Private health insurance rebate: FAQs
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- Bertina Spencer
- 10 years ago
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1 Private health insurance rebate: FAQs By now, most people would know that the private health insurance rebate is being income-tested effectively meaning that if you have private health insurance, the rebate you are entitled to receive depends on your annual income, your age and the number of dependent children you have. The table on page 2 summarises the thresholds, which are indexed annually. Income thresholds aside, many people remain confused on the finer aspects of the rebate. Below is a Q&A guide covering a range of questions from who is eligible for the rebate to how to claim it. 1. Who is eligible for the rebate? To qualify, you must: be eligible for Medicare. have an income for the Medicare levy surcharge purposes below the tier 3 threshold (refer to tables on page 2), and have appropriate health insurance that is considered a complying health insurance product (CHIP) with a health insurer that is registered with the Private Health Insurance Administration Council (PHIAC). Even if you don t pay tax for example, you re a pensioner or student you are still eligible for the rebate which is available to anyone who pays for private health insurance. 2. What is the Medicare levy surcharge? Individuals and families on income above the Medicare levy surcharge thresholds, who do not have an appropriate level of private patient hospital cover, may be required to pay the Medicare levy surcharge for any period during the year that they did not have this cover. Depending on your income for surcharge purposes, the rate can be up to 1.5% (in addition to the Medicare levy). 3. How do I claim the rebate? There are three ways: a. you can receive the rebate as a premium reduction through your private health insurer, which means you pay less upfront. b. you can claim the rebate in your tax return as a refundable tax offset (this option does not require you to nominate a tier), or c. you can receive a direct payment from the government through your local Medicare office. If you choose to claim the rebate as a premium reduction, you should nominate a tier based on your estimated income (see tables overleaf). You can nominate your tier by contacting your insurer or by filling out the Medicare rebate claim form. Welcome to Capitol Group This client information newsletter provides regular tax and super updates, news and changes you need to know. For further information please contact Capitol Group Advisers. A Suite 2, 628 Canterbury Road, Vermont VIC 3133 P 1300 CAPITOL or E [email protected] W capitol.com.au Content in partnership with Taxpayers Australia Inc Also in this issue: Senior Australians and Pensioner Tax Offset explained... Page 4 Car expenses a very popular deduction, but you ve got to get it right... Page 5 Timely tips for SMSF s: Audit your fund before the annual return deadline... Page 6 capitolgroup.com.au 1300 CAPITOL or March 2014 Capitol Group Advisers 1
2 Private health insurance rebate: FAQs (Cont) The amount of the rebate is also dependent on your age. Older taxpayers are entitled to a higher rebate (see tables below). 4. How to calculate or estimate my income tier? The tiers are based on your income for Medicare levy surcharge purposes consult this office to work out which tier you are in. 5. My income has changed what do I do? If your changed income results in a different rebate entitlement, you should contact your private health insurer and tell them which tier you expect to be in for the financial year. They will adjust your rebate so you can avoid a potential tax liability. If you don t nominate a tier and you currently receive the rebate as a premium reduction, you will continue to receive your current rebate but may face a tax liability at the end of the financial year. 6. What happens if I nominate an incorrect tier? through your tax return at the end of the financial year. Conversely, if you nominate a tier that results in a higher rebate than your income entitles you to, the Tax Office will claim back the excess rebate and you will incur a tax liability through your tax return at the end of the financial year. This means you could have a tax debt. Don t worry however, as there are no additional penalties for incorrectly estimating your income tier. If you get an excess private health insurance reduction or rebate reduced amount on your notice of assessment, it is the amount of overpaid private health insurance you have received. This amount will be shown in the debit column of your notice of assessment. If you are unsure of your income range or if you d prefer to claim the rebate as a lump sum, you can choose to pay the full premium and claim your rebate entitlement through your tax return. Your private insurer will give you a statement at the end of the financial year to help you complete your tax return. If you nominate a tier that results in a lower rebate than your income entitles you to, you will receive a tax offset Table 1: Private health insurance rebate income thresholds fro Income thresholds Singles $84,000 or less $84,001-$97,000 $97,001-$130,000 $130,001 or more Families $168,000 or less $168,001-$194,000 $194,000-$260,000 $260,001 or more Private health insurance rebate entitlement Base tier (no change) Tier 1 Tier 2 Tier 3 Under 65 years old 30% 20% 10% 0% years old 35% 25% 15% 0% 70 years old or over 40% 30% 20% 0% Table 2: Private health insurance rebate income thresholds fro Income thresholds Singles $88,000 or less $88,001-$102,000 $102,001-$136,000 $136,001 or more Families $176,000 or less $176,001-$204,000 $204,000-$272,000 $272,001 or more Private health insurance rebate entitlement Base tier (no change) Tier 1 Tier 2 Tier 3 Under 65 years old 30% 20% 10% 0% years old 35% 25% 15% 0% 70 years old or over 40% 30% 20% 0% Note: For both tables, single parents and couples (including de facto couples) are subject to family tiers. For families with children, the thresholds increase by $1,500 for each child after the first. capitolgroup.com.au 1300 CAPITOL or March 2014 Capitol Group Advisers 2
