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Department of the Treasury
Internal Revenue Service
Instructions for Form 8941
Credit for Small Employer Health Insurance Premiums
Section references are to the Internal Revenue Code Partnerships, S corporations, cooperatives,
unless otherwise noted. TIP estates, trusts, and tax-exempt eligible small
employers must file this form to claim the credit.
Future Developments All other taxpayers must not complete or file this form if
For the latest information about developments related to their only source for this credit is a partnership, S
Form 8941 and its instructions, such as legislation corporation, cooperative, estate, or trust. Instead, they
enacted after they were published, go to IRS.gov/ must report this credit directly on line 4h in Part III of Form
Form8941. 3800, General Business Credit.
Reminder Eligible Small Employers
Waiver for Hawaii. Employers in Hawaii can’t claim this You’re an eligible small employer for the tax year if you
credit for insurance premiums paid for health plan years meet the following three requirements.
beginning after 2016. For more information, see Waiver 1. You paid premiums for employee health insurance
for Hawaii in the instructions for line A. coverage under a qualifying arrangement. A
General Instructions qualifying arrangement is generally an arrangement that
requires you to pay a uniform percentage (not less than
Purpose of Form 50%) of the premium cost for each enrolled employee’s
health insurance coverage (defined later). However, an
Eligible small employers (defined later) use Form 8941 to arrangement that requires you to pay a uniform premium
figure the credit for small employer health insurance for each enrolled employee (composite billing) and offers
premiums for tax years beginning after 2009. For tax different tiers of coverage (for example, employee-only,
years beginning after 2013, the credit is only available for dependent, and family coverage) can be a qualifying
a 2-consecutive-tax-year credit period. The maximum arrangement even if it requires you to pay a uniform
credit is generally a percentage of premiums the employer percentage that is less than 50% of the premium cost for
paid during the tax year for certain health insurance employees not enrolled in employee-only coverage.
coverage the employer provided to certain employees In addition, an arrangement that requires you to pay a
enrolled in a qualified health plan offered through a Small separate premium for each employee based on age or
Business Health Options Program (SHOP) Marketplace. other factors (list billing) can be a qualifying arrangement
But the credit may be reduced by limitations based on the even if it requires you to pay a uniform percentage that is
employer’s full-time equivalent employees, average less than 50% of the premium cost for some employees.
annual wages, adjusted average premiums, and state
For details, see Employer Premiums Paid, Health
premium subsidies and tax credits. Insurance Coverage, and Qualifying Arrangement, later.
For information about insurance plans offered 2. You had fewer than 25 full-time equivalent employ-
TIP through a SHOP Marketplace, visit ees (FTEs) for the tax year. You may be able to meet
Healthcare.gov. this requirement even if you had 25 or more employees.
For example, an employer with 48 employees who are
For tax-exempt eligible small employers, the each half-time employees has 24 FTEs and can claim the
maximum credit is 35% of premiums paid, is limited to the credit. For details, see Worksheets 1 and 2.
amount of certain payroll taxes paid, and is claimed as a
refundable credit on Form 990-T, Exempt Organization Although the term “eligible small employer” is
Business Income Tax Return. A tax-exempt eligible small ! defined in the Internal Revenue Code to include
employer is an eligible small employer described in CAUTION employers with “no more than” 25 FTEs, the
section 501(c) that is exempt from taxation under section phaseout of the credit amount operates in such a way that
501(a). A tax-exempt employer not described in section an employer with exactly 25 FTEs is not, in fact, eligible
501(c) is generally not eligible to claim this credit. for the credit.
However, a tax-exempt farmers’ cooperative subject to
tax under section 1381 may be able to claim the credit as 3. You paid average annual wages for the tax year of
a general business credit, as discussed next. less than $58,000 per FTE. For details, see Worksheets
1 and 3.
For all other eligible small employers, the maximum
credit is 50% of premiums paid and can be taken against
both regular and alternative minimum tax. The credit is
claimed as part of the general business credit on Form
3800.
Nov 17, 2022 Cat. No. 55222U