Using Retirement Money to Pay Health Insurance and Medical Expenses
 
Self Employed Health Insurance
Being able to afford health insurance payment is a big concern for those who leave their corporate job because of a layoff or to start up a business.

Example of a question from someone younger than 59 years old: "I withdrew my 401K because I was unemployed. I needed the money to pay health insurance; can I avoid the 10% penalty?"

If you are unemployed, distributions from an IRA used to pay health insurance premiums are exempt from the 10 percent tax penalty. But, this exemption is only allowed if the distribution is from an IRA. So, if you have a 401(k) or other retirement plan with a previous job, you should rollover your 401k to a Rollover IRA before taking a distribution.

 
Medical Health Insurance Expenses
Even with health insurance, the out of your pocket costs for your medical expenses may exceed your regular source of cash.

If you are looking to tap your retirement savings to support medical expenses, here are some ways to reduce the tax bite on the distributions.

The IRS allows an exemption from the 10 percent early withdrawal penalty when you use your retirement distributions to support certain medical expenses. The medical expenses for your spouse and dependents are also covered under the medical expense exemption. However, you still will have to pay regular federal tax on the distribution amount.

Another alternative is to transfer your IRA or other retirement account into a Self-Employed 401(K) plan and take a loan from that plan. Loans from a 401(k) plan are tax-free and tax penalty free, as long as the loans are paid back. If you have a small business with no employees (i.e., you are a consultant, freelance worker, and other self-employed individual) fill out the online application form to get your free Self-Employed 401(k) plan kit.

 
Caveat
The tax rules on the 10 percent premature distribution exemptions for health insurance and medical expenses are complex and full of special limitations. Our goal here is simply to inform you about the existence of these exemptions. We urge you to seek more details from your tax professional.


 
 
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