3 Private health insurance rebate: FAQs (Cont) 7. Do I need to lodge a tax return to claim the rebate? You will need to lodge a tax return if you think you are eligible to claim the private health insurance rebate and you have not claimed any or all of your rebate from your health insurer as a premium reduction. 8. Can I claim the rebate if I only have private health insurance general treatment cover? Yes. You will receive a rebate unless you earn more than the tier 3 threshold (refer to tables). 9. I have children. Do I get extra assistance? If you have dependent children, the family thresholds apply (again, refer to tables above). If you have one dependent child, the threshold will not be affected. However, for families with multiple children, the threshold will increase by $1,500 for each child after the first. For instance, a tier 1 family with three children will have its income threshold increased by $3,000. Family income includes the combined income of both adults. For single parents, only the adult s income counts towards the threshold. Income of dependent children is not included. 10. Are de facto couples and single parents considered a family? Yes, single parents and couples including de facto couples and those with one or more dependents that do not live permanently with them are subject to the family tiers. 11. My spouse (or de facto) and I have separate policies. Do family or single thresholds apply? The family thresholds apply regardless of whether the individual family members are on the same or different private health insurance policies. However, you cannot claim a private health insurance rebate on behalf of your spouse if you hold separate private health insurance policies. 12. I don t have private health insurance but my dependent child does. Can I still claim the rebate? Yes. Provided you pay the dependent child s private health insurance, it does not matter if you are not personally covered by the policy. The size of the rebate will depend on your income. If you are a tier 3 family, you will not receive a rebate. 13. How is our family s age determined? The rebate is based on the oldest person covered by a policy. For instance, if you are 62 and your partner is March you will receive a 35% rebate if you earn less than $176,000 (see table above). 14. I separated from my spouse during the year. What income do I use to calculate my rebate? If you remain single with no dependents as of June 30 that year, your rebate entitlement is calculated only on your own income that is, the single income thresholds apply. If you separated from your spouse during the year but substantially maintain a dependent child, you will be income-tested under the family income thresholds. If you separated from your spouse during the year and paid for the full policy for the entire year, you cannot claim the full rebate without sharing because the policy covers both you and your ex-spouse. You can only claim a rebate for your share of the policy. Likewise, your spouse cannot claim for your policy if they are not on your policy. 15. I pre-paid my private health insurance for the year in Will I still be income-tested for my payments? No. If the premiums for your policy were prepaid, you cannot claim a rebate in your tax return. However, you still need to complete the private health insurance policy details section on your tax return using $0 values so the Tax Office can confirm you had an appropriate level of private patient hospital cover for the whole year. Otherwise, Medicare levy surcharge may be levied. 16. My employer pays my private health insurance. Who is entitled to the rebate? Only the adult covered by the policy is entitled to claim the rebate. If your employer pays your health insurance, typically you will receive the rebate as a reduced premium. Your employer will pay the outstanding premium. If an incorrect rebate is claimed, the balance will be corrected through your tax return. 17. I am an Australian citizen living overseas. Can I claim the rebate for the private health insurance I have purchased overseas? No. An overseas insurance policy, or an insurance policy which covers things that happen outside Australia, is not a complying CHIP. Consult this office if you have any other queries about the private health insurance rebate. capitolgroup.com.au 1300 CAPITOL or March 2014 Capitol Group Advisers 3
