Skip to main content
Skip table of contents

Completing the Private Health Insurance labels

This support note applies to:

  • AO Tax (AU)
  • AE Tax Series 6 & 8 (AU)
  • AE Tax (AU)
Article ID: 36454

Legislation contained in the Private Health Insurance Legislation Amendment Bill 2014 (the Bill) introduces changes to the calculation of the private health insurance rebate (PHIR) which take effect from 1 July 2013.

On 1 April each year (commencing 1 April 2014), a single rebate adjustment factor will be applied to all insurance products.  This adjusts the rebate percentage received by individuals. This Knowledge Base article will assist with reconciling the information you receive from the taxpayer and where this information should appear in the PHI area of the 2014 onwards income tax return.

The following areas provides information on the Private Health Insurance changes:

Fund Statements

Each member of a health fund will be provided with a statement from the fund containing at least two (2) entries covering both the first and second periods.  Those members who only joined a health fund in the last period, 1 April to 30 June, there will be only one entry for the second period and also a member who ended the health insurance in the first period, 1 July to 31 March, there will only be one entry for the first period.  For partnered taxpayers with whole year cover, there would be four (4) or more entries which will included the following information as relevant:

  1. First period of the income year being 1 July 201X to 31 March 201X; and
  2. Second period of the income year being 1 April 201X to 30 June 201X.
Item H Data Entry

To calculate the PHIR you need to enter the details into the PHI worksheet located at Item H Private health insurance policy details.

The PHI worksheet provides for the following:

  1. A set of fields for Period 1;
  2. A set of fields for Period 2 and
  3. Partnered taxpayers:  where one spouse may claim for both.
Tax Claim Code

The Tax Claim Code is the only code not provided by the Private Health Insurer or MYOB.  It is the sole responsibility of the Tax Agent to determine the correct Tax Claim Code to use.  The Tax Claim Code is required together with the Benefit Code to determine whether the taxpayer is entitled to a rebate or has a tax debt, due to a reduced rebate being calculated.
While the Tax Claim Codes from the 2013 tax year have not changed, to determine the correct Tax Claim Code to use, you will need to confer with your client and consider reviewing the link provided below to the ATO Tax Claim Codes.
 ATO - Tax Claim Codes

[F4] Estimate

The threshold and rates used by MYOB Tax are the same as listed on the ATO website.  Please find both a link to the ATO website and a copy of the thresholds and rates implemented by MYOB Tax below.

ATO: Private health insurance income thresholds for 2012-13 and 2013-14.

If you would like to check the estimate this can be done using the ATO Private Health Insurance Rebate Calculator

Life Time Health Cover Loading (LHC)

The Australian Government legislated that from 1 July 2013, the PHIR is no longer payable on the lifetime health cover loading component of private health insurance premiums.
The lifetime health cover loading is a penalty that generally applies when a person has not taken out and maintained private health insurance from the year that they become 31 years of age.  If this applies to you, the amount showing as "Your Premiums eligible for Australian Government rebate" at Label J on the private health insurers annual fund statement has already been adjusted to remove the lifetime health cover loading.
Commencing from 1 April 2014, the Australian Government PHIR will be adjusted annually by the proportional increase in the Consumer Price Index (CPI) compared to the proportional increase in the average premium.
If the private health insurance premiums were paid before 1 April 2014, your private health insurance statement will show the information for these periods in separate lines. In MYOB Tax you will need to complete a separate PHI worksheet for each Health Fund.

Examples for completing PHIR

The following examples will help illustrate the steps needed to complete the PHI details in MYOB Tax.

Under the new rules the offset may be reduced, and where the taxpayer has received too much government rebate a tax debt may result. 
Example of Single taxpayer

In this example we will assume that the following information about this taxpayer is contained in the Private Health Insurer's Annual Statement:

  • Individual is 40 years of age.
  • Individual is single with no dependants.
  • Income for PHI rebate purposes is $86,000.
  • Individual did not claim any premium reductions during the year.
  • Individual did not pay any Lifetime Health Cover (LHC) loading.

The taxpayer paid premiums of:

  • $900 for Period 1 July 2013 to 31 March 2014 (period 1 = 9 months).
  • $315 for Period 2 April 2014 to 30 June 2014 (period 2 = 3 months).

You will now be stepped through entering this information into the PHI area of MYOB Tax. 

