Snyder Insurance December 4, 2013 No Comments

The Affordable Care Act and Your Adult Child

Under a tax provision in the Patient Protection and Affordable Care Act (PPACA or the Affordable Care Act), the value of any employer-provided health coverage for an employee’s child is excluded from the employee’s income through the end of the taxable year in which the child turns 26.


ACA TaxformsThis tax benefit applies regardless of whether the plan is required by law to extend health care coverage to the adult child or the plan voluntarily extends the coverage.

How It Works In Affordable Care Act Plans

While the Affordable Care Act requires health care plans to cover enrollees’ children up to age 26, some employers may decide to continue coverage beyond the child’s 26th birthday. In such cases, the Affordable Care Act provides that the value of the employer-provided health coverage is excluded from the employee’s income for the entire taxable year in which the child turns 26. Because of this, if a child turns 26 in March but stays on the plan through Dec. 31 (the end of most people’s taxable year), all health benefits provided that year are excluded for income tax purposes.

In addition to the exclusion from income of any employer contribution toward qualifying adult child coverage, employees can receive the same tax benefit if they contribute toward the cost of coverage through a cafeteria plan.

What are the Eligibility Requirements?

This expanded health care tax benefit applies to various workplace and retiree health plans. It also applies to self-employed individuals who qualify for the self-employed health insurance deduction on their federal income tax return.

This provision does not apply to Medicare, and it also applies only to plans and issuers that offer dependent coverage.

Talk to your employer for more information about tax benefits for your adult child’s health care coverage or contact Snyder Insurance at (630) 960-4848 to discuss your situation.