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ACA Now

9014 - Limitation on Excessive Remuneration Paid by Certain Health Insurance Providers

 
Implementation Status 
Statutory Text 

Summary

Limits the amount of executive compensation health insurers can deduct under section 162(m) of the Internal Revenue Code – including rules applicable to deferred deduction remuneration – to $500,000 for those health insurance issuers receiving at least 25 percent of their gross premium income from plans meeting ACA minimum essential coverage requirements. Effective for compensation paid in taxable years beginning after December 31, 2012, with respect to services performed after December 31, 2009.

#Essential Health Benefits, #Tax

Implementation Status

 
Summary 
Statutory Text 

The IRS published initial guidance on January 10, 2011 in Notice 2011-2, noting the guidance will be incorporated into future regulations issued under section 162(m)(6) of the Internal Revenue Code.

On April 2, 2013, the IRS published a proposed rule regarding the $500,000 deduction limitation under this section. Comments are due on July 1.

On Sept. 23, 2014, in final regulations, the IRS codified the ACA limitation on insurers’ deduction of individuals’ compensation over $500,000, noting that after considering comments, the agency “adopts the proposed regulations as final regulations” with specified modifications.

Statutory Text

 
Implementation Status 
Summary 

SEC. 9014. LIMITATION ON EXCESSIVE REMUNERATION PAID BY CERTAIN
HEALTH INSURANCE PROVIDERS.
(a) IN GENERAL.—Section 162(m) of the Internal Revenue Code
of 1986 is amended by adding at the end the following new subparagraph:
‘‘(6) SPECIAL RULE FOR APPLICATION TO CERTAIN HEALTH INSURANCE
PROVIDERS.—
‘‘(A) IN GENERAL.—No deduction shall be allowed
under this chapter—
‘‘(i) in the case of applicable individual remuneration
which is for any disqualified taxable year beginning
after December 31, 2012, and which is attributable
to services performed by an applicable individual
during such taxable year, to the extent that the
amount of such remuneration exceeds $500,000, or
‘‘(ii) in the case of deferred deduction remuneration
for any taxable year beginning after December 31,
2012, which is attributable to services performed by
an applicable individual during any disqualified taxable
year beginning after December 31, 2009, to the
extent that the amount of such remuneration exceeds
$500,000 reduced (but not below zero) by the sum of—
‘‘(I) the applicable individual remuneration for
such disqualified taxable year, plus
‘‘(II) the portion of the deferred deduction remuneration
for such services which was taken
into account under this clause in a preceding taxable
year (or which would have been taken into
account under this clause in a preceding taxable
year if this clause were applied by substituting
‘December 31, 2009’ for ‘December 31, 2012’ in the
matter preceding subclause (I)).
‘‘(B) DISQUALIFIED TAXABLE YEAR.—For purposes of
this paragraph, the term ‘disqualified taxable year’ means,
with respect to any employer, any taxable year for which
such employer is a covered health insurance provider.
‘‘(C) COVERED HEALTH INSURANCE PROVIDER.—For purposes
of this paragraph—
‘‘(i) IN GENERAL.—The term ‘covered health insurance
provider’ means—
‘‘(I) with respect to taxable years beginning
after December 31, 2009, and before January 1,
2013, any employer which is a health insurance
issuer (as defined in section 9832(b)(2)) and which
receives premiums from providing health insurance
coverage (as defined in section 9832(b)(1)),
and
‘‘(II) with respect to taxable years beginning
after December 31, 2012, any employer which is a
health insurance issuer (as defined in section
9832(b)(2)) and with respect to which not less
than 25 percent of the gross premiums received
from providing health insurance coverage (as defined
in section 9832(b)(1)) is from minimum essential
coverage (as defined in section 5000A(f)).
‘‘(ii) AGGREGATION RULES.—Two or more persons
who are treated as a single employer under subsection
(b), (c), (m), or (o) of section 414 shall be treated as a
single employer, except that in applying section
1563(a) for purposes of any such subsection, paragraphs
(2) and (3) thereof shall be disregarded.
‘‘(D) APPLICABLE INDIVIDUAL REMUNERATION.—For
purposes of this paragraph, the term ‘applicable individual
remuneration’ means, with respect to any applicable individual
for any disqualified taxable year, the aggregate
amount allowable as a deduction under this chapter for
such taxable year (determined without regard to this subsection)
for remuneration (as defined in paragraph (4)
without regard to subparagraphs (B), (C), and (D) thereof)
for services performed by such individual (whether or not
during the taxable year). Such term shall not include any
deferred deduction remuneration with respect to services
performed during the disqualified taxable year.
‘‘(E) DEFERRED DEDUCTION REMUNERATION.—For purposes
of this paragraph, the term ‘deferred deduction remuneration’
means remuneration which would be applicable
individual remuneration for services performed in a
disqualified taxable year but for the fact that the deduc-
tion under this chapter (determined without regard to this
paragraph) for such remuneration is allowable in a subsequent
taxable year.
‘‘(F) APPLICABLE INDIVIDUAL.—For purposes of this
paragraph, the term ‘applicable individual’ means, with respect
to any covered health insurance provider for any disqualified
taxable year, any individual—
‘‘(i) who is an officer, director, or employee in such
taxable year, or
‘‘(ii) who provides services for or on behalf of such
covered health insurance provider during such taxable
year.
‘‘(G) COORDINATION.—Rules similar to the rules of subparagraphs
(F) and (G) of paragraph (4) shall apply for
purposes of this paragraph.
‘‘(H) REGULATORY AUTHORITY.—The Secretary may
prescribe such guidance, rules, or regulations as are necessary
to carry out the purposes of this paragraph.’’.
(b) EFFECTIVE DATE.—The amendment made by this section
shall apply to taxable years beginning after December 31, 2009,
with respect to services performed after such date.

Browse ACA Titles

  • I-Quality, Affordable Health Care for all Americans
  • II-Role of Public Programs
  • III-Improving the Quality and Efficiency of Health Care
  • IV-Prevention of Chronic Disease and Improving Public Health
  • V-Health Care Workforce
  • VI-Transparency and Program Integrity
  • VII-Improving Access to Innovative Medical Therapies
  • VIII-Community Living Assistance Services and Supports (CLASS ACT)
  • IX-Revenue Provisions

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