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INSURANCE/
EMPLOYEE BENEFITS
SLIDES
Annuities
AnnuitizationAccumulation
Exclusion RatioLIFO
Exclusion Ratio- Fixed Annuities
Exclusion Ratio = Total Basis
Total Expected Payments
Exclusion Ratio- Variable Annuities
$ Exclusion = Total Basis
Total Expected # of Payments
(Also can be used for fixed annuities)
Universal Life
DB Option A
DB = FA
N.A.R. = FA - CV
Cash Value
(invested in
General Account)
Mortality Deduction
(Annual Renewable Term)
Premiums
Policy Fee
Expenses
DB Option A
DB = FA
N.A.R. = FA - CV
DB Option B
DB = FA + CV
N.A.R. = FA
Flexibility
1) Premiums
2) Death Benefit
3) Withdrawals
Variable Universal Life
DB Option A
DB = FA
N.A.R. = FA - CV
Cash Value
Mortality Deduction
(Annual Renewable Term)
Premiums
Policy Fee
Expenses
DB Option A
DB = FA
N.A.R. = FA - CV
DB Option B
DB = FA + CV
N.A.R. = FA
Flexibility
1) Premiums
2) Death Benefit
3) Withdrawals
Revenue Ruling 2009-13
"Investment in Contract" = Premiums Paid
- Loans/Withdrawals
- Dividends Rec'd in Cash
"Basis in Contract" = Premiums Paid
- Loans/Withdrawals
- Dividends Rec'd in Cash
- Cost of Insurance
Life Policy- Gain at Surrender
"Investment in Contract" = Premiums Paid
- Loans/Withdrawals
- Dividends Rec'd in Cash
Gain at Surrender = CSV - "Investment in Contract"
(Taxed as O.I.)
Life Policy- Gain at Sale
"Basis in Contract" = Premiums Paid
- Loans/Withdrawals
- Dividends Rec'd in Cash
- Cost of Insurance
Gain at Sale = Amt. Realized - "Basis in Contract"
(Taxed as O.I. & CG)
Major Medical Chart
Policy
Provisions
$$$
Allocated
Insured
Pays
Insurance
Company
Pays
Dedt $500 $500 $500 -------
Coinsurance
80/20 with
$5,000
coinsurance
limit
$5,000 $1,000 $4,000
100%
Insurer pays
100%
Remainder ------- 100%
Major Medical Example
Policy
Provisions
$$$
Allocated
Insured
Pays
Insurance
Company
Pays
Dedt
$250 per
person
(limit of 3)
$750 $750 -------
Coinsurance
80/20 ($5,000
coinsurance)-
everyone
$20,000 $4,000 $16,000
100%
Insurer pays
100%
Remainder ------- $9,250
Form 1040
All Income (from whatever source derived)
- Exclusions
Gross Income
- Deductions ("Above the Line")
AGI
- Greater of:
Standard Deduction
Itemized Deductions
Regular Taxable Income*
* Regular Taxable Income is the starting point for calculating
AMTI
Medicare Part A- Hospital
• Insured pays (2018):
• Days 0-60: $1,340 deductible/benefit period
• New benefit period begins after patient is
out of hospital for 60 days
• Days 61-90: $335/day
• Days 91-150: $670/day if lifetime reserve
day used- otherwise, all cost
• 60 lifetime reserve days provided
Medicare Part A- Skilled Nursing
Facility Care
• Insured pays (2018):
• Days 0-20: $0
• Days 21-100: $167.50/day
• Days 101+: All cost
Medicare Part D- Prescription Drug
• Insured pays (2018):
• $405 deductible
• 25% coinsurance until insured/insurer have paid
$3,750 OOP including deductible
• Until another $1,250 OOP reached:
• 35%* (brand-name)
• 44%** (generic)
• Greater of:
• 5% or $3.35 (preferred or generic)
• 5% or $8.35 (other)
*15% discount from manufacturer, 50% from manufacturer
(85% of total drug cost counts toward OOP amount)
**Only your cost counts toward OOP amount
Medigap
A B C D F G K L M N
Basic Benefits X X X X X X X X X X
Part A Deductible X X X X X 50% 75% 50% X
Skilled Nursing X X X X 50% 75% X X
Part B Deductible X X X
Part B Excess X X
Foreign Travel X X X X X X
SIS Rider Example
