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Worksheet 6-A. Self-Employed Health Insurance Deduction
Worksheet
Note.
Use a separate worksheet for each trade or business under which an insurance
plan is established.
| 1. | Enter the total amount paid in 2010 for health insurance
coverage established under your business for 2010 for you, your spouse, and your
dependents. Effective March 30, 2010, your insurance can also cover your child
who was under age 27 at the end of 2010, even if the child was not your
dependent. But
do not include the following.
- Amounts for any month you were eligible to participate
in a health plan subsidized by your or your spouse's employer or, effective
March 30, 2010, the employer of either your dependent or your child who was
under the age of 27 at the end of 2010.
- Any amounts paid from retirement plan distributions
that were nontaxable because you are a retired public safety officer.
- Any amounts you included on Form 8885, line 4.
- Any qualified health insurance premiums you paid to
"U.S. Treasury-HCTC."
- Any health coverage tax credit advance payments shown
in box 1 of Form 1099-H.
- Any payments for qualified long-term care insurance
(see line 2)
| 1. | | | 2. | For coverage under a qualified long-term care insurance
contract, enter for each person covered the
smaller
of the following amounts.
| | | | | a) | Total payments made for that person during the year. | | | | | b) | The amount shown below. Use the person's age at the end
of the tax year. | | | | | | $330— | if that person is age 40 or younger | | | | | | $620— | if age 41 to 50 | | | | | | $1,230— | if age 51 to 60 | | | | | | $3,290— | if age 61 to 70 | | | | | | $4,110— | if age 71 or older | | | | | | Do not
include payments for any month you were eligible to participate in a long-term
care insurance plan subsidized by your or your spouse’s employer or,
effective March 30, 2010, the employer of either your dependent or your child
who was under the age of 27 at the end of 2010. If more than one person is
covered, figure separately the amount to enter for each person. Then enter the
total of those amounts
| 2. | | | 3. | Add lines 1 and 2 | 3. | | | 4. | Enter your net profit* and any other earned income** from
the trade or business under which the insurance plan is established. Do not
include Conservation Reserve Program payments exempt from self-employment tax.
If the business is an S corporation, skip to line 11
| 4. | | | 5. | Enter the total of all net profits* from: Schedule C (Form
1040), line 31; Schedule C-EZ (Form 1040), line 3; Schedule F (Form 1040), line
36; or Schedule K-1 (Form 1065), box 14, code A; plus any other income allocable
to the profitable businesses. Do not include Conservation Reserve Program
payments exempt from self-employment tax. See the Instructions for Schedule SE
(Form 1040).
Do not
include any net losses shown on these schedules.
| 5. | | | 6. | Divide line 4 by line 5 | 6. | | | 7a. | Complete Schedule SE (Form 1040) as a worksheet. When
completing Section A, line 3, or Section B, line 3, of the worksheet Schedule
SE, treat the amount from Form 1040, line 29, as zero. Enter on this line the
amount shown on that worksheet Schedule SE, Section A, line 6, or Section B,
line 13
| 7a. | | | 7b. | Multiply line 7a by the percentage on line 6 | 7b. | | | 8. | Subtract line 7b from line 4 | 8. | | | 9. | Enter the amount, if any, from Form 1040, line 28, attributable
to the same trade or business in which the insurance plan is established
| 9. | | | 10. | Subtract line 9 from line 8 | 10. | | | 11. | Enter your Medicare wages (Form W-2, box 5) from an S
corporation in which you are a more-than-2% shareholder and in which the
insurance plan is established
| 11. | | | 12. | Enter any amount from Form 2555, line 45, attributable
to the amount entered on line 4 or 11 above, or any amount from Form 2555-EZ,
line 18, attributable to the amount entered on line 11 above. When completing
Form 2555, line 44, use the deduction figured on line 7a above (in place of the
amount from Form 1040, line 27) that is allocable to the excluded income
| 12. | | | 13. | Subtract line 12 from line 10 or 11, whichever applies | 13. | | | 14. | Enter the
smaller of line 3 or line 13 here and on Form 1040, line 29.
Do not
include this amount when figuring any medical expense deduction on Schedule A
(Form 1040).
| 14. | | | * If you used either optional method to figure
your net earnings from self-employment from any business, do not enter your net
profit from the business. Instead, enter the amount attributable to that
business from Schedule SE (Form 1040), Section B, line 4b.
| | * *Earned income
includes net earnings and gains from the sale, transfer,
or licensing of property you created. However, it does not include capital gain
income.
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