Answers to common questions about taxes and insurance

• Your employer pays the premiums: You owe taxes on the income you receive.
• You pay the premiums with after-tax dollars: You do not owe taxes on the income.
• You and your employer split the cost of premiums: When you receive income, the portion attributed to the employer-paid share of the premiums is taxable; the share you paid with after-tax dollars is tax-free.

Insurance companies provide options to supplement employer-sponsored group coverage with an individual disability income insurance policy. Benefits are typically paid tax-free because the premiums are paid using after-tax income.

If your income from other sources together with your Social Security benefits exceeds a certain IRS threshold, a portion of your Social Security disability benefits may be taxable. Some states also tax these benefits.

VA disability benefits are income tax-free.

The proceeds your beneficiaries collect — known as a death benefit — are generally income tax-free.

• Individuals cannot deduct life insurance premiums on their tax returns.
• The same is generally true for businesses. Businesses cannot deduct life insurance premiums except in certain limited situations.

When you use a cash-value life insurance policy for income, the tax impact depends on your approach.

• Withdrawal. Unless you have a modified endowment contract (MEC), withdrawals up to your policy’s investment in the contract are generally tax-free. Your investment is generally the total amount of money you have paid in premiums. Withdrawals beyond your investment are generally taxable.
• Loan. Amounts you borrow from a non-MEC policy are generally tax-free, though tax consequences can occur upon any surrender or lapse of the policy.
• Surrender or sell. When you surrender (i.e., cancel) a policy for cash, any gains you have accrued are taxed as income. In addition, a loan balance may be taxable. If you choose to sell your life insurance policy to someone else, you will not only lose the rights to the death benefit, but you may owe taxes as well.
• MEC policies. MEC policies are subject to less favorable tax rules for withdrawals and loans, as well as a potential 10% tax penalty for taxable amounts received prior to age 59 ½.

The benefit you receive from a qualified LTCI contract is generally tax-free. Exceptions include when the benefit exceeds your medical expenses or when the benefit exceeds a certain daily limit, if that’s part of your LTCI contract.

The IRS defines a qualified long-term care insurance contract as an insurance contract that provides only coverage of qualified long-term care services. In addition to a number of consumer protection provisions the contract must:

• Be guaranteed renewable.
• Not provide for a cash surrender value or other money that can be paid, assigned, pledged or borrowed.
• Limit use of refunds — other than refunds on the death of the insured or complete surrender or cancellation of the contract, and dividends under the contract — to only reduce future premiums or increase future benefits.
• Generally, not pay or reimburse expenses for services or items that would be reimbursed under Medicare, except where Medicare is a secondary payer, or the contract makes per diem or other periodic payments without regard to expenses.

Whether your health insurance premiums are tax deductible is determined by the type of health insurance you have and how you pay for it.

• If you buy health insurance through your employer and pay your portion of the premiums with pre-tax dollars (as is the case with most employer health plans), you can’t deduct it. You also can’t deduct the employer-paid portion of the premiums.
• If you buy health insurance on your own with after-tax dollars, you may be able to deduct some of the premiums. Depending on your tax situation.
• If you itemize deductions on your tax return rather than taking the standard deduction, you can claim unreimbursed medical and dental expenses as itemized deductions to the extent that they exceed a certain percentage of your adjusted gross income (7.5% of AGI in 2021). With private health insurance, your premium payments generally count toward these expenses, and therefore, could potentially be deductible.

Health insurance benefits that pay for medical expenses such as doctor visits, hospital stays and prescriptions are generally tax-free.