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employer includes $170 in boxes 1, 3, and 5 of Tom's Form <br />W-2. The employer also enters $170 in box 12 with <br />code "C." <br />Coverage for dependents. Group-term life insurance <br />coverage paid by the employer for the spouse or depen- <br />dents of an employee may be excludable from income as a <br />de minimis fringe benefit if the face amount is not more <br />than $2,000. The part of this coverage that the employee <br />paid on an after-tax basis is also excludable from income. <br />For this purpose, the cost is figured using the monthly cost <br />table above. <br />Former employees. For group-term life insurance over <br />$50,000 provided to former employees (including retirees), <br />the former employees must pay the employee's share of <br />social security and Medicare taxes with their federal in- <br />come tax returns. You are not required to collect those <br />taxes. Use the table above to determine the amount of <br />social security and Medicare taxes owed by the former <br />employee for coverage provided after separation from <br />service. Report those uncollected amounts separately in <br />box 12 on Form W-2 using codes "M" and "N." See the <br />Instructions for Forms W-2 and W-3. <br />Exception for key employees. Generally, if your <br />group-term life insurance plan favors key employees as to <br />participation or benefits, you must include the entire cost of <br />the insurance in your key employees' wages. (This excep- <br />tion generally does not apply to church plans.) When <br />figuring social security and Medicare taxes, you must also <br />include the entire cost in the employees' wages. Include <br />the cost in boxes 1, 3, and 5 of Form W-2. However, you do <br />not have to withhold federal income tax or pay FUTA tax on <br />the cost of any group-term life insurance you provide to an <br />employee. <br />For this purpose, the cost of the insurance is the greater <br />of the following amounts. <br />• The premiums you pay for the employee's insur- <br />ance. See Regulations section 1.79-4T (Q-6} for <br />more information. <br />• The cost you figure using the Table 2-2. <br />For this exclusion, a key employee during 2008 is an <br />employee or former employee who is one of the following <br />individuals. See section 416(i) of the Internal Revenue <br />Code for more information. <br />1. An officer having annual pay of more than $150,000 <br />2. An individual who for 2008 was either of the fallow- <br />ing. <br />a. A 5°~o owner of your business. <br />b. A 1 °~o owner of your business whose annual pay <br />was more than ~ $150,000. <br />A former employee who was a key employee upon <br />retirement or separation from service is also a key em- <br />ployee. <br />Your plan does not flavor key employees as to partici- <br />pation if at least one of the following is true. <br />• It benefits at least 70% of your employees. <br />• At least 85°ro of the participating employees are not <br />key employees. <br />• It benefits employees who qualify under a set of <br />rules you set up that do not favor key employees. <br />Your plan meets this participation test if it is part of a <br />cafeteria plan {discussed in section 1 } and it meets the <br />participation test for those plans. <br />When applying this test, do not consider employees <br />who: <br />• Have not completed 3 years of service <br />• Are part-time or seasonal, <br />• Are nonresident aliens who receive no U.S. source <br />earned income from you; or <br />• Are not included in the plan but are in a unit of <br />employees covered by a collective bargaining agree- <br />ment, if the benefits provided under the plan were <br />the subject of good-faith bargaining between you <br />and employee representatives. <br />Your plan does not favor key employees as to benefits if <br />all benefits available to participating key employees are <br />also available to all other participating employees. Your <br />plan does not favor key employees just because the <br />amount of insurance you provide to your employees is <br />uniformly related to their pay. <br />S corporation shareholders. Because you cannot <br />treat a 2% shareholder of an S corporation as an employee <br />for this exclusion, you must include the cost of all <br />group-term life insurance coverage you provide the 2% <br />shareholder in his or her wages. When figuring social <br />security and Medicare taxes, you must also include the <br />cost of this coverage in the 2% shareholder's wages. <br />Include the cost in boxes 1, 3, and 5 of Form W-2. How- <br />ever, you do not have to withhold federal income tax or pay <br />federal unemployment tax on the cost of any group-term <br />life insurance coverage you provide to the 2% shareholder. <br />Health Savings Accounts <br />A Health Savings Account (HSA) is an account owned by a <br />qualified individual who is generally your employee or <br />former employee. Any contributions that you make to an <br />HSA become the employee's property and cannot be with- <br />drawn by you. Contributions to the account are used to pay <br />current or future medical expenses of the account owner, <br />his or her spouse, and any qualified dependent. The medi- <br />cal expenses must not be reimbursable by insurance or <br />other sources and their payment from HSA funds (distribu- <br />tion) will not give rise to a medical expense deduction on <br />the individual's federal income tax return. For more infor- <br />mation about HSAs, visit the Department of Treasury's <br />website at www.treas.gov/offices/public-affairs/hsa. <br />Eligibility. A qualified individual must be covered by a <br />High Deductible Health Plan {HDHP) and not be covered <br />by other health insurance except for permitted insurance <br />listed under section 223(c)(3) or insurance for accidents, <br />disability, dental care, vision care, or long-term care. For <br />calendar year 2008, a qualifying HDHP must have a de- <br />ductible of at least $1,100 for self-only coverage or $2,200 <br />for family coverage and must limit annual out-of-pocket <br />expenses of the beneficiary to $5,600 for self-only cover- <br />age and $11,200 for family coverage. <br />Page 12 Publication 15-B (2008) <br />