Yes, you can deduct health insurance premiums. How you take the deduction depends on your business structure.

Sole proprietors and single-member LLCs claim the self-employed health insurance deduction on Form 1040. This covers premiums for yourself, your spouse, and your dependents. It’s an above-the-line deduction, so you get the tax benefit whether you itemize or not.

The deduction includes medical, dental, and qualified long-term care insurance. You can also include coverage for your children under age 27 even if they aren’t claimed as dependents on your return.

S corporation owners face an extra step. If you’re a shareholder-employee, the company must add health insurance premiums to your W-2 as taxable wages. You then claim the deduction on your personal return. Miss the W-2 step and the IRS can disallow your deduction entirely. Getting your entity structure right from the start helps you avoid compliance issues like this one.

There are important limitations to know. You cannot claim this deduction for any month where you or your spouse could have enrolled in employer-sponsored coverage through another job. It doesn’t matter whether you actually enrolled. If the coverage was available to you, the self-employed deduction doesn’t apply for those months.

The deduction also cannot exceed your net self-employment income from the business providing the insurance. If your business lost money or barely broke even, you might not get the full deduction that year. The excess doesn’t carry forward to future years.

Keep detailed records of what you paid. Premium statements and bank or credit card records showing payment dates and amounts will support your deduction if questions come up later.

Many business owners miss this deduction or claim it incorrectly because the rules vary by entity type. Working with a Boise area enrolled agent helps ensure you’re taking every deduction you qualify for and handling the specific requirements for your situation.