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Subject Author Date
per-tax health insurance plan Paul Thomas 01-19-2008
Posted by Paul Thomas on January 19, 2008, 3:10 pm
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Am I right in my understanding that a pre-tax health plan covers (or can
cover) the employee, their spouse, and child (per Sect 152 who is a
qualifying child or qualifying relative). That any other person would not
be covered **pre-tax** by the plan - ie: included fully in wages for FICA,
Medicare, federal, state, FUTA and SUTA.


The question came up from a client's employee who wants to cover their
non-dependent adult child. I'm unsure at this point if this child would
meet the QC or QR rules. They're checking with the employee, I'm "looking
into it".

Basically, where's the line drawn?


Thanks,


--
Paul A. Thomas, CPA
Athens, Georgia

--
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Posted by Harlan Lunsford on January 19, 2008, 6:03 pm
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Paul Thomas wrote:
> Am I right in my understanding that a pre-tax health plan covers (or can
> cover) the employee, their spouse, and child (per Sect 152 who is a
> qualifying child or qualifying relative). That any other person would not
> be covered **pre-tax** by the plan - ie: included fully in wages for FICA,
> Medicare, federal, state, FUTA and SUTA.
>
>
> The question came up from a client's employee who wants to cover their
> non-dependent adult child. I'm unsure at this point if this child would
> meet the QC or QR rules. They're checking with the employee, I'm "looking
> into it".
>
> Basically, where's the line drawn?

If it's an employer's plan, I would think any such family members would
be "outside the pale" and therefore not covered per the plan. My wife
wondered if Blue Cross would cover her adult non dependent daughter and
the answer was "no".

ChEAr$,
Harlan

--
<< ------------------------------------------------------- >>
<< The foregoing was not intended or written to be used, >>
<< nor can it used, for the purpose of avoiding penalties >>
<< that may be imposed upon the taxpayer. >>
<< >>
<< The Charter and the Guidelines for submitting posts >>
<< to this newsgroup as well as our anti-spamming policy >>
<< are at www.asktax.org. >>
<< Copyright (2007) - All rights reserved. >>
<< ------------------------------------------------------- >>

Posted by Mark Bole on January 19, 2008, 9:43 pm
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Harlan Lunsford wrote:
> Paul Thomas wrote:
>> Am I right in my understanding that a pre-tax health plan covers (or
>> can cover) the employee, their spouse, and child (per Sect 152 who is
>> a qualifying child or qualifying relative). That any other person
>> would not be covered **pre-tax** by the plan - ie: included fully in
>> wages for FICA, Medicare, federal, state, FUTA and SUTA.
>>
>>
>> The question came up from a client's employee who wants to cover their
>> non-dependent adult child. I'm unsure at this point if this child
>> would meet the QC or QR rules. They're checking with the employee,
>> I'm "looking into it".
>>
>> Basically, where's the line drawn?
>
> If it's an employer's plan, I would think any such family members would
> be "outside the pale" and therefore not covered per the plan. My wife
> wondered if Blue Cross would cover her adult non dependent daughter and
> the answer was "no".

Based on my peripheral involvment with the employer-provided group
health plan industry, I second Harlan's comment, it's a moot point.

I'd be surprised if any reputable, commercially-available,
employer-sponsored group health plan would even offer coverage to
someone who did not qualify as a spouse or tax "dependent", more
specifically a QC (not even QR's usually qualify). They periodically
audit insured families to enforce this very restriction.