4 Senior Australians and Pensioner Tax Offset explained March 2014 After working (and paying taxes) for most of your life, it can be a good feeling to get to that stage of your life where it s time to get some pay-back from the taxman. Your golden years can be given an extra glow by claiming the Senior Australians and Pensioner Tax Offset (SAPTO), if you qualify. What is a tax offset? Generally speaking, a tax offset can reduce your tax bill, but doesn t lessen taxable income, just the tax owing on it. So a tax offset can reduce tax to zero in theory, but will never in itself result in a refund. And since receiving an offset can make you liable for less tax, you can earn more income before paying any tax (and the Medicare levy). What is the SAPTO? The SAPTO is an amalgamation of two previous offsets, the Senior Australian Tax Offset (SATO) and Pensioner Tax Offset (PTO). The previous offsets were last able to be claimed in the income year. The new SAPTO can be claimed from the income year onward. Generally, due to the merging of the previous two offsets, taxpayers able to access the SAPTO concession, according to the Tax Office, are either of the following two types of taxpayers: 1. a taxpayer who during the income year: received a government pension, allowance or benefit from Centrelink or Veterans Affairs has reached pension age, and is not in gaol (yes, the Tax Office actually stipulates this), OR 2. a taxpayer who during the income year: became eligible for a government pension or benefit but did not receive one, and is not in gaol. This definition means veterans who were eligible for a pension but did not receive one (perhaps due to not meeting the income or asset requirements) and persons not meeting the residency requirements for an aged pension, but were eligible for that pension using an alternate test, could be able to access this offset. TIP: The Low Income Tax Offset (LITO) of up to $445 (from ) may also apply in conjunction with SAPTO, depending on personal circumstances. Ask this office if you think this may apply. The table below details the offset thresholds and maximum offset rates. However it should be noted that calculating the SAPTO can be finicky and complex, especially where taxpayers are part of a couple where both partners are eligible. The difficulty lies in working out the amount of unused SAPTO transferred between the couple. The reason this may cause confusion is because this part of the calculation may be based on rates and thresholds from previous financial years. There are SAPTO calculators on the Tax Office website. Also ask this office for guidance or for more information. SAPTO Eligibility condition You did not have a spouse and your rebate income was less than You had a spouse and the combined rebate income of you and your spouse was less than At any time during the year you and your spouse had to live apart due to illness or because one of you was in a nursing home and the combined rebate income of you and your spouse was less than Threshold maximum tax offset applies Rebate Income Above threshold no longer eligible Maximum rebate amount $32,279 $50,119 $2,230 $57,948 $83,580 $1,602 $62,558 $95,198 $2,040 NOTE: No change to the maximum tax offset values or the reduction rate 12.5 cents applied for every $1 over the maximum rate threshold up to the cut off threshold capitolgroup.com.au 1300 CAPITOL or March 2014 Capitol Group Advisers 4
5 Car expenses - a very popular deduction, but you ve got to get it right Each year, the Tax Office reports that work-related expenses are the most common type of tax deduction claimed, and it also reports that one of the most popular of work-related claims is for vehicle expenses. Vehicle expenses are a very regulated area for claiming deductions, so good guidance on making car expense claims is essential to stay on the right side of the taxman. It is not generally allowed, for example, to claim the cost of trips between home and work, even if you do minor work-related tasks on the way (such as for example picking up the mail from your employer s post office box). This is also the case where you may be called into work while otherwise at home (if you were on call for example), or if you worked shifts that are outside usual work hours. The fact that there happens to be no public transport near where you work also generally doesn t make a difference. Allowable claims The rules do allow a claim however if you need to drive in order to carry bulky items (like an extension ladder, for example) that can t be left at the workplace, or you have multiple sites that you travel between as part of your employment. Claims can also be made if your home is a base of work (and you travelled from there to another site, such as a client s premises, to continue that work). You can also make a claim if you have a second job and travel directly from one workplace to another. Car expenses are costs resulting from using your car for work (that is, to produce assessable income). But these deductions are only for cars and are not for other vehicles such as motorcycles, utes or vans (with a onetonne capacity, or any vehicle with a nine or more passenger capacity). Expenses for these vehicles are treated as travel expenses, as are costs for short-term car hire, bridge and road tolls, parking fees and such (but you must be eligible to make such claims check with this office). The methods To claim legitimate car expenses, the first step is to work out (and record) how many of the kilometres travelled are business kilometres. After that, there are four methods to choose from, and you can take up whichever of these methods give you the largest deduction provided you have the back-up evidence if the Tax Office asks for it. The four options to determine car expense deductions are: cents per kilometre 12% of original value one-third of actual expenses, and the logbook method. 1. The cents per kilometre method The cents per kilometre method can be used to claim up to a maximum of 5,000 business kilometres per year (but no more than 5,000). You do not need written evidence, but you may need to be able to show how you worked out your business kilometres. The number of kilometres is multiplied by a cents per kilometre rate based on the engine size of the vehicle used. This ranges from 63 cents for a 1.6 litre or less engine to 75 cents for a litre or more engine. Hybrid cars are still based on the petrol driven cylinder volume. The resulting figure is divided by 100 to arrive at the amount you can claim in dollars. 