Home | About Us | Pricing | Sign Up | Services | Articles | Contact Us


GET A FREE QUOTE

Name:
Email:
Phone:
# of Employees:
HOME > ARTICLES > BENEFITS > THIRD-PARTY PAYERS OF SICK PAY

Payroll Articles
Third-Party Payers of Sick Pay

Employer's agent. An employer's agent is a third party that bears no insurance risk and is reimbursed on a cost-plus-fee basis for payment of sick pay and similar amounts. A third party may be your agent even if the third party is responsible for determining which Employees are eligible to receive payments. For example, if a third party provides administrative services only, the third party is your agent. If the third party is paid an insurance premium and is not reimbursed on a cost-plus-fee basis, the third party is not your agent. Whether an insurance company or other third party is your agent depends on the terms of the agreement with you.

A third party that makes payments of sick pay as your agent is not considered the employer and generally has no responsibility for employment taxes. This responsibility remains with you. However, under an exception to this rule, the parties may enter into an agreement that makes the third-party agent responsible for employment taxes. In this situation, the third-party agent should use its own name and EIN(rather than your name and EIN) for the responsibilities it has assumed.

Third party not employer's agent. A third party that makes payments of sick pay other than as an agent of the employer is liable for income tax withholding (if requested by the Employee) and the Employee part of the Social Security and Medicare taxes. The third party is also liable for the employer part of the Social Security and Medicare taxes and the FUTA tax, unless the third party transfers this liability to the employer for whom the Employee normally works. This liability is transferred if the third party takes the following steps:

1. Withholds the Employee Social Security and Medicare taxes from the sick pay payments.
2. Makes timely deposits of the Employee Social Security and Medicare taxes.
3. Notifies the employer for whom the Employee normally works of the payments on which Employee taxes were withheld and deposited.

The third party must notify the employer within the time required for the third party's deposit of the Employee part of the Social Security and Medicare taxes. For instance, if the third party is a monthly schedule depositor, it must notify the employer by the 15th day of the month following the month in which the sick pay payment is made because that is the day by which the deposit is required to be made. The third party should notify the employer as soon as information on payments is available so that an employer required to make electronic deposits can make them timely. For multi-employer plans, see the special rule discussed next.

Multi-employer plan timing rule. A special rule applies to sick pay payments made to Employees by a third-party insurer under an insurance contract with a multi-employer plan established under a collectively bargained agreement. If the third-party insurer making the payments complies with steps 1 and 2 above and gives the plan (rather than the employer) the required timely notice described in step 3 above, then the plan (not the third-party insurer) must pay the employer part of the Social Security and Medicare taxes and the FUTA tax. Similarly, if, within 6 business days of the plan's receipt of notification, the plan gives notice to the employer for whom the Employee normally works, the employer (not the plan) must pay the employer part of the Social Security and Medicare taxes and the FUTA tax.

Reliance on information supplied by the employer. A third party that pays sick pay should request information from the employer to determine amounts that are not subject to employment taxes. Unless the third party has reason not to believe the information, it may rely on that information as to the following items:

The third party should not rely on statements regarding these items made by the Employee.

Social Security, Medicare, and FUTA Taxes on Sick Pay Employer. If you pay sick pay to your Employee, you must generally withhold Employee Social Security and Medicare taxes from the sick pay. You must timely deposit Employee and employer Social Security and Medicare taxes and FUTA tax. There are no special deposit rules for sick pay. See section 11 of Circular E for more information on the deposit rules.

Amounts not subject to Social Security, Medicare, or FUTA taxes. The following payments, whether made by the employer or a third party, are not subject to Social Security, Medicare, or FUTA taxes (different rules apply to income tax withholding):

Income Tax Withholding on Sick Pay

The requirements for income tax withholding on sick pay and the methods for figuring it differ depending on whether the sick pay is paid by:

Employer or employer's agent. Sick pay paid by you or your agent is subject to mandatory income tax withholding. An employer or agent paying sick pay generally determines the income tax to be withheld based on the Employee's Form W-4. The Employee cannot choose how much will be withheld by giving you or your agent a Form W-4S, Request for Federal Tax Withholding From Sick Pay. Sick pay paid by an agent is treated as Supplemental Wages. If the agent does not pay regular wages to the Employee, the agent may choose to withhold income tax at a flat 27% rate, rather than at the wage withholding rate.

Third party not an agent. Sick pay paid by a third party that is not your agent is not subject to mandatory income tax withholding. However, an Employee may elect to have income tax withheld by submitting Form W-4S to the third party.

If Form W-4S has been submitted, the third party should withhold income tax on all payments of sick pay made 8 or more days after receiving the form. The third party may, at its option, withhold income tax before 8 days have passed.

