $5,000/$25,000) = $6,720 4. Total credit reduction: ($4,480 + $6,720) = $11,200 5. Total 2010 tax credit: ($33,600 – $11,200) = $22,400 8. Can premiums paid by the employer in 2010, but before the new health reform legislation was enacted, be counted in calculating the credit? Yes. In computing the credit for a tax year beginning in 2010, you may count premiums for that tax year. Determining Full Time Employees (FTEs) & Average Annual Wages 9. How is the number of FTEs determined for purposes of the credit? The number of your FTEs is determined by dividing (1) the total hours for which you pay wages to your employees during the year (but not more than 2,080 hours for any employee) by (2) 2,080. The result, if not a whole number, is then rounded to the next lowest whole number. See questions 12 through 14 for information on which employees are not counted for purposes of determining FTEs. Example. For the 2010 tax year, We Transcribe Audio pays 5 employees wages for 2,080 hours each, 3 employees wages for 1,040 hours each, and 1 employee wages for 2,300 hours. We Transcribe Audio’s FTEs would be calculated as follows: 1. Total hours not exceeding 2,080 per employee is the sum of: a. 10,400 hours for the 5 employees paid for 2,080 hours each (5 x 2,080) b. 3,120 hours for the 3 employees paid for 1,040 hours each (3 x 1,040) c. 2,080 hours for the 1 employee paid for 2,300 hours (lesser of 2,300 and 2,080) These add up to 15,600 hours 2. FTEs: 7 (15,600 divided by 2,080 = 7.5, rounded to the next lowest whole number) Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only. 6
  • 8. 10. How is the amount of average annual wages determined? The amount of average annual wages is determined by first dividing (1) the total wages you paid to your employees during your tax year by (2) the number of your FTEs for the year. The result is then rounded down to the nearest $1,000 (if not otherwise a multiple of $1,000). For this purpose, wages means wages as defined for FICA purposes (without regard to the wage base limitation). See questions 12 through 14 for information on which employees are not counted as employees for purposes of determining the amount of average annual wages. Example. For the 2010 tax year, Mega Earth Movers pays $224,000 in wages and has 10 FTEs. Mega Earth Movers average annual wages would be: $22,000 ($224,000 divided by 10 = $22,400, rounded down to the nearest $1,000) 11. Can an employer with 25 or more employees qualify for the credit if some of its employees are part-time? Yes. Because the limitation on the number of employees is based on FTEs, a business with 25 or more employees could qualify for the credit if some of its employees work part-time. For example, Burger Heaven, with 46 half-time employees (meaning they are paid wages for 1,040 hours), has 23 FTEs and therefore may qualify for the credit (divide the total number of half-time employees by 2 to determine the total FTEs for your business). 12. Are seasonal workers counted in determining the number of FTEs and the amount of average annual wages? Generally, no. Seasonal workers are disregarded in determining FTEs and average annual wages unless the seasonal worker works for you more than 120 days during the tax year. 13. If an owner of a business also provides services to it, does the owner count as an employee? Generally, no. A sole proprietor, a partner in a partnership, a shareholder owning more than two percent of an S corporation, and any owner of more than five percent of other businesses are not considered employees for purposes of the credit. Thus, the wages or hours of these business owners and partners are not counted in determining either the number of FTEs or the amount of average annual wages, and premiums paid on their behalf are not counted in determining the amount of the credit. Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only. 7
  • 9. 14. Do family members of a business owner who work for the business count as employees? Generally, no. A family member of any of the business owners or partners listed in question 13, or a member of such a business owner’s or partner’s household, is not considered an employee for purposes of the credit. Thus, neither their wages nor their hours are counted in determining the number of FTEs or the amount of average annual wages, and premiums paid on their behalf are not counted in determining the amount of the credit. For this purpose, a family member is defined as a child (or descendant of a child); a sibling or step-sibling; a parent (or ancestor of a parent); a step-parent; a niece or nephew; an aunt or uncle; or a son-in-law, daughter- in-law, father-in-law, mother-in-law, brother-in-law or sister-in-law. 15. How is eligibility for the credit determined if the employer is a member of a controlled group or an affiliated service group? Members of a controlled group (e.g., businesses with the same owners) or an affiliated service group (e.g., related businesses of which one performs services for the other) are treated as a single business for purposes of the credit. Thus, for example, all employees of the controlled group or affiliated service group, and all wages paid to employees by the controlled group or affiliated service group, are counted in determining whether any member of the controlled group or affiliated service group is a qualified small business. Rules for determining whether a business is a member of a controlled group or an affiliated service group are provided under Code section 414(b), (c), (m), and (o). How to Claim the Credit 16. How does an employer claim the credit? The credit is claimed on your businesses annual income tax return. For a not-for-profit business, the IRS will provide further information on how to claim the credit. 17. Can a small business (other than a not-for-profit business) claim the credit if it has no taxable income for the year? Generally, no. Except in the case of a not-for-profit business, the credit for a year offsets only your businesses actual income tax liability (or alternative minimum tax liability) for the year. However, as a general business credit, an unused credit amount can generally be carried back one year and carried forward 20 years. Because an unused credit amount cannot be carried back to a year before the effective date of the credit, though, an unused credit amount for 2010 can only be carried forward. Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only. 8
