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Imputed Income


Tufts Health Plan; Health Reform Update, January 19, 2007


The changes coming with the implementation of Health Care Reform in the state raise a number of questions, including calculating the fair market value of benefits for employer contributions as it relates to imputed income.  While we cannot provide our clients with tax or legal advice, we can offer our understanding of how the fair market value is calculated as it respects imputed income.  This information is not intended as tax or legal advice, but is offered only for your consideration in conjunction with that of your own counsel, accountant, or tax.

It appears to be clear that the fair market value of employer contributions for group health plan coverage for an employee’s non-IRS code dependents are imputable taxable income for the employee.  And, payroll deductions for the employee’s contribution must be taken on an after-tax basis.  There is, however, no formal guidance on how to calculate the fair market value.

Please ask your counsel, accountant, or benefits consultant to discuss alternative approaches they feel are appropriate for calculating the fair market value.  It is our understanding that a number of employers use their COBRA rates (minus the 2% administrative add on).  They impute an individual rate for one non-IRS code dependent; a two-person rate for 2 non-IRS code dependents; and a family rate for 3 or more non-IRS code dependents.

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