Small Busines Health Care Tax Credit.xlsx


	Small Business Health Care Tax Credit Worksheet Calculation

	Are total Employees under 25?
	(Total Hours paid for the year for all employees divided by 2080 = # of FTE's)

	Is Average Wage under $50,000/yr?
	(Total annual wages divided by total fte's calculated above)

	Does the company pay at least half of single employee premium?

	Does the company pay at least half of single employee premium for family coverage?

	DO YOU QUALIFY


	Enter Total Full Time Employees calculated above

	Enter Average Wage calculated above

	Select the State employees work in:

	Maximum Single Coverage Premium per average premium for the small group market for your state
	Maximum Family Coverage Premium per average premium for the small group market for your state

	Enter Total Premium for Single Coverage for year up to maximum shown above
	Enter Total Premium for Family Coverage for year up to maximum shown above

	Enter % of the Total Premium for Single Coverage that Company Pays
	Enter % of the Total Premium for Family Coverage that Company Pays

	Enter number of single employees covered (do not count owners or family members)
	Enter number of family employees covered (do not count owners or family members)

	Calculated Combined Total Premium Amount less paid by Employee

	Credit Calculation
	Adjustments
	Employees over 10
	Average Wage over $25,000

	Approximate Credit