Health Care Cost Disclosure

Posted on Wednesday, August 31, 2011

Beginning in 2011, employers will have the option to report the cost of employer sponsored health coverage on Form W-2. The Affordable Care Act is giving employers a chance to update their payroll systems before the Act requires the disclosure in 2012. Those employers that issue 250 or more W-2s for 2012 in 2013 will be required to disclose on the employee’s W-2 the cost paid by the employer and the employee for health care coverage on the employee’s W-2. Employers that issue less than 250 W-2s in 2012 are not required to make the disclosure but have the option to. Beginning in 2013, for W-2s issued in 2014, all employees will be required to include the health care cost on W-2s. The cost of health care to be disclosed on the W-2 is not taxable, as it has been in the past. The amount is for informational purposes only to inform employees of the cost of their health coverage.

Summary of Health Care Cost Disclosure


All employers, including nonprofit organizations, churches and government entities. Federally recognized Indian tribal governments are excluded.


The cost of coverage under a group health plan that the employer makes available to the employee that is non-taxable to the employee (or that would have been non-taxable if the coverage were employer-provided). Cost includes both the portion paid by the employer as well as the portion paid by the employee.


2011 W-2s issued in 2012 – Optional for all employers. 

2012 W-2s issued in 2013 – Required for all employers issuing 250 or more W-2s and optional for  employers issuing less than 250 W-2s. 

2013 W-2s issued in 2014 – Required for all employers.


Box 12 of Form W-2 under code DD (Cost of employer-sponsored health coverage)


To provide useful information to employees on the cost of their healthcare.

Although the disclosure is not required in 2011, this might be a good time to start thinking about how to track health care costs for your organization.

Posted by: Carrie Minnich, CPA

Posted in Mission Minded Nonprofits

Disclaimer: The information contained in Dulin, Ward & DeWald’s blog is provided for general educational purposes only and should not be construed as financial or legal advice on any subject matter. Before taking any action based on this information, we strongly encourage you to consult competent legal, accounting or other professional advice about your specific situation. Questions on blog posts may be submitted to your DWD representative.

"Bruner Dental has been with DWD for well over 15 years. The entire team at DWD has been helpful in many ways. From simple questions day to day, to audits, payroll needs, and much more; they…"

Rondell Nelson

Bruner Dental