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State Tax Credits for Private Health Insurance: Targeting Individuals and Small Employers, January 2009

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 Does the state provide a tax credit for private health insurance?Implementation dateWho can claim the credit?Eligibility rulesType of coverageSize of creditDuration the credit can be claimedRefundable or Nonrefundable?
United States10 YesNANA10 YesNANANANA
AlabamaNoNANANANANANANA
AlaskaNoNANANANANANANA
ArizonaNoNANANANANANANA
ArkansasNoNANANANANANANA
CaliforniaNoNANANANANANANA
ColoradoYes2000IndividualYes1Individual Health InsuranceUp to $500/year per eligible enrollee. Limited to one credit per householdUnlimitedNonrefundable
ConnecticutNoNANANANANANANA
DelawareNoNANANANANANANA
District of ColumbiaNoNANANANANANANA
FloridaNoNANANANANANANA
GeorgiaYes2009Small employersYes2High Deductible Health Plan$250/year per enrolled employeeUnlimitedNonrefundable
HawaiiNoNANANANANANANA
IdahoNoNANANANANANANA
IllinoisNoNANANANANANANA
IndianaYes2007Employer of any sizeYes3Section 125 Cafeteria Plan$50 per enrolled employee/year up to $25002 yearsNonrefundable
IowaNoNANANANANANANA
KansasYes1999Small Employers (1-50)Yes4Small Employer Plan$70 per month per enrolled employee (credit amount decreases each year of credit)3 yearsRefundable
KentuckyNoNANANANANANANA
LouisianaNoNANANANANANANA
MaineYes2001Small Employers with under 5 employeesYes5Small employer health planThe lesser of 20% of dependent health benefits paid or $125/year per enrolled low-income employee with dependent coverage. Credit may not exceed 50% of the state income otherwise due.UnlimitedNonrefundable
MarylandNoNANANANANANANA
MassachusettsNoNANANANANANANA
MichiganNoNANANANANANANA
MinnesotaNoNANANANANANANA
MississippiNoNANANANANANANA
MissouriYes2007Self-employedYes6Health InsuranceThe amount of the tax credit is equal to the portion of the taxpayers federal tax liability incurred due to such taxpayers inclusion of such payments in federally adjusted gross income.UnlimitedRefundable
MontanaYes72005Small employers (1-20)Yes8Group health planIf employer pays 100% of premium, credit is $25/month per eligible employee up to 10 employees. If employer pays between 50-100% of premium, then credits reduced proportionally from the 100% premium level. Credit cannot exceed 50% of the premium cost /month per eligible employee. In total the credit cannot exceed $3,000/year.May not be claimed for a period of 36 consecutive months, then employer must wait 10 years before being eligible to again claim the credit.Nonrefundable
NebraskaNoNANANANANANANA
NevadaNoNANANANANANANA
New HampshireNoNANANANANANANA
New JerseyNoNANANANANANANA
New MexicoNoNANANANANANANA
New YorkNoNANANANANANANA
North CarolinaYes2007Small employers (employs no more than 25 eligible employees)Yes9Health care coverage that equals or exceeds the minimum provisions of the state basic health care plan.$250/year per eligible and enrolled employee, not to exceed the cost of providing health benefits for the employee during the year.Tax credit expires January 1, 2010Nonrefundable and cannot exceed 50% of the total tax/year
North DakotaNoNANANANANANANA
OhioNoNANANANANANANA
OklahomaYes1990Small employersYes10State certified basic health plan$15/ month for each eligible and employee.2 yearsRefundable
OregonNoNANANANANANANA
PennsylvaniaNoNANANANANANANA
Rhode IslandNoNANANANANANANA
South CarolinaYes2005IndividualYes11South Carolina Health Insurance Pool Coverage50% of the of the premium cost of the South Carolina Health Insurance Pool coverage, up to $3000/individualUnlimitedNonrefundable
South DakotaNoNANANANANANANA
TennesseeNoNANANANANANANA
TexasNoNANANANANANANA
UtahNoNANANANANANANA
VermontNoNANANANANANANA
VirginiaNoNANANANANANANA
WashingtonNoNANANANANANANA
West VirginiaNoNANANANANANANA
WisconsinNoNANANANANANANA
WyomingNoNANANANANANANA
(show/hide notes)
Notes: 

State experience with tax credits for private health insurance is limited. As of January 2009, 10 states actively offer a tax credit program that generally targets either individuals or small employers. Eligibility rules and tax credit amounts varies significantly between programs. Other types of state tax incentives, such as deductions and tax programs targeting "business enterprise zones" are not represented on this chart.

