How the DGT's position has evolved
Current position
Health insurance premiums paid by the company do not constitute benefits in kind if they do not exceed 500 euros per year per person, with no age limit for descendants (children, grandchildren, or great-grandchildren). For the application of minimums due to disability or family circumstances, the status of the descendant must be proven on the tax accrual date. The deduction for donations can only be applied to the affiliate's own contributions and cannot be extended to those of their descendants.
The DGT's position remains constant regarding the exemption of health insurance premiums, confirming that there is no age limit for covered descendants. A differentiated technical application is observed depending on the tax: while in Personal Income Tax (IRPF) the descendant may be included for the calculation of withholdings, in the deduction for donations, the benefit cannot be extended to the descendants' contributions. The doctrine reaffirms the need to prove the disability status on the accrual date to apply minimums.
Analysis based on 17 of 18 rulings with a stated position. Updated 25 September 2026.