The Employee may request on Form W-4S to have a specific whole dollar amount withheld. However, if the requested withholding would reduce any net payment below $10, the third party should not withhold any income tax from that payment. The minimum amount of withholding that the Employee can specify is $20 a week.

Withhold from all payments at the same rate. For example, if $25 is withheld from a regular full payment of $100, then $20 (25%) should be withheld from a partial payment of $80.

Amounts not subject to income tax withholding. The following amounts, whether paid by you or a third party, are not wages subject to income tax withholding.

Depositing and Reporting
This section discusses who is liable for depositing Social Security, Medicare, FUTA, and withheld income taxes on sick pay. These taxes must be deposited under the same rules that apply to deposits of taxes on regular wage payments. See Circular E for information on the deposit rules. This section also explains how sick pay should be reported on Forms Form W-2, Form W-3, 940 or 940-EZ, and 941.

Sick Pay Paid by Employer or Agent
If you or your agent (defined earlier) make sick pay payments, you deposit taxes and file Forms Form W-2, Form W-3, 940 or 940-EZ, and 941 under the same rules that apply to regular wage payments. However, the agreement between the parties may require your agent to carry out responsibilities that would otherwise have been borne by you. In this situation, your agent should use its own name andEIN(rather than yours) for the responsibilities it has assumed. Reporting sick pay on Form Form W-2. You may either combine the sick pay with other wages and prepare a single Form Form W-2 for each Employee, or you may prepare separate Forms Form W-2 for each Employee, one reporting sick pay and the other reporting regular wages. A Form Form W-2 must be prepared even if all the sick pay is nontaxable (see Box 12 below in the list of information that must be included on Form Form W-2). All Forms Form W-2 must be given to the Employees by January 31. The Form Form W-2 filed for the sick pay must include the employer's name, address, and EIN; the Employee's name, address, and SSN; and the following information:

Sick Pay Paid by Third Party
The rules for a third party that is not your agent depend on whether liability has been transferred as discussed under Third-Party Payers of Sick Pay earlier. To figure the due dates and amounts of its deposits of employment taxes, a third party should combine:

  1. The liability for the wages paid to its own Employees and
  2. The liability for payments it made to all Employees of all its clients. This does not include liability transferred to the employer.

Liability not transferred to the employer. If the third party does not satisfy the requirements for transferring liability for FUTA tax and the employer's part of the Social Security and Medicare taxes, the third party reports the sick pay on its own Forms 940 (or 940-EZ) and 941. In this situation, the employer has no tax responsibilities for sick pay. The third party must deposit Social Security, Medicare, FUTA, and withheld income taxes using its own name and EIN. The third party must give each Employee to whom it paid sick pay a Form Form W-2 by January 31 of the following year. The Form Form W-2 must include the third party's name, address, andEINinstead of the employer information. Otherwise, the third party must complete Form Form W-2 as shown in Reporting sick pay on Form Form W-2 earlier. Liability transferred to the employer. Generally, if a third party satisfies the requirements for transferring liability for the employer part of the Social Security and Medicare taxes and for the FUTA tax, the following rules apply. Deposits. The third party must make deposits of withheld Employee Social Security and Medicare taxes and withheld income tax using its own name and EIN. You must make deposits of the employer part of the Social Security and Medicare taxes and the FUTA tax using your name and EIN. In applying the deposit rules, your liability for these taxes begins when you receive the third party's notice of sick pay payments. Form 941. The third party and you must each file Form 941. Line 9 of each Form 941 must contain a special adjusting entry for Social Security and Medicare taxes. These entries are required because the total tax liability for Social Security and Medicare taxes (Employee and employer parts) is split between you and the third party.

Form 940 or 940-EZ. You, not the third party, must prepare Form 940 or 940-EZ for sick pay. Third-party sick pay recap Forms Form W-2 and Form W-3. The third party must prepare a third-party sick pay recap Form Form W-2 and a third-party sick pay recap Form Form W-3. These forms, previously called dummy forms, do not reflect sick pay paid to individual Employees, but instead show the combined amount of sick pay paid to all Employees of all clients of the third party. The recap forms provide a means of reconciling the wages shown on the third party's Form 941. However, see Optional rule for Form Form W-2 later. Do not file the recap Form Form W-2 and Form W-3 electronically or on magnetic media.
The third party fills out the third-party sick pay recap Form Form W-2 as follows:


