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    ACA Prem Credits

    It looks like these credits (are they the same as "subsidies?") are predicated on income tied to Federal Poverty levels. My question is, when calculating this income, do you count non-taxable income? Such as 401k plans, Sect 125 plans, tax-free investments, DCB benefits, etc.
    I feel most low-income persons would not have these, but I have a client who does, and looks as though they will qualify.

    #2
    From TD 9590, Health Insurance Premium Tax Credit

    page 2:

    c. Modified Adjusted Gross Income
    Under the proposed regulations,
    modified adjusted gross income is
    adjusted gross income increased by
    amounts excluded from gross income
    under section 911 and tax-exempt
    interest a taxpayer receives or accrues
    during the taxable year. The 3%
    Withholding Repeal and Job Creation
    Act, Public Law 112–56 (125 Stat. 711
    (2011)), which was enacted after the
    proposed regulations were published,
    amended the definition of modified
    adjusted gross income to include Social
    Security benefits (as defined in section
    86(d)) not included in gross income
    under section 86. The final regulations
    reflect this amendment.

    From the IRS FAQ - Premium Tax Credits


    7. What is household income?

    For purposes of the premium tax credit, your household income is your modified adjusted gross income plus that of every other individual in your family for whom you can properly claim a personal exemption deduction and who is required to file a federal income tax return. Modified adjusted gross income is the adjusted gross income on your federal income tax return plus any excluded foreign income, nontaxable Social Security benefits (including tier 1 railroad retirement benefits), and tax-exempt interest received or accrued during the taxable year. It does not include Supplemental Security Income (SSI).

    Thus AGI + excluded foreign income + non-taxable SS (except SSI) + tax-exempt interest
    401k income is usually taxable

    Sec 125 benefits usually non-taxable
    Dependent care benefits (if used) would not be included
    Roth IRA distributions would not be included

    Mike
    Last edited by mactoolsix; 12-01-2013, 04:48 PM.

    Comment


      #3
      Although it's not an official source, here is a simplified summary as well as the actual law:

      Under the Affordable Care Act, eligibility for income-based Medicaid and subsidized health insurance through the Marketplaces is calculated using a household’s Modified Adjusted Gross Income (MAGI). The Affordable Care Act definition of MAGI under the Internal Revenue Code and federal Medicaid regulations is shown below.



      Also, make sure you realize that it is the HOUSEHOLD income.

      Comment


        #4
        Retirement fund withdrawls would have to be included, if not, then someone with a 200,000 a year pension could get a reduced premium.

        Comment


          #5
          Yes, pensions would be included in AGI if paid to the TP and entered on the tax return. I was thinking of the 401k contribution excluded from taxable income on the W-2. And since it is not part of AGI, and not one of the items to be added back, then it would not be a factor. Nor would VA benefits apparently, since they would not be part of AGI/MAGI either.

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