Health Savings Account

What are the guidelines for a pastor's health savings account and is it reported as a benefit or taxable income?

Comments for Health Savings Account

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Mar 27, 2015

Health Savings -- Insurance Premiums
by: MarcusNTexas

We pay the monthly health insurance premiums (MediShare) for our pastor and his wife and up until now have never shown it as income. I assume that is still legal since many employers pay the cost of insurance premiums for their employees without the employee being taxed on that benefit. I don't know if there is a difference for payments into a health savings account on behalf of the pastor.

Jan 12, 2017

HSA
by: Anonymous

The contributions to the HSA should not be considered taxable income, but should be included on the W-2 in box 12 with a W as a reference.

May 20, 2022

HSA & MediShare are two separate items.
by: Anonymous

5-21-2022
MediShare is NOT HEALTH CARE (as defined by IRS/government). MediShare is SPECIFICALLY a "Health Care Sharing Ministry" or an HCSM.

MediShare payments are NOT "PREMIUMS" paid for "HEALTH CARE." MediShare payments are not deductible on 1040-SCH A as "HEALTH CARE PREMIUMS paid." MediShare does not meet the requirements for a (high-deductible) HSA.

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Join in and write your own page! It's easy to do. How? Simply click here to return to Minister's W-2.

If you want to DIY your payroll, I highly recommend you look at using Gusto! It is very user friendly and their support is awesome! Plus they know how to set up and maintain payrolls for churches and nonprofit organizations.

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