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
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

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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