$4,000 Base Benefit
$1,000 Social Insurance Substitute Rider
90-Day Elimination Period
Social Security pays $800 after 5 months
Months
DI Base
Benefit
Pmt
Soc Sec
Pmt
SIS Rider
Pmt
1-3 $0 $0 $0
4-5 $4,000 $0 $1,000
6+ $4,000 $800 $200
HO Coinsurance Formula
Ins. Amount * Loss - Deductible
80% of RC
NQSOs
Grant No Tax
Exercise
Bargain Element (FMV-EP)
is W-2 Income
(subject to FICA)
Sale
(Amt. Realized - Basis) is
Capital Gain
(Basis is FMV @ purchase)
ISOs
Grant No Tax
Exercise
Form 1040
No Tax
AMT
Bargain element
is AMTI
(Positive adjustment)
Sale
Form 1040
HPR met: All LTCG
HPR not met:
Bargain element is W-2
Inc. (no FICA); other gain
is CG (L/T or S/T)
AMT
Reg. taxable income
carries over, then
negative adjustment
ISO Negative Adjustment
ER grants EE an ISO with exercise price of $25.
EE exercises 2 years later when the stock has FMV of $35.
EE sells stock 2 years after exercise when stock has FMV
of $50.
HPR are met.
Grant $0 Income $0 AMTI
Exercise $0 Income
$10 AMTI
(Pos. Adj.)
Sale
$25 Income
(LTCG)
$25
($10 AMTI Neg. Adj.)
$15 AMTI
1040 AMT
AMT
All Income Regular Taxable Inc.
- Exclusions
Gross Income
- Deductions ("Above the Line")
AGI
- Greater of:
Standard Deduction
Itemized Deductions
Regular Taxable Income AMT Income
+
+
+
Cashless Exercise
Bargain Element x Tax Rate x # SharesExercise Price x # Shares +
FMV at Exercise
Income TaxCost of Exercising
ESPP Taxation
Grant No Tax
Exercise No Tax
Sale
HPR Met:
W-2 income (LESSER of):
FMV @ grant - option price
Sale price - option price
Capital gain for remainder
HPR NOT Met:
W-2 income:
FMV @ purchase - option price
Capital gain for remainder
ESPP Example (Qualifying Disposition)
Assume 6-mo. offering period
Option price will be 85% of lesser of:
FMV on 1st or last day of offering period
FMV of stock on 1st day of offering period: $100
FMV of stock on last day of offering Period: $110
Option price = .85 * 100 = $85
FMV of stock @ purchase (last day of offering period): $110
Stock is sold 2 years after purchase for $130 (HPR met)
Grant date → No tax
Exercise date → No tax
Sale date → Total gain = $130 - $85 = $45
W-2 income is LESSER of:
FMV @ grant – option price OR Sale price – option price
($100 - $85) = $15 OR ($130 - $85) = $45
Tax consequence is:
$15 W-2 income
$30 LTCG
ESPP Example (Disqualifying Disposition)
Assume 6-mo. offering period
Option price will be 85% of lesser of:
FMV on 1st or last day of offering period
FMV of stock on 1st day of offering period: $100
FMV of stock on last day of offering Period: $110
Option price = .85 * 100 = $85
FMV of stock @ purchase (last day of offering period): $110
Stock is sold 15 months after purchase for $130 (HPR not met)
Grant date → No tax
Exercise date → No tax
Sale date → Total gain = $130 - $85 = $45
W-2 income:
FMV @ purchase – option price
$110 - $85 = $25
Tax consequence is:
$25 W-2 income
$20 LTCG
Phantom Stock vs. Stock Appreciation Rights
Phantom Stock Stock Appreciation
Rights
Value given to EE
Full value of shares or
Appreciation
Appreciation
Payment made in ... Cash (OI)
Cash (OI) or Shares
(OI @ distribution &
CG for further
appreciation)
Timing of payments
Determined by plan
(EE has no control)
EE determines
NQDC PLANS
FUNDED UNFUNDED
(No Substantial Risk (Substantial Risk
of Forfeiture) of Forfeiture)
Secular Trust Promise to Pay
Surety Bond (ER buys) Rabbi Trust

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accfp102supplement