Completing PHI details

Perform the following instructions from within the individual tax return:

  1. Click the Medicare tab. The contents of the Medicare tab displays.
  2. At Item H at the prompt Enter private health insurance details type Y and press Enter. The Private Health Insurance Policy Details (PHI) worksheet opens.
  3. Enter the following amounts at the applicable labels from the information provided in the example above:

    Period

    Label J

    Label K

    Label L

    1

    900

    0

    30

    2

    315

    0

    31

     


    The above image displays a 2014 Tax Return worksheet.  For future years, only the period dates will change. 
  4. Press F6 to save and close the PHI worksheet. The tax return appears.

MYOB Tax Calculation

MYOB estimate will calculate Private Health Insurance Offset or the Excess Private Health Insurance reduction according to the ATO guidelines.

Example for a Partnered taxpayer claiming for a spouse

In this example we assume that the following information is contained in the Private Health Insurers Annual Statement.

Here the taxpayer is married and may only claim for the spouse if they both had equal rights and benefits in the health fund policy.  This means that apart from the Tax Claim Code, the taxpayer and the spouse's entries are identical in every respect.

In this example, the taxpayer and the spouse:

  • Aged between 65 and 69 years of age,
  • They are married with no dependants and
  • They have a combined adjusted taxable income for PHI rebate purposes of $198,500.

The taxpayer did not:

  • Claim any premium reductions during the year and
  • Did not pay any Lifetime Health Care (LHC) loading.

The taxpayer paid premiums of:

  • $1,320 for Period 1 July 201X to 31 March 201Y (period 1 = 9 months).
  • $400 for Period 2 April 201X to 30 June 201Y (period 2 = 3 months).
Completing the PHI details
  1. Click the Medicare tab. The contents of the Medicare tab appears.
  2. At Item H at the prompt Enter private health insurance details type Y and press Enter. The Private Health Insurance Policy Details (PHI) worksheet opens.
  3. Enter the following amounts at the applicable labels from the information provided in the example above:

    Period

    Label J

    Label K

    Label L

    1

    1320

    0

    35

    2

    400

    0

    36

    IMPORTANT:  When entering the premiums paid you will need to enter exactly what appears in the Private Health Insurer's Annual Statement.  If you have any queries on what values to enter into the tax return, you will need to contact the Private Health Insurer directly.

  4. Click the ellipses [...] button at the Tax claim code field and select code C.
    Note:  For partnered taxpayers, the taxpayer's tax claim code is 'C'.  This is irrespective of whether the spouse died during the year.  Where the taxpayer is claiming the PHIR for their spouse in their return, the code for the spouse's entry is 'D'.


  5. Click the ellipses [...] button and at the question 'Are you claiming for your spouse and have you received your spouse's permission?' type Y. A set of details identical to those entered for the taxpayer appears in the spouse fields and the Tax Claim code is correctly set to 'D'.
  6. Press F6 to save and close the PHI worksheet. The tax return appears.


    MYOB Tax Calculation

    MYOB estimate will calculate Private Health Insurance Offset or the Excess Private Health Insurance reduction according to the ATO guidelines.

    What if the spouse has a slightly different PHI claim to the taxpayer?

    If the taxpayer and spouse claims are not identical in every respect for both periods, then the spouse is to complete a separate set of entries, for each relevant period or periods, in their tax return.

 
Entering 3 PHI periods for the same taxpayer

There are circumstances where a taxpayer has three periods of data to input.  An example of this is where the taxpayer has not changed their insurer but has changed into a different benefit code during the tax year (due to a change in their age).  In this case you will find that the taxpayer will have PHI data for 3 periods.

In this example the taxpayer has two entries for Period 1 and only one entry for Period 2.  This is because the taxpayer had changed into the next Benefit Code as they had their 70th birthday on 1 December 201X.  

This is entered into MYOB Tax by creating two PHI worksheets.

To complete the PHI details
  1. Click the Medicare tab.
  2. At Item H at the prompt Enter private health insurance details type Y and press Enter. The Private Health Insurance Policy Details (PHI) worksheet opens.
  3. Enter the following amounts at the applicable labels from the information provided in the example above:

    Period

    Label J

    Label K

    Label L

    1

    1330

    467

    35

  4. Press F6 to save and close the PHI worksheet.  The Select Schedule window appears.
  5. Click New.  A new Private Health Insurance Policy Details window opens.
  6. Enter the following amounts at the applicable labels from the information provided in the example above:

    Period

    Label J

    Label K

    Label L

    1

    689

    276

    40

    2

    720

    295

    41

  7. Your PHI worksheet will display as follows:
  8. Press F6 to save and close the second PHI worksheet.
  9. Click Close
JavaScript errors detected

Please note, these errors can depend on your browser setup.

If this problem persists, please contact our support.