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The following table represents the amount which must be added to income when an employer provided Life Insurance policy has a benefit value of greater than $50,000.  For each extra $1,000 above $50,000 you would calculate an amount using the chart below and multiply by the number of months the benefit was provided (usually 12 months). 

Cost Per $1,000 of group term Life Insurance protection for 1-Month Period

       [Reg. 1.79-3(d)(2)]

Age

Cost

Under 25

25 through 29

30 through 34

35 through 39

40 through 44

10¢

45 through 49

15¢

50 through 54

23¢

55 through 59

43¢

60 through 64

66¢

65 through 69

$1.27

70 and above

$2.06

for example a 47 year-old pastor who receives a non-taxable life insurance policy of $100,000 for the entire year would have $90 added to his W-2, block 1 (and block 12 of his w-2 would show code “c” and 90).

50 x 12 x .15¢

$100,000 policy has 50
more thousands than $50,000

X

Policy provided
for 12 months

X

For a 47-year old the
chart above shows 15¢