Montana Form Hi Draft - Health Insurance For Uninsured Montanans Credit - 2011 Page 2

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Form HI General Instructions
Please Note: Although similar, the Health Insurance for Uninsured
Part II. Qualifications
Montanans credit is not the same as the tax credit available
I am an employer who provides health insurance to my
through the Insure Montana Small Business Health Insurance
employees. What qualifications do I have to meet in order to
program. If you are using insurance premiums to calculate the
be eligible for this credit?
Insure Montana Small Business Health Insurance credit, those
You must meet the requirements of the Small Employer Health
premium payments cannot be used to calculate this health
Insurance Availability Act. In addition, you must answer yes to
insurance credit.
each of the four statements in Part II.
Definitions
How can I determine if I am a small employer who qualifies
What is disability health insurance?
for this credit?
Disability health insurance is insurance against the following:
You are a small employer if:
• bodily injury, bodily disablement or accidental death, or the
• you are an individual, firm, corporation, partnership, or a bona
medical expense or medical reimbursement involved; or
fide association that is actively engaged in business; and
• bodily disablement or the medical expense or reimbursements
• you employ at least 2 but not more than 20 employees who
resulting from sickness.
work at least 20 hours a week during the year the credit is
In essence, disability insurance is the same as “health insurance”
claimed.
and includes any insurance plan offered by an insurance company
For the purpose of this credit, an employee can be the sole
that provides coverage for the following conditions:
proprietor, a partner in a partnership, or an independent contractor
• personal health,
as long as each one of these classes of employees are included
• disablement,
as an employee under your employer health benefit plan.
• accidental death, or
I am an employer who had seasonal employees during the
year. Am I still eligible as a small employer to claim this
• medical expenses or the reimbursement of these expenses.
credit?
However, disability insurance does not include workers’
compensation insurance or credit disability insurance. You cannot
Possibly. If your seasonal employees increase your total
use your workers’ compensation insurance or credit disability
employee count to more than 20 employees in the year, you are
insurance premiums in calculating this credit.
not considered a small employer for purposes of claiming this
credit. However, if your seasonal employees do not increase your
What is the Small Employer Health Insurance Availability
employee count to more than 20, you will qualify for this credit as
Act?
long as you meet all the other requirements of an employer.
The Small Employer Health Insurance Availability Act was created
I employ 20 or fewer employees who work at least 20 hours a
by the Montana Legislature in 1993. The purpose of this act is to
week. However, turnovers throughout the year increased the
do the following:
total number of individuals that work for me to more than 20.
• promote the availability of health insurance coverage to small
Am I still eligible as a small employer to claim this credit?
employers regardless of health status or claims experience;
Yes, you are. Although more than 20 individuals were employed
• establish rules regarding renewability of coverage;
throughout the tax year, your total employee count did not exceed
• establish limitations on the use of preexisting condition
20 employees at any one time.
exclusions;
Part III. Credit Computation
• provide for the development of basic and standard health
benefit plans to be offered to all small employers;
What limitations apply to this credit?
• provide for the establishment of a reinsurance program; or
The credit cannot exceed 50% of the premium cost for each
employee and cannot be claimed for a period of more than
• improve the overall fairness and efficiency of the small
36 consecutive months. A tax credit cannot be granted to an
employer health insurance market.
employer or the employer’s successor within 10 years of the last
Part I. Partners in a Partnership or Shareholders of an
consecutive credit claimed.
S Corporation
If the credit exceeds my tax liability, can I carry any excess to
How do I claim my credit when I am a partner or shareholder
another year?
in a partnership or S corporation?
No, you cannot. Your credit cannot exceed your tax liability. You
If you received this credit from a partnership or S corporation, you
cannot carry back or carry forward any of your unused credit.
will need to fill out Part I in its entirety. Your share of the credit can
What information do I have to include with my tax return
be obtained from the Montana Schedule K-1 that you received
when I claim this credit?
from the entity. In addition to reporting your share of the credit,
you will need to provide the partnership’s or S corporation’s name
Individuals and C corporations filing paper returns must include a
and Federal Employer Identification Number.
completed Form HI. Partnerships and S corporations filing paper
information returns must include a separate statement identifying
If you received this credit from more than one partnership and/
each owner and his or her proportionate share, in addition to a
or S corporation, you will need to complete a Form HI for each
completed Form HI.
entity. For example, if you are a partner in one partnership and a
shareholder in two S corporations who all qualified for this credit,
Questions? Please call us toll free at (866) 859-2254 (in Helena,
you would need to complete three forms.
444-6900).

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