  • 3. Exclusion Ratio- Fixed Annuities Exclusion Ratio = Total Basis Total Expected Payments
  • 4. Exclusion Ratio- Variable Annuities $ Exclusion = Total Basis Total Expected # of Payments (Also can be used for fixed annuities)
  • 5. Universal Life DB Option A DB = FA N.A.R. = FA - CV Cash Value (invested in General Account) Mortality Deduction (Annual Renewable Term) Premiums Policy Fee Expenses DB Option A DB = FA N.A.R. = FA - CV DB Option B DB = FA + CV N.A.R. = FA Flexibility 1) Premiums 2) Death Benefit 3) Withdrawals
  • 6. Variable Universal Life DB Option A DB = FA N.A.R. = FA - CV Cash Value Mortality Deduction (Annual Renewable Term) Premiums Policy Fee Expenses DB Option A DB = FA N.A.R. = FA - CV DB Option B DB = FA + CV N.A.R. = FA Flexibility 1) Premiums 2) Death Benefit 3) Withdrawals
  • 7. Revenue Ruling 2009-13 "Investment in Contract" = Premiums Paid - Loans/Withdrawals - Dividends Rec'd in Cash "Basis in Contract" = Premiums Paid - Loans/Withdrawals - Dividends Rec'd in Cash - Cost of Insurance
  • 8. Life Policy- Gain at Surrender "Investment in Contract" = Premiums Paid - Loans/Withdrawals - Dividends Rec'd in Cash Gain at Surrender = CSV - "Investment in Contract" (Taxed as O.I.)
  • 9. Life Policy- Gain at Sale "Basis in Contract" = Premiums Paid - Loans/Withdrawals - Dividends Rec'd in Cash - Cost of Insurance Gain at Sale = Amt. Realized - "Basis in Contract" (Taxed as O.I. & CG)
  • 10. Major Medical Chart Policy Provisions $$$ Allocated Insured Pays Insurance Company Pays Dedt $500 $500 $500 ------- Coinsurance 80/20 with $5,000 coinsurance limit $5,000 $1,000 $4,000 100% Insurer pays 100% Remainder ------- 100%
  • 11. Major Medical Example Policy Provisions $$$ Allocated Insured Pays Insurance Company Pays Dedt $250 per person (limit of 3) $750 $750 ------- Coinsurance 80/20 ($5,000 coinsurance)- everyone $20,000 $4,000 $16,000 100% Insurer pays 100% Remainder ------- $9,250
  • 12. Form 1040 All Income (from whatever source derived) - Exclusions Gross Income - Deductions ("Above the Line") AGI - Greater of: Standard Deduction Itemized Deductions Regular Taxable Income* * Regular Taxable Income is the starting point for calculating AMTI
  • 13. Medicare Part A- Hospital • Insured pays (2018): • Days 0-60: $1,340 deductible/benefit period • New benefit period begins after patient is out of hospital for 60 days • Days 61-90: $335/day • Days 91-150: $670/day if lifetime reserve day used- otherwise, all cost • 60 lifetime reserve days provided
  • 14. Medicare Part A- Skilled Nursing Facility Care • Insured pays (2018): • Days 0-20: $0 • Days 21-100: $167.50/day • Days 101+: All cost
  • 15. Medicare Part D- Prescription Drug • Insured pays (2018): • $405 deductible • 25% coinsurance until insured/insurer have paid $3,750 OOP including deductible • Until another $1,250 OOP reached: • 35%* (brand-name) • 44%** (generic) • Greater of: • 5% or $3.35 (preferred or generic) • 5% or $8.35 (other) *15% discount from manufacturer, 50% from manufacturer (85% of total drug cost counts toward OOP amount) **Only your cost counts toward OOP amount
  • 16. Medigap A B C D F G K L M N Basic Benefits X X X X X X X X X X Part A Deductible X X X X X 50% 75% 50% X Skilled Nursing X X X X 50% 75% X X Part B Deductible X X X Part B Excess X X Foreign Travel X X X X X X