  • 10. 18. Can a not-for-profit business claim the credit if it has no taxable income for the year? Yes. For a not-for-profit business, the credit is a refundable credit, so that even if you have no taxable income, you may receive a refund (so long as it does not exceed the income tax withholding and Medicare tax liability, as discussed in question 6). 19. Can the credit be reflected in determining estimated tax payments for a year? Yes. The credit can be reflected in determining estimated tax payments for the year to which the credit applies in accordance with regular estimated tax rules. 20. Does taking the credit affect a small businesses deduction for health insurance premiums? Yes. In determining your business’ deduction for health insurance premiums, the amount of premiums that can be deducted is reduced by the amount of the credit. 21. May a small business reduce employment tax payments (i.e., withheld income tax, social security tax, and Medicare tax) during the year in anticipation of the credit? No. The credit applies against income tax, not employment taxes. Anticipated Transition Relief for Tax Years Beginning in 2010 22. Is it expected that any transition relief will be provided for tax years beginning in 2010 to make it easier for taxpayers to meet the requirements for a qualifying arrangement? Yes. The IRS and Treasury intend to issue guidance that will provide that, for tax years beginning in 2010, the following transition relief applies with respect to the requirements for a qualifying arrangement described in question 3: a. If you pay at least 50% of the premium for each of your employees enrolled in coverage offered them, your business will not fail to maintain a qualifying arrangement merely because you do not pay a uniform percentage of the premium for each employee. Accordingly, if your business otherwise satisfies the requirements for the credit described above, you will qualify for the credit even though the percentage of the premium you pay is not uniform for all employees. b. The requirement that you pay at least 50% of the premium for an employee applies to the premium for single (employee-only) coverage for your employee. Therefore, if your employee is receiving single coverage, you satisfy the 50% requirement with respect to the employee if it pays at least 50% of the premium for that coverage. If your employee is receiving coverage that is more expensive than single coverage (such as family or self-plus-one coverage), you satisfy the 50% requirement with respect to your business if you pay an amount of the premium for such coverage that is no less Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only. 9
  • 11. than 50% of the premium for single coverage for that employee (even if it is less than 50% of the premium for the coverage the employee is actually receiving). Getting the Word Out to Small Businesses To ensure that small businesses know about the credit and how to claim it, the US Government is initiating a nationwide educational campaign for small businesses and tax preparers. WhiteHouse.gov Web Feature. Whitehouse.gov features a special section on health reform for small business including information on the health care tax credit. http://www.whitehouse.gov/healthreform/small-business Millions of Postcards to Small Businesses. In the coming weeks, IRS will send out postcards to millions of small businesses who may be eligible for the health care tax credit, urging you to look at the criteria and take advantage if you qualify. Over 1,000 Tax Workshops and Small Business Forums. Every year, tens of thousands of small businesses and tax professionals around the country attend small business forums and tax workshops where they can hear from IRS representatives about new developments in tax law. This year, IRS Outreach will have a special focus on the small business credit to get the word and answer questions about how the credit works and how to claim it. Email Blast to 175,000 Tax Professionals. IRS will use its IRS e-news for tax professionals mailing list to notify over 175,000 tax professionals. Special Section on IRS.gov. IRS is featuring a new section on the front page of www.irs.gov on new tax tips, detailed frequently asked questions and a worksheet to help you determine if you qualify as a small business owner. 1 Special rules apply in calculating the credit for a tax-exempt qualified employer. The credit rates are lower for non-profits to ensure that the value of the credit is approximately equal to that provided to for-profit firms that cannot claim a tax deduction for the amount of the credit claimed. Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only. 10
  • 12. 3 Simple Steps to Determine If You Own a Small Business Follow the 3 simple steps below to determine if your business qualifies for the Small Business Health Care Tax Credit. Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only. 11
  • 13. Information adapted from Fact Sheet: Small Business Health Care Tax Credit. The White House. (April 1, 2010). Retrieved April 22, 2010 from http://www.whitehouse.gov/the-press-office/fact-sheet- small-business-health-care-tax-credit#1 New for 2010: Tax Credit Helps Small Employers Provide Health Insurance Coverage. (April 1, 2010) Retrieved April 23, 2010 from http://www.irs.gov/newsroom/article/0,,id =220848,00.html Small Business Health Care Tax Credit: Frequently Asked Questions. (April 19, 2010). Retrieved on April 23, 2010 from http://www.irs.gov/newsroom/article/0,,id=220839,00.html About ExpertQuote ExpertQuote is a corporate benefits firm specializing in complete group health insurance (medical, dental, and vision) and 401K consulting for Start-Ups to the San Jose Sharks! ExpertQuote helps businesses transition from traditional to consumer-driven health plans and save over 18% on their premiums per year, while providing identical or richer benefits! ExpertQuote will illustrate how to implement a Partial Self-Funding Health Insurance, Self-Funding Dental and Self-Funding Vision Plans that will save a company $25-$50K+ of annual premiums using no carrier. We are the only broker in California marketing these strategies. See our websites www.SelfFundingDental.com & www.SelfFundingVision.com Copyright & Disclaimer All of our materials are protected under federal and state copyright laws. You may not make copies except for your own personal use. That means YOU CANNOT SELL, TRADE, COPY, ASSIGN, or LICENSE YOUR RIGHTS IN THESE MATERIALS. We make no representations or guarantees that the materials, and we disclaim any warranties, express, implied or for any particular purpose you may need. You understand that all legal forms are provided for example only and that it is strongly advise that you seek legal counsel to review the impact of this material on your business. It is also advised that you review the potential financial and tax implications of any transaction with a qualified professional before proceeding. Copyright ©2010 ExpertQuote Insurance Service, Inc. All rights reserved. For Personal use only. 12