What is included in S-corp health insurance?
Mia Ramsey
Published Feb 26, 2026
An S corporation deducts the premiums it pays for accident and health insurance to cover a 2% shareholder/employee (and his spouse and dependents) as compensation paid to the shareholder/employee. In other words, the premiums are included in the shareholder/employee’s salary and reported on the individual’s W-2 form.
Can an S-Corp reimburse Medicare premiums?
A 2%-or-more S corporation shareholder-employee can pay the premiums directly and be reimbursed by the S corporation, or the S corporation can pay the premiums.
Can A S corporation deduct medical expenses for its employees?
Employee Health Insurance. A small-business “S” corporation would deduct the costs of health insurance benefits paid for employees. If the company has more than one employee, the cost of the insurance for the officer-owner would be deducted along with the insurance premiums paid for all of the employees covered under the plan.
How are health insurance premiums treated in a s Corp?
Health insurance premiums paid by an S Corp for more than 2% shareholders must be treated as wages to that owner. In other words, the only way an S Corp can deduct the amount paid for shareholder health insurance is to include it as part of the shareholder’s salary;
Can a single officer of a corporation deduct health insurance?
With an owner who is also an officer of the company, tax rules dictate how the compensation for the owner must be structured and how employee benefits accounted for tax-wise. The health insurance of the single officer of an “S” corporation would be a deductible expense.
How are health insurance premiums reported for self employed?
Self-employed owners are able to deduct health insurance premiums for themselves and their dependents. There is a deduction that is labeled an “offset” for this group of shareholders. The health care premiums paid are reportable in the itemized deductions as expenses for medical and dental.