W-2 Reporting

The following is a worksheet that could be used to calculate the amount an employer would report on Form W-2 for a particular employee. The reporting requirement is effective for taxable years beginning after December 31, 2012, which are the W-2s that are generally provided by January 31, 2013.

W-2 Reporting Worksheet:

Determine the benefits coverage a particular employee has selected, including both the plans (e.g., PPO, health Flexible Spending Account) and coverage levels (e.g., individual, family)
2. Enter the total cost of each benefit selected for the following types of coverage, unless otherwise noted. Unless otherwise noted, it does not matter whether the cost of the coverage is treated as pre-tax/tax excluded or after-tax
2a. Major medical
$
2b. Health Flexible Spending Account (FSA)* – Generally, only employer contributions, not employee salary deferrals (see explanation below).
$
2c. Gap Coverage
$
2d. Hospital or other fixed indemnity insurance purchased on a pre-tax basis
$
2e. Specified disease insurance purchased on a pre-tax basis
$
2f. Other coverage treated as a group health plan, excluding the following: dental, vision, long-term care, accident, disability coverage, HRAs, and HSAs. Some employer-sponsored wellness programs or on-site clinics, for example, may rise to the level of being group health plans for this purpose
$
3. Add together the amounts from lines 2a through 2f – this is the amount that would be reported on the employee's
Form W-2
$

Health FSA Calculation (if applicable):

*The reporting amount of Health Flexible Spending Accounts (Health FSA) requires an additional calculation. If the employer does not provide a contribution to the Health FSA, this step can be skipped.

(A) Employee's salary reduction election for Health FSA

$

(B) Employers's contribution to the
Health FSA
$
(C) Total A+B
$
(D) Employee's salary reduction election for all qualified benefits in the cafeteria plan (including the Health FSA)
$

If (C) is greater than (D), the employer must include the difference between (C) and (D) in the aggregate reportable cost.

For a printable W-2 Reporting worksheet click here.

American Fidelity Assurance Company does not provide tax or legal advice.

ESB-872(0112)

Next Steps

Sign up for Updates

VIP Notification Service

We provide a VIP Notification Service to keep you informed as new Health Care Reform rules are issued.
Click here to sign up.

You’re Not Alone

We understand that these new requirements come at a time of strained budgets. 
Learn how our services and products can help.

Get the Facts

Our most commonly asked Health Care Reform questions, along with the answers.
Learn More

Quick Access

  • Your Account

    View your policies, download forms and check the status of your claims - all in one spot!

  • Claim & Flex Forms

    1Select the forms you need:

    Flex Benefits
    Accident Benefits
    Cancer Benefits
    Critical Illness
    Disability Benefits
    Hospital Indemnity
    Life Benefits
    Medical (GAP)
    HRA Benefits

    2Select your state & industry:

  • Check Claim Status
  • FAQs

    Please select a category or type your question in the box below.

    Keyword Search
    All FAQs