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Kansas Free Printable K-57 Kansas Small Employer Healthcare Credit Rev. 8-19 for 2020 Kansas Small Employer Health Insurance Contribution Credits

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Small Employer Health Insurance Contribution Credits
K-57 Kansas Small Employer Healthcare Credit Rev. 8-19

K-57 KANSAS 191518 SMALL EMPLOYER HEALTHCARE CREDIT (Rev. 8-19) For the taxable year beginning, _____________________ , 20 _____ ; ending Name of taxpayer (as shown on return) __________________________ , 20 _______ . Employer ID Number (EIN) Date you began participation in this plan: ______________________________________________ Those employers who started a small employer health benefit plan on or after January 1, 2005 must answer the following question: Did this employer contribute to any health insurance premium or health savings account on behalf of an employee who is to be covered by the employer’s contribution within the preceding two years of the effective date of the employer’s small employer health benefit plan? o No o Yes (If yes, you do not qualify for this credit.) PART A — COMPUTATION OF ELIGIBLE EMPLOYEE AMOUNT (C Corporations only) Complete the appropriate schedule. If the employer established this plan after December 31, 2004, complete Schedule I. If the employer established this plan prior to January 1, 2005, complete Schedule II. SCHEDULE II SCHEDULE I (a) Number of eligible employees for the month (By Tax Year) (b) FIRST 12 MONTHS Multiply amount in (a) by the lesser of $70 or the actual amount paid per employee. (c) NEXT 12 MONTHS Multiply amount in (a) by the lesser of $50 or the actual amount paid per employee. (d) NEXT 12 MONTHS Multiply amount in (a) by the lesser of $35 or the actual amount paid per employee. (e) Number of eligible employees for the month (f) Maximum allowed. Multiply amount in (e) by $35. 1. 1st month 2. 2nd month 3. 3rd month 4. 4th month 5. 5th month 6. 6th month 7. 7th month 8. 8th month 9. 9th month 10.10th month 11.11th month 12.12th month 13.Total If you completed SCHEDULE I, proceed to LINE 18. If you completed SCHEDULE II, proceed to LINE 14. 14. Enter actual expense for the tax period. 14. ________________________ 15. Maximum credit allowed (multiply line 14 by 50% and enter the result here). 15. ________________________ 16. Enter the lesser of line 13, column (f) or line 15. 16. ________________________ 17. Year of participation: 1st & 2nd year o 100% 3rd year o 75% 4th year o 50% 5th year o 25% PART B — COMPUTATION OF CREDIT 18. Credit allowable for this tax year. From SCHEDULE I – enter amount from line 13, columns (b), (c), and/or (d). From SCHEDULE II – multiply line 16 by the appropriate percentage from line 17 and enter result. Enter this amount on the appropriate line of Form K-120. 18. ________________________ INSTRUCTIONS FOR SCHEDULE K-57 GENERAL INFORMATION K.S.A. 40-2246 allows an income tax credit to those employers that make contributions to a health savings account of an eligible covered employee after 12/31/2004. The credit is $70 per month per eligible covered employee for the first 12 months of participation, $50 per month per eligible covered employee for the next 12 months of participation and $35 per month per eligible covered employee for the next 12 months of participation. Any small employer (defined by K.S.A. 40-2209d) having between 2 and 50 employees may establish a health benefit plan for the purpose of providing a plan as described under K.S.A. 40-2240 covering such employer’s eligible employees and such employees’ family members. For plans established prior to 1/1/2005, a certificate issued by the Commissioner of Insurance entitling a “small employer” to claim the tax credit authorized by K.S.A. 40-2246 must have been obtained. For tax year 2013, and all tax years thereafter, credits shall be available to only corporations subject to the Kansas corporate income tax (i.e., C corporations). Credits are not available to individuals, partnerships, S corporations, limited liability companies, and other pass-through entities. An eligible employee is one who is employed for an average of at least 30 hours per week and elects to participate in one of the benefit plans provided under this act, and includes individuals who are sole proprietors, business partners, and limited partners who own the business. Eligible employee does not include individuals: 1) engaged as independent contractors; 2) whose periods of employment are on an intermittent or irregular basis; or, 3) who have been employed by the employer for fewer than 90 days. A health savings account means a trust created or organized in the United States as a health savings account exclusively for the purpose of paying the qualified medical expenses of the account beneficiary, but only if the written governing instrument creating the trust meets the requirements specified by the Medicare, prescription drug, improvement and modernization act of 2003, Pub. L. No. 108-173, 117 Stat. 2067. As a condition to participate as a member of any small employer health benefit plan, an employer shall have not contributed within the preceding two years to any health insurance premium or health savings account on behalf of an employee who is to be covered by the employer’s contribution other than a contribution by an employer to a health insurance premium or health savings account within the preceding two years solely for the benefit of the employer or the employer’s dependents. If the credit exceeds the current year’s tax liability, the unused portion shall be refunded to the taxpayer. Addition Modification. The employer is required to reduce any expense deduction that is included in federal taxable income for the tax year by the dollar amount of the credit. Documentation. Retain your monthly insurance billings with your records as the Department of Revenue reserves the right to request additional information as necessary. SPECIFIC LINE INSTRUCTIONS Begin by completing the information at the top of the schedule. PART A – COMPUTATION OF ELIGIBLE EMPLOYEE AMOUNT (C Corporations only) Complete the appropriate schedule. If the employer established this plan after 12/31/2004, complete Schedule I. If it was established prior to 1/1/2005, complete Schedule II. LINES 1 through 12 – Schedule I (Plans after 12/31/2004) Column (a): Enter number of eligible employees covered by this plan for each month of the employer’s tax year. Column (b): If you established or made contributions during this tax year which constitutes the FIRST 12 MONTHS of participation, multiply the number of eligible employees for each month of participation by the lesser of $70 or the actual amount paid per employee. Column (c): If you established or made contributions during this tax year which constitutes the NEXT 12 MONTHS of participation, multiply the number of eligible employees for each month of participation by the lesser of $50 or the actual amount paid per employee. Column (d): If you established or made contributions during this tax year which constitutes the NEXT 12 MONTHS of participation, multiply number of eligible employees for each month of participation by the lesser of $35 or the actual amount paid per employee. (The total of columns b, c and d should be only 12 months.) LINES 1 through 12 – Schedule II (Plans prior to 1/1/2005) Column (e): Enter number of eligible employees covered by this plan for each month of the employer’s tax year. Column (f): Multiply number of eligible employees for each month by $35. LINE 13 – Add lines 1 through 12 and enter result. If the plan was established after 12/31/2004 and Schedule I is complete, proceed to line 18. If established prior to 1/1/2005 and Schedule II is complete, proceed to line 14. LINE 15 – To figure maximum credit allowed multiply line 14 by 50%. LINE 16 – Enter the lesser of line 13, column (f) or line 15. LINE 17 – Check the appropriate box for the number of tax years you have participated in this credit. PART B – COMPUTATION OF ELIGIBLE EMPLOYEE AMOUNT LINE 18 – If the plan was established after 12/31/2004 and you completed Schedule I, enter the amount from line 13, columns (b), (c), and/or (d). If the plan was established prior to 1/1/2005 and you completed Schedule II, multiply line 16 by the appropriate percentage from line 17. Enter result here and on the appropriate line of Form K-120. TAXPAYER ASSISTANCE For questions or assistance in establishing a Small Employer Health Benefit Plan, contact the Kansas Insurance Department: 420 SW 9th St Topeka KS 66612-1678 Phone: 785-296-3071 Fax: 785-296-7850 For assistance in completing this schedule contact the Kansas Department of Revenue: Taxpayer Assistance Center Scott Office Building 120 SE 10th Ave PO Box 750260 Topeka KS 66699-0260 Phone: 785-368-8222 Fax: 785-291-3614 Additional copies of this credit schedule and other tax forms are available from our website at: ksrevenue.org
Extracted from PDF file 2019-kansas-form-k-57.pdf, last modified October 2019

