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A query was raised regarding whether health insurance premiums paid by a company for an employee and their family constitute exempt benefits in kind. The Directorate General for Taxes (DGT) ruled that it depends on whether the payment is a reimbursement of expenses or an agreed benefit in kind.
Cuestión planteada Aplicación del artículo 42.3:c) de la Ley 35/2006 al pago por la empresa (dentro de un plan de retribución flexible) de las cuotas de un seguro médico correspondientes al trabajador, su cónyuge y dos hijos (uno mayor de 25 años y otro menor de esa edad). El importe de las cuotas es de 480,00€ por cada uno de ellos, por lo que su importe total es de 1.920,00€, no superando el 30% de la retribución bruta total.
Si la empresa paga el seguro por mandato del empleado (mediación de pago), se considera retribución dineraria. Si la retribución en especie está pactada en el contrato o convenio, las cuotas de seguro de enfermedad están exentas hasta 500 euros anuales por persona (o 1.500 si tienen discapacidad).
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