UPDATE: IRS Guidance on W-2 Health Care Cost Reporting

The healthcare reform law added a new requirement that employers report the cost of employer provided healthcare coverage on employees’ W-2 statements. Under the reform law as originally issued, employers were required to provide this health care cost information on 2011 W-2 statements (distributed to employees in 2012). An IRS Notice issued last fall waived the requirement for 2011 W-2 statements and extended the requirement to apply to 2012 W-2s (issued to employees in 2013). Therefore, employers will not be required to report the cost of health coverage until January 2013.

The IRS has now released Notice 2011-28 which provides further relief for certain smaller employers (those filing fewer than 250 W-2s) by making the cost of coverage reporting requirement optional at least for 2012 W-2s and continuing this optional treatment for smaller employers until further guidance is issued.

The new IRS Notice also makes clear that employers will not have to issue W-2s to retirees or others who receive health care coverage but who receive no compensation from the employer necessitating a W-2 (because they don’t receive wages or salary).

The Notice includes information on how to report, what coverage to include and how to determine the cost of the coverage. Employers must report the fair market value of nontaxable health care coverage made available to the employee. The value includes both employer and employee contributions (both pre-tax and post-tax) for the following benefits:

  • Medical plans, including prescription drug benefits, Medicare supplement policies, and employee assistance programs (EAPs)
  • Dental and vision benefits, unless they are stand-alone (HIPAA-excepted) benefits elected separately from medical plans
  • Executive physicals and On-site clinics, unless they only provide de minimus care
  •  Health flexible spending account (FSA) contributions above the amount elected by employees (employer FSA contributions).

The new Notice states that employers do not have to report the following:

  • Health reimbursement arrangement (HRA), Health savings account (HSA), and Archer MSA contributions;
  • Employee health FSA contributions (employers must already report them on the W-2); and
  • HIPAA-excepted benefits, including stand-alone vision and dental benefits, accident, disability, supplemental liability, auto and other liability insurance, auto medical payment insurance, workers’ compensation, hospital or other indemnity insurance, disease-specific, and similar limited benefits.

Employer-provided health coverage continues to be excludable from an employee’s income, and is NOT taxable. However, in 2018, the value of benefits above certain thresholds will be taxed, according to current provisions in the healthcare reform law.