More about the Kansas Form K-57 Corporate Income Tax Tax Credit TY 2019

We last updated the Small Employer Health Insurance Contribution Credits in March 2020, so this is the latest version of Form K-57, fully updated for tax year 2019. You can download or print current or past-year PDFs of Form K-57 directly from TaxFormFinder. You can print other Kansas tax forms here.

Other Kansas Corporate Income Tax Forms:

TaxFormFinder has an additional 73 Kansas income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form K-41 Fiduciary Income Tax
Form K-4 Employees Withholding Allowance Certificate
Form K-89 Rural Opportunity Zone Credit Instructions
Form K-120ES Corporate Estimated Tax Payment Vouchers
Form K-30 Angel Investor Credit

Download all KS tax forms View all 74 Kansas Income Tax Forms


Form Sources:

Kansas usually releases forms for the current tax year between January and April. We last updated Kansas Form K-57 from the Department of Revenue in March 2020.

Show Sources >

Form K-57 is a Kansas Corporate Income Tax form. States often have dozens of even hundreds of various tax credits, which, unlike deductions, provide a dollar-for-dollar reduction of tax liability. Some common tax credits apply to many taxpayers, while others only apply to extremely specific situations. In most cases, you will have to provide evidence to show that you are eligible for the tax credit, and calculate the amount of the credit to which you are entitled.

About the Corporate Income Tax

The IRS and most states require corporations to file an income tax return, with the exact filing requirements depending on the type of company.

Sole proprietorships or disregarded entities like LLCs are filed on Schedule C (or the state equivalent) of the owner's personal income tax return, flow-through entities like S Corporations or Partnerships are generally required to file an informational return equivilent to the IRS Form 1120S or Form 1065, and full corporations must file the equivalent of federal Form 1120 (and, unlike flow-through corporations, are often subject to a corporate tax liability).

Additional forms are available for a wide variety of specific entities and transactions including fiduciaries, nonprofits, and companies involved in other specific types of business.

Historical Past-Year Versions of Kansas Form K-57

We have a total of seven past-year versions of Form K-57 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2019 Form K-57

K-57 Kansas Small Employer Healthcare Credit Rev. 8-19

2018 Form K-57

K-57 Kansas Small Employer Healthcare Credit Rev. 8-17

2017 Form K-57

K-57 Kansas Small Employer Healthcare Credit Rev. 8-17

2016 Form K-57

K-57 Kansas Small Employer Healthcare Credit

Credit Schedules 2015 Form K-57

Small Employer HealthCare Credit K-57 (Rev. 7-14)

Credit Schedules 2013 Form K-57

K-57 Small Employer Healthcare Credit (Rev. 9-13)

Credit Schedules 2011 Form K-57

K-57 Small Employer Healthcare Credit (Rev. 8-11)


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