  • 17. SIS Rider Example $4,000 Base Benefit $1,000 Social Insurance Substitute Rider 90-Day Elimination Period Social Security pays $800 after 5 months Months DI Base Benefit Pmt Soc Sec Pmt SIS Rider Pmt 1-3 $0 $0 $0 4-5 $4,000 $0 $1,000 6+ $4,000 $800 $200
  • 18. HO Coinsurance Formula Ins. Amount * Loss - Deductible 80% of RC
  • 19. NQSOs Grant No Tax Exercise Bargain Element (FMV-EP) is W-2 Income (subject to FICA) Sale (Amt. Realized - Basis) is Capital Gain (Basis is FMV @ purchase)
  • 20. ISOs Grant No Tax Exercise Form 1040 No Tax AMT Bargain element is AMTI (Positive adjustment) Sale Form 1040 HPR met: All LTCG HPR not met: Bargain element is W-2 Inc. (no FICA); other gain is CG (L/T or S/T) AMT Reg. taxable income carries over, then negative adjustment
  • 21. ISO Negative Adjustment ER grants EE an ISO with exercise price of $25. EE exercises 2 years later when the stock has FMV of $35. EE sells stock 2 years after exercise when stock has FMV of $50. HPR are met. Grant $0 Income $0 AMTI Exercise $0 Income $10 AMTI (Pos. Adj.) Sale $25 Income (LTCG) $25 ($10 AMTI Neg. Adj.) $15 AMTI 1040 AMT
  • 22. AMT All Income Regular Taxable Inc. - Exclusions Gross Income - Deductions ("Above the Line") AGI - Greater of: Standard Deduction Itemized Deductions Regular Taxable Income AMT Income + + +
  • 23. Cashless Exercise Bargain Element x Tax Rate x # SharesExercise Price x # Shares + FMV at Exercise Income TaxCost of Exercising
  • 24. ESPP Taxation Grant No Tax Exercise No Tax Sale HPR Met: W-2 income (LESSER of): FMV @ grant - option price Sale price - option price Capital gain for remainder HPR NOT Met: W-2 income: FMV @ purchase - option price Capital gain for remainder
  • 25. ESPP Example (Qualifying Disposition) Assume 6-mo. offering period Option price will be 85% of lesser of: FMV on 1st or last day of offering period FMV of stock on 1st day of offering period: $100 FMV of stock on last day of offering Period: $110 Option price = .85 * 100 = $85 FMV of stock @ purchase (last day of offering period): $110 Stock is sold 2 years after purchase for $130 (HPR met) Grant date → No tax Exercise date → No tax Sale date → Total gain = $130 - $85 = $45 W-2 income is LESSER of: FMV @ grant – option price OR Sale price – option price ($100 - $85) = $15 OR ($130 - $85) = $45 Tax consequence is: $15 W-2 income $30 LTCG
  • 26. ESPP Example (Disqualifying Disposition) Assume 6-mo. offering period Option price will be 85% of lesser of: FMV on 1st or last day of offering period FMV of stock on 1st day of offering period: $100 FMV of stock on last day of offering Period: $110 Option price = .85 * 100 = $85 FMV of stock @ purchase (last day of offering period): $110 Stock is sold 15 months after purchase for $130 (HPR not met) Grant date → No tax Exercise date → No tax Sale date → Total gain = $130 - $85 = $45 W-2 income: FMV @ purchase – option price $110 - $85 = $25 Tax consequence is: $25 W-2 income $20 LTCG
  • 27. Phantom Stock vs. Stock Appreciation Rights Phantom Stock Stock Appreciation Rights Value given to EE Full value of shares or Appreciation Appreciation Payment made in ... Cash (OI) Cash (OI) or Shares (OI @ distribution & CG for further appreciation) Timing of payments Determined by plan (EE has no control) EE determines
  • 28. NQDC PLANS FUNDED UNFUNDED (No Substantial Risk (Substantial Risk of Forfeiture) of Forfeiture) Secular Trust Promise to Pay Surety Bond (ER buys) Rabbi Trust