2. The 12% of original value method The 12% of original value method takes that portion of your car s original value as the claimable amount and you can travel more than 5,000 business kilometres in the claim period. If you bought the car, then 12% of the cost is used. If it is leased, a market value from the time you leased it is used. But this method has a limitation applied for luxury cars, where a maximum cost is set and is indexed each year. It is $57,466 for the financial year. 3. The one third of actual expenses method The one third of actual expenses method is just as it sounds (and does not take in purchase price or include capital costs such as improvements to the vehicle). But you will need to have receipts for fuel and oil costs, or use the odometer records to calculate a reasonable estimate. capitolgroup.com.au 1300 CAPITOL or March 2014 Capitol Group Advisers 5
6 All other car expenses need to be recorded, as will the make and model, engine capacity and registration number. You can travel more than 5,000 kilometres, but may need to show how you worked these business kilometres out. The limit of $57,466 also applies (which does not include GST by the way). 4. The logbook method The logbook method requires that you record each car expense (in a logbook, naturally you can get a blank one at most newsagents). The logbook needs to be kept for at least 12 weeks. Your claim is worked out on the business use percentage for each expense (and again, not the purchase price or improvements). You will need to keep odometer readings and records of all other car expenses, and use the logbook to work out the percentages. Input tax credit claims If you are registered for GST you will need all the carrelated invoices to claim back the right amount of input tax credits. You will again need to know the business kilometres to work out the percentage. Only expenses made for a creditable purpose are eligible for input tax credit claims. One interesting, and perhaps unintended, benefit for employers is that where a car is supplied to an employee, and that employee uses the vehicle for part-private uses, the employer can still claim input tax credit entitlements at the full amounts, unaffected by this employee private use. This is because the Tax Office views the use of the car by the employer (giving the employee the benefit of using it) as still qualifying as a creditable purpose, and therefore entitling the employer to claim full input tax credits. For the one third of actual expenses and the 12% of original value methods, you can make a claim of one third of the input tax credits included in the cost. With the logbook method, the percentage of business use determines the extent of input tax credit claim. Since car expenses are the most claimed work-related expense, be sure to consult this office on what constitutes an allowable claim and which of the four claiming methods will work out best for your circumstances. Timely tip for SMSFs: Audit your fund before the annual return deadline Many of you may just be getting back into your regular routine, but one thing to take note of if you are a self-managed superannuation fund (SMSF) trustee is that the SMSF annual return deadline is fast approaching. Lodgement dates For the annual return, the deadline for SMSFs that are wise enough to use a tax agent is May 15, This is in contrast to those trustees of SMSFs who are self-preparers, where the relevant dates for the annual return are: October 31, for new registrants that prepare their own annual return (note that this date has now passed), and February 28, for SMSFs that are not new registrants. Note that earlier lodgement dates may apply where the fund has previously failed to lodge on time or have more than one return overdue. Purpose of SMSF annual return All SMSFs need to lodge an SMSF annual return each year in order to: report income tax. report super regulatory information. report member contributions, and pay the supervisory levy (currently $321 made up of the $191 SMSF supervisory levy for the financial year and 50% of the SMSF supervisory levy for the financial year i.e. 50% of $259 rounded up). capitolgroup.com.au 1300 CAPITOL or March 2014 Capitol Group Advisers 6
7 Appointing an SMSF auditor While May 15 may seem a little way off, you cannot lodge your SMSF annual return until you have had your SMSF audited. This is because you need information from the audit report to complete the regulatory information in the return. Even though there may be no rush as such to complete the audit, bear in mind that if any compliance contraventions are identified, the auditor can alert you to those contraventions. This will give you a chance for rectification before the audit is finalised and the annual return lodged. This way, you can avoid being penalised by the Tax Office, or worse still, have your SMSF deemed non-compliant and losing your tax concessions. The first step is to appoint an SMSF auditor. What you need to do is: check the auditor you intend to appoint is registered with the Australian Securities and Investments Commission (ASIC). ASIC will issue approved SMSF auditors with an SMSF auditor number otherwise known as SAN which you will need to fill out your annual return. Even though you may have previously used the same auditor, double check that they are registered. contact the