Navigating health insurance options as a self-employed individual can be a daunting task, especially when transitioning from traditional employment. The Consolidated Omnibus Budget Reconciliation Act (COBRA) offers a valuable safety net by allowing continued access to employer-sponsored health coverage after employment ends. However, the associated premiums can be costly. Understanding COBRA premium assistance and the role of IRS Form 7206 is crucial for self-employed individuals seeking to manage these expenses effectively.
COBRA allows individuals to continue their employer-sponsored health insurance coverage after leaving employment, typically for up to 18 months, providing a crucial link between employees and employers during periods of transition. While beneficial, individuals are responsible for the full premium, which can be a significant financial burden.
In response to economic challenges, the American Rescue Plan Act of 2021 (ARP) provided temporary COBRA premium assistance, covering 100% of premiums for eligible individuals between April 1, 2021, and September 30, 2021. This assistance has expired, and as of 2025, no new federal subsidies have been introduced.
Consider Jane, a graphic designer who recently transitioned to self-employment, and is now exploring the health benefits she might access through a group health plan or other alternative insurance options. After leaving her corporate job, she relied on COBRA to maintain her health coverage. The ARP assistance was a lifeline, allowing her to focus on building her business without the immediate financial strain of high premiums. However, with the expiration of these subsidies, Jane now faces the challenge of managing these costs independently.
For self-employed individuals, health insurance premiums, including those paid for COBRA coverage, may be deductible on their federal income tax returns. IRS Form 7206, “Self-Employed Health Insurance Deduction,” is used to calculate and claim this deduction. Introduced to streamline the process, Form 7206 replaces the worksheet previously found in Publication 535.
To qualify for the self-employed health insurance deduction:
Form 7206 guides you through calculating the deduction, which, if applicable, may include any subsidy benefits, and is reported on Schedule 1 (Form 1040), line 17. The deduction is limited to your net self-employment income, and any excess premiums may be deductible as an itemized deduction on Schedule A.
Yes, if you meet the eligibility criteria for the self-employed health insurance deduction, you can deduct COBRA premiums paid for coverage for yourself, your spouse, and dependents.
As of January 2025, there are no federal COBRA premium assistance programs in effect.
IRS Form 7206 and its instructions are available on the IRS website.
Understanding the nuances of COBRA premium assistance and continuation coverage, along with the self-employed health insurance deduction, is vital for managing health insurance costs as a self-employed individual. While federal premium assistance programs have expired, utilizing IRS Form 7206 can help you accurately calculate and claim deductions for health insurance premiums, including COBRA payments, on your tax return. Staying informed and seeking professional advice will empower you to make the best financial decisions for your health coverage needs, ensuring that you can focus on growing your business with confidence and peace of mind.
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