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                                             Table 1. Cost of $1,000 of                      8:29 - 7-Feb-2023
         Worksheet 1. Figuring the           Group-Term Life Insurance for 1     Worksheet 1. Figuring the
         Cost of Group-Term Life             Month                               Cost of Group-Term Life
         Insurance To Include in                 Age                   Cost      Insurance To Include in
         Income                                                        $ .05     Income—Illustrated
         Keep for Your Records                   Under 25  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .06  Keep for Your Records
                                                 25 through 29 .
          1.  Enter the total amount of          30 through 34  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .08  1. Enter the total amount of
             your insurance coverage             35 through 39  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .09  your insurance coverage
             from your                                                               from your
             employer(s) . . . . . . . . . . .  1.     40 through 44  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .10  employer(s) . . . . . . . . . . . .  1.  80,000
                                                 45 through 49  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .15  2. Limit on exclusion for
          2.  Limit on exclusion for                                                 employer-provided
             employer-provided                   50 through 54  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .23  group-term life insurance
                                                                        .43
                                                 55 through 59  .
             group-term life insurance                                               coverage . . . . . . . . . . . . . .  2.  50,000
             coverage . . . . . . . . . . . . .  2.  50,000  60 through 64  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .66  3. Subtract line 2 from
                                                 65 through 69  .  .  .  .  .  .  .  .  .  .  .  .  .  .  1.27  line 1 . . . . . . . . . . . . . . . . .  3.  30,000
          3.  Subtract line 2 from                                                4. Divide line 3 by $1,000.
             line 1 . . . . . . . . . . . . . . . .  3.     70 and above .  .  .  .  .  .  .  .  .  .  .  .  .  .  2.06  Figure to the nearest
                                                                                     tenth . . . . . . . . . . . . . . . . .
          4.  Divide line 3 by $1,000.          Example 3.   You're 51 years old and work   5. Go to Table 1. Using your   4.  30.0
             Figure to the nearest           for employers A and B. Both employers provide   age on the last day of the tax
             tenth . . . . . . . . . . . . . . . .  4.     group-term  life  insurance  coverage  for  you  for
                                             the entire year. Your coverage is $35,000 with   year, find your age group in
          5.  Go to Table 1. Using your      employer A and $45,000 with employer B. You   the left column, and enter the
                                                                                     cost from the column on the
             age on the last day of the      pay premiums of $4.15 a month under the em-  right for your age
                                             ployer B group plan. You figure the amount to
             tax year, find your age         include in your income as follows.      group  . . . . . . . . . . . . . . . .  5.  .23
             group in the left column,
             and enter the cost from the                                          6. Multiply line 4 by        6.90
             column on the right for your                                            line 5 . . . . . . . . . . . . . . . . .  6.
             age group  . . . . . . . . . . . .  5.                               7. Enter the number of full
                                                                                     months of coverage at this
          6.  Multiply line 4 by                                                     cost . . . . . . . . . . . . . . . . . .  7.  12
             line 5 . . . . . . . . . . . . . . . .  6.                           8. Multiply line 6 by
                                                                                     line 7 . . . . . . . . . . . . . . . . .  8.  82.80
          7.  Enter the number of full                                            9. Enter the
             months of coverage at this                                              premiums you paid
             cost . . . . . . . . . . . . . . . . .  7.                              per month . . . . .  9.  4.15
                                                                                  10. Enter the number
          8.  Multiply line 6 by                                                     of months you paid
             line 7 . . . . . . . . . . . . . . . .  8.                              the
                                                                                     premiums . . . . .  10.  12
          9.  Enter the                                                           11. Multiply line 9 by
             premiums you                                                            line 10 . . . . . . . . . . . . . . . .  11.  49.80
             paid per                                                             12. Subtract line 11 from line 8.
             month . . . . . . . .  9.                                               Include this amount in
                                                                                     your income as
          10. Enter the number                                                       wages  . . . . . . . . . . . . . . .  12.  33.00
             of months you
             paid the                                                               The total amount to include in income for the
             premiums . . . . .  10.                                             cost of excess group-term life insurance is $33.
                                                                                 Neither employer provided over $50,000 insur-
          11. Multiply line 9 by                                                 ance  coverage,  so  the  wages  shown  on  your
             line 10 . . . . . . . . . . . . . . .  11.                          Forms  W-2  don't  include  any  part  of  that  $33.
                                                                                 You  must  add  it  to  the  wages  shown  on  your
          12. Subtract line 11 from line 8.                                      Forms W-2 and include the total on your return.
             Include this amount in
             your income as                                                      Entire  cost  excluded.    You  aren't  taxed  on
             wages  . . . . . . . . . . . . . .  12.                             the  cost  of  group-term  life  insurance  if  any  of
                                                                                 the following circumstances apply.
                                                                                   1. You’re permanently and totally disabled
                                                                                     and have ended your employment.
                                                                                   2. Your employer is the beneficiary of the
                                                                                     policy for the entire period the insurance is
                                                                                     in force during the tax year.
                                                                                   3. A charitable organization to which contri-
                                                                                     butions are deductible is the only benefi-
                                                                                     ciary of the policy for the entire period the
                                                                                     insurance is in force during the tax year.
                                                                                     (You aren’t entitled to a deduction for a
         Publication 525 (2022)                                                                                Page 7
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