Sources: 

Data as of January 2009. Data compiled through review of state law and interviews with government regulators.
Data collection and analysis by researchers at the Health Policy Institute, Georgetown University.

Definitions: 

A tax credit may be refundable or non-refundable. With a non-refundable tax credit, a tax payer's liability may be reduced down to zero but not below zero. With a refundable tax credit, a tax payer's liability may be reduced below zero, allowing a credit in the form of a payment.

NA: Data are not available.

Footnotes: 
  1. Income between $25,000- $35,000 depending on marital and parental status. Uninsured for one year prior to the year credit is claimed.
  2. Credit only available for employers (sized 1-50) that make available a high deductible health plan. Employee must be enrolled in plan for 12 consecutive months.
  3. Employer must not have provided insurance for one year prior to claiming the credit. Must offer insurance to eligible employees (those who work at least 30 hours per week) and their dependents.
  4. Employer must have established a small employer health benefit plan or made contributions to a health savings account of an eligible employee after December 31, 2004. Employer must not have contributed within the 2 years prior to claiming credit to any health insurance premium or health savings account on behalf of an eligible employer. Eligible employees must work at least 30 hours per week.
  5. Employer can claim credit for low-income employees who work at least 30 hours per week or 1,000 hours per year. Employer must provide health insurance for dependents of low-income employees. Employer must meet contribution requirements.
  6. Self-employed, who is otherwise not eligible for the federal income tax health insurance deduction under IRS Section 162, shall be entitled to a state tax credit against personal income tax liability.
  7. Montana has a second tax incentive program for small employers. Eligibility rules include the small employers must be eligible for the Insure Montana Program, have 2-9 employees, and must not have any employee (excluding the employer) making over $75,000 a year. Employer must currently offer a health plan and contribute 50% of premiums to that plan. Participation is limited. The amount of the tax credit is $100/month. The credit cannot exceed 50% of the premiums paid. The duration the credit can be claimed is refundable and unlimited, subject to funding.
  8. Small employers that 1) in business in Montana for 12 months 2) employ 20 or fewer employees 3) pays 50% or more of each employees insurance premium. Plan must cover employees, spouses and dependents. Credit is available for qualifying premiums paid by the eligible employer for coverage of eligible employees, their spouse and dependents.
  9. Employer must provide health benefits for all of its eligible employees and contribute at least 50% of the costs. Eligible employees are those whose total wages do not exceed $40,000 on an annual basis.
  10. Eligible employers (corporations, partnerships or proprietorships) that (a)have done business in the state for at least one year; (b) have not, within the 15 preceding months of offering to purchase the state-certified plan, provided group health insurance to at least 75% of its employees who are residents of the state and work an average of 24 hours or more a week for the employer; (c) offer the state-certified basic health benefits plan to all eligible employees; and (d) pay 50% or more of the full cost of the premium attributable to the employee for which the credit is claimed. The credit does not apply to establishments receiving an incentive payment under the Oklahoma Quality Jobs Program. An eligible employee is an employee, proprietor, or partner of the employer claiming the credit who (a) is a state resident, (b) works an average of 24 hours a week or more for the employer, and (c) was not covered by a group health insurance policy or plan offered by the same employer within the 15 months preceding the offer to purchase a state-certified basic health benefits plan.
  11. The credit is available to an individual, who held a health insurance policy from an insurance company that has withdrawn from writing health insurance policies in South Carolina and the individual, in replacing the insurance policy with one having substantially the same coverage, was assigned to the South Carolina Health Insurance Pool, with a higher premium.



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