The third party attaches the third-party sick pay recap Form Form W-2 to a separate recap Form Form W-3, on which only boxes b, e, f, g, 1, 2, 3, 4, 5, 6, and 13 are completed. Enter Third-Party Sick Pay Recap in box 13. Only the employer makes an entry in box 14 of Form Form W-3. Optional rule for Form Form W-2. You and the third party may choose to enter into a legally binding agreement designating the third party to be your agent for purposes of preparing Forms Form W-2 reporting sick pay. The agreement must specify what part, if any, of the payments under the sick pay plan is excludable from the Employees' gross incomes because it is attributable to their contributions to the plan. If you enter into an agreement, the third party prepares the actual Forms Form W-2, not the third-party sick pay recap Form Form W-2 as discussed earlier, for each Employee who receives sick pay from the third party. If the optional rule is used:
1. The third party does not provide you with the sick pay statement described below and
2. You (not the third party) prepare third-party sick pay recap Forms Form W-2 and Form W-3. These recap forms are needed to reconcile the sick pay shown on your Form 941.
Sick pay statement. The third party must furnish you with a sick pay statement by January 15 of the year following the year in which the sick pay was paid. The statement must show the following information about each Employee who was paid sick pay:


Example of Figuring and Reporting Sick Pay

Dave, an Employee, was seriously injured in a car accident on January 1, 2002. Dave's last day of work was December 31, 2001. The accident was not job related. Key, an insurance company that was not an agent of the employer, paid Dave $2,000 each month for 10 months, beginning in January 2002. Dave submitted a Form W-4S to Key, requesting $210 be withheld from each payment for Federal income tax. Dave received no payments from Edgewood, his employer, from January 2002 through October 2002. Dave returned to work in November 2002. For the policy year in which the car accident occurred, Dave paid a part of the premiums for his coverage, and Edgewood paid the remaining part. The plan was, therefore, a contributory plan. During the 3 policy years before the calendar year of the accident, Edgewood paid 70% of the total of the net premiums for its Employees' insurance coverage, and its Employees paid 30%. Social Security and Medicare taxes. For Social Security and Medicare tax purposes, taxable sick pay was $8,400 ($2,000 per month × 70% = $1,400 taxable portion per payment; $1,400 × 6 months = $8,400 total taxable sick pay). Only the six $2,000 checks received by Dave from January through June are included in the calculation. The check received by Dave in July (the seventh check) was received more than 6 months after the month in which Dave last worked. Of each $2,000 payment Dave received, 30% ($600) is not subject to Social Security and Medicare taxes because the plan is contributory and Dave's aftertax contribution is considered to be 30% of the premiums during the 3 policy years before the calendar year of the accident. FUTA tax. Of the $8,400 taxable sick pay (figured the same as for Social Security and Medicare taxes), only $7,000 is subject to the FUTA tax because the FUTA contribution base is $7,000. Income tax withholding. Of each $2,000 payment, $1,400 ($2,000 × 70%) is subject to voluntary income tax withholding. In accordance with Dave's Form W-4S, $210 was withheld from each payment ($2,100 for the 10 payments made during 2002). Liability transferred. For the first 6 months following the last month in which Dave worked, Key was liable for Social Security, Medicare, and FUTA taxes on any payments that constituted taxable wages. However, Key could have shifted the liability for the employer part of the Social Security and Medicare taxes (and for the FUTA tax) during the first 6 months by withholding Dave's part of the Social Security and Medicare taxes, timely depositing the taxes, and notifying Edgewood of the payments. If Key shifted liability for the employer part of the Social Security and Medicare taxes to Edgewood and provided Edgewood with a sick pay statement, Key would not prepare a Form Form W-2 for Dave. However, Key would prepare third-party sick pay recap Forms Form W-2 and Form W-3. Key and Edgewood must each prepare Form 941. Edgewood must also report the sick pay and withholding for Dave on Forms Form W-2, Form W-3, and 940.

As an alternative, the parties could have followed the optional rule described under Optional rule for Form Form W-2 earlier. Under this rule, Key would prepare Form Form W-2 even though liability for the employer part of the Social Security and Medicare taxes had been shifted to Edgewood. Also, Key would not prepare a sick pay statement, and Edgewood, not Key, would prepare the recap Forms Form W-2 and Form W-3 reflecting the sick pay shown on Edgewood's Form 941.

Liability not transferred. If Key did not shift liability for the employer part of the Social Security and Medicare taxes to Edgewood, Key would prepare Forms Form W-2 and Form W-3 as well as Forms 941 and 940. In this situation, Edgewood would not report the sick pay.

Payments received after 6 months. The payments received by Dave in July through October are not subject to Social Security, Medicare, or FUTA taxes, because they were received more than 6 months after the last month in which Dave worked (December 2001). However, Key must continue to withhold income tax from each payment because Dave furnished Key a Form W-4S. Also, Key must prepare Forms Form W-2 and Form W-3, unless it has furnished Edgewood with a sick pay statement. If the sick pay statement was furnished, then Edgewood must prepare Forms Form W-2 and Form W-3.