-Mark Bole

--
<< ------------------------------------------------------- >>
<< The foregoing was not intended or written to be used, >>
<< nor can it used, for the purpose of avoiding penalties >>
<< that may be imposed upon the taxpayer. >>
<< >>
<< The Charter and the Guidelines for submitting posts >>
<< to this newsgroup as well as our anti-spamming policy >>
<< are at www.asktax.org. >>
<< Copyright (2007) - All rights reserved. >>
<< ------------------------------------------------------- >>

Posted by joutlancpa on January 20, 2008, 1:08 am
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> Harlan Lunsford wrote:
> > Paul Thomas wrote:
> >> Am I right in my understanding that a pre-tax health plan covers (or
> >> can cover) the employee, their spouse, and child (per Sect 152 who is
> >> a qualifying child or qualifying relative). That any other person
> >> would not be covered **pre-tax** by the plan - ie: included fully in
> >> wages for FICA, Medicare, federal, state, FUTA and SUTA.
>
> >> The question came up from a client's employee who wants to cover their
> >> non-dependent adult child. I'm unsure at this point if this child
> >> would meet the QC or QR rules. They're checking with the employee,
> >> I'm "looking into it".
>
> >> Basically, where's the line drawn?
>
> > If it's an employer's plan, I would think any such family members would
> > be "outside the pale" and therefore not covered per the plan. My wife
> > wondered if Blue Cross would cover her adult non dependent daughter and
> > the answer was "no".
>
> Based on my peripheral involvment with the employer-provided group
> health plan industry, I second Harlan's comment, it's a moot point.
>
> I'd be surprised if any reputable, commercially-available,
> employer-sponsored group health plan would even offer coverage to
> someone who did not qualify as a spouse or tax "dependent", more
> specifically a QC (not even QR's usually qualify). They periodically
> audit insured families to enforce this very restriction.
>
> -Mark Bole
>
> --
> << ------------------------------------------------------- >>
> << The foregoing was not intended or written to be used, >>
> << nor can it used, for the purpose of avoiding penalties >>
> << that may be imposed upon the taxpayer. >>
> << >>
> << The Charter and the Guidelines for submitting posts >>
> << to this newsgroup as well as our anti-spamming policy >>
> << are atwww.asktax.org. >>
> << Copyright (2007) - All rights reserved. >>
> << ------------------------------------------------------- >>

I agree with the above, however Disney is allowing gay 'life partners'
to be covered. Brings up an interesting debate. ;)

................................................................
John H. Outlan CPA
Orlando, FL USA
cell (407) 924-2727
email john@outlancpa.com
url http://www.outlancpa.com

--
<< ------------------------------------------------------- >>
<< The foregoing was not intended or written to be used, >>
<< nor can it used, for the purpose of avoiding penalties >>
<< that may be imposed upon the taxpayer. >>
<< >>
<< The Charter and the Guidelines for submitting posts >>
<< to this newsgroup as well as our anti-spamming policy >>
<< are at www.asktax.org. >>
<< Copyright (2007) - All rights reserved. >>
<< ------------------------------------------------------- >>

Posted by Alan on January 20, 2008, 1:07 am
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Paul Thomas wrote:
> Am I right in my understanding that a pre-tax health plan covers (or can
> cover) the employee, their spouse, and child (per Sect 152 who is a
> qualifying child or qualifying relative). That any other person would not
> be covered **pre-tax** by the plan - ie: included fully in wages for FICA,
> Medicare, federal, state, FUTA and SUTA.
>
>
> The question came up from a client's employee who wants to cover their
> non-dependent adult child. I'm unsure at this point if this child would
> meet the QC or QR rules. They're checking with the employee, I'm "looking
> into it".
>
> Basically, where's the line drawn?
>
>
> Thanks,
>
>
Employee, spouse and dependent (doesn't have to be a child).
Dependent is defined using the rules for medical deductions. That
means it is the Qualifying Relative rules w/o the gross income
test, w/o the married joint return test and w/o the dependent
can't have any dependents test.

--
<< ------------------------------------------------------- >>
<< The foregoing was not intended or written to be used, >>
<< nor can it used, for the purpose of avoiding penalties >>
<< that may be imposed upon the taxpayer. >>
<< >>
<< The Charter and the Guidelines for submitting posts >>
<< to this newsgroup as well as our anti-spamming policy >>
<< are at www.asktax.org. >>
<< Copyright (2007) - All rights reserved. >>
<< ------------------------------------------------------- >>

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