April 22, 2023

Self-Employed Health Insurance Deductions

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Self-employed individuals can often deduct health insurance premiums as a business expense, which can reduce their overall taxable income. Here’s what you need to know about self-employed health insurance deductions:

Eligibility Criteria

To be eligible for the self-employed health insurance deduction, you must meet several criteria:

Self-Employment Status

You must be considered self-employed for tax purposes. This includes sole proprietors, freelancers, independent contractors, and members of partnerships or LLCs treated as sole proprietors for tax purposes.

Profitable Business

Your business must be profitable. If your business is not profitable, your deduction for health insurance premiums cannot exceed your net business income.

No Eligibility for Other Coverage

You cannot be eligible for employer-sponsored health insurance through your own or your spouse’s job. If you are eligible for such coverage, you generally cannot deduct health insurance premiums.

Premiums for You and Your Dependents

You can deduct premiums you pay for yourself, your spouse, and your dependents. Dependents generally include children under the age of 27.

Policy Must Be Established Under Your Business

The health insurance policy must be established under your business. This means the policy can be in your name, your business’s name, or the name of your spouse if your spouse is also part of the business.

Calculating the Deductible Amount

The deductible amount for self-employed health insurance premiums is calculated based on your net profit from your business. Here’s how to calculate it:

Determine Your Net Profit

Calculate your net profit from your self-employed business. This is generally your total business income minus your business expenses. Your net profit is reported on Schedule C (Form 1040) for sole proprietors or on the applicable business tax return for other business structures.

Total Premium Costs

Add up the total cost of health insurance premiums you paid during the tax year. This includes premiums for yourself, your spouse, and your dependents.


Your health insurance deduction is limited to the amount of your net profit from your business. You cannot deduct more in health insurance premiums than you earned from your self-employment.

Claiming the Deduction

Report your self-employed health insurance deduction on Line 16 of Schedule 1 (Form 1040). This deduction reduces your overall taxable income.

Keep Records: It’s crucial to keep thorough records of your health insurance premium payments and your business income and expenses. In case of an IRS audit, you will need to provide documentation to support your deduction.

Remember that tax laws can change, so it’s essential to consult with a tax professional or use tax preparation software to ensure you are following the most current rules and regulations related to self-employed health insurance deductions.