PLR-103146-15
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of the regulations states that the gross income of an employee does not include
contributions which his employer makes to an accident or health plan for compensation
(through insurance or otherwise) to the employee for personal injuries or sickness
incurred by the employee, the employee’s spouse, or the employee’s dependents as
defined in section 152 of the Code. The employer may contribute to an accident or
health plan either by paying the premium on a policy of accident or health insurance
covering one or more of the employees, or by contributing to a separate trust or fund
which provides accident or health benefits directly or through insurance to one or more
of the employees. However, if the insurance policy, trust or fund provides other benefits
in addition to accident or health, section 106 applies only to the portion of the
contributions allocable to accident or health benefits.
Coverage provided under an accident and health plan to former employees and their
spouses and dependents is excluded from gross income under section 106. See, Rev.
Rul. 62-199, 1962-2 C.B. 38.
Notice 2002-45, 2002-2 C.B. 93, describes the tax treatment of health reimbursement
arrangements (HRAs). The notice explains that a tax-favored HRA is an arrangement
that (1) is paid for solely by the employer and not pursuant to a salary reduction election
or otherwise under a section 125 cafeteria plan; (2) reimburses the employee for
medical care expenses (as defined in section 213(d)) incurred by the employee or by
the employee’s spouse or dependents; and (3) provides reimbursements up to a
maximum dollar amount with any unused portion of that amount at the end of the
coverage period carried forward to subsequent coverage periods.
Notice 2002-45 emphasizes that employer contributions to an HRA may not be
attributable to salary reduction or otherwise provided under a section 125 cafeteria plan.
An accident and health plan funded pursuant to salary reduction is not an HRA and is
subject to the rules under section 125.
Rev. Rul. 2005-24, 2002-2 C.B. 93, describes a health reimbursement arrangement.
Situation 1 of the ruling states that when an employee retires, the employer
automatically and on a mandatory basis (as determined under the Plan) contributes an
amount to the reimbursement plan equal to the value of all or a portion of the retired
employee’s accumulated unused vacation and sick leave. The ruling concludes that the
reimbursement plan described in Situation 1 is an HRA that meets the requirements for
tax-favored treatment.
Section 3101 imposes taxes under the Federal Insurance Contributions Act (FICA) “on
the income of every individual” in an amount equal to a percentage “of the wages
received by him with respect to employment.” Section 3111 provides that the employer
portion of FICA tax is imposed directly upon the employer as “an excise tax, with
respect to having individuals in his employ.” Similarly, section 3301 provides that FUTA
tax is imposed on every employer as an excise tax with respect to individuals in his