auditor early to allow sufficient time to conduct the audit and for this office to have enough time to lodge the SMSF annual return on time on your behalf, and appoint your auditor no later than 45 days (this recently changed from 30 days as of July 1, 2013) before May 15. Some of the criteria that must be satisfied by an auditor are that they: must be independent and show freedom from bias, personal interest and association. must not be a trustee or member of the fund. must not have prepared accounts and statements for the SMSF. must not be a relative or close associate. Before an SMSF auditor can start an audit however, you (or this office) must provide information about your accounts and transactions for the previous financial year as well as statements and forms. Any additional information requested by your SMSF auditor must be provided within 14 days. minutes of all meetings for a minimum of 10 years or since the establishment of the fund (if the fund is less than 10 years old) with details of all major decisions made including: o asset purchases. o commencement of pensions. o appointment of new members, and o review of investment strategy. accounting records for a minimum of five years (or since the establishment of the fund if the fund is less than five years old). signed trustee declarations for trustees who became members of the fund after July 1, proper accounting records such as statement of financial position and an operating statement. copy of trust deed. election or notice to be a regulated fund. trustee representation letter which is a statement by the trustees that to the best of their knowledge, they have approved and taken responsibility for the correct presentation of the financial statements. investment strategy that gives consideration to risk, return, liquidity and diversification. financial report on the fund, and working papers including copies of all relevant documents that are important in providing evidence that support your findings and opinion. Once they have all the relevant documentation, some of the compliance issues that your auditor will keep an eye out for are: was the fund maintained for the sole purpose of providing benefits to either members on retirement or dependants (in the case of a member s death)? does the fund meet the definition of an SMSF and has it chosen to be a regulated fund? does the trust deed and character of investments reflect this? does the fund have an investment strategy that complies with investment restrictions? did the fund give financial assistance to a fund member or relative? are the fund s SMSF assets separate from those held by trustees personally? do trustees adhere to contribution and benefit payment standards? were any assets sold, and was this at market value? do trustees carry out administrative obligations? Below are examples of what you should have on hand in case your auditor wants to have a look: capitolgroup.com.au 1300 CAPITOL or March 2014 Capitol Group Advisers 7
8 More broadly, your auditor is required to: examine your fund s financial statements. assess your fund s overall compliance with the super law. provide you with an audit report by the day before you are required to lodge your SMSF annual return, and provide you with their SAN as it will be required to be disclosed on the 2013 SMSF annual return and in subsequent returns if appropriate. After the process is finalised, be sure that your auditor provides you with the following documents: a letter of audit engagement confirms the appointment of the auditor by you and the scope of the audit to be conducted. audit working papers documents that record the planning, nature, timing and extent of the procedures of the audit process. a management letter or audit finalisation report provides a summary of the audit findings. a copy of the final, signed financial report of the fund and relevant accounting records that support the statements for the income year under review, and a copy of the audit report on the approved form this includes the auditor s opinion and qualifying remarks if any (you should keep copies of this for at least seven years). Note that an audit is required even if no contributions or payments are made in the income year. It is worth noting however that when it comes to an annual return, the Tax Office s system will not accept one if at the end of the financial year the SMSF has no assets or no members; unless that is the year the fund is wound up. Failure to lodge Failure to lodge your SMSF annual return by the due date can result in penalties and the loss of tax concessions for your SMSF. Be sure to consult this office for help on how to appoint an approved auditor and lodge your annual return in time. Disclaimer All Client Newsletter Library material is of a general nature only and is not personal financial or investment advice. It does not take into account one individual s particular objectives and circumstances. No person should act on the basis of this information without first obtaining and following the advice of a suitably qualified professional adviser. To the fullest extent permitted by law, no person involved in producing, distributing or providing the information through this service (including Taxpayers Australia Incorporated, each of its directors, councillors, employees and contractors and the editors or authors of the information) will be liable in any way for any loss or damage suffered by any person through the use of or access to this information. capitolgroup.com.au 1300 CAPITOL or March 2014 Capitol Group Advisers 8
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