Tax Considerations for Aetna Employees Embracing Remote Work: What You Need to Know

Healthcare Provider Update: Healthcare Provider Information for Aetna Aetna, part of the CVS Health family, has been a key player in the Affordable Care Act (ACA) marketplace, providing health insurance plans to individuals and families. However, significant changes are on the horizon for 2026, as Aetna will exit the ACA marketplace in 17 states, impacting approximately 1 million members. This withdrawal is attributed to the company's challenges in maintaining competitiveness and providing value in a rapidly evolving healthcare landscape. Potential Healthcare Cost Increases in 2026 As the healthcare landscape shifts, substantial premium hikes are anticipated for those enrolled in ACA marketplace plans, with projections of up to 75% increases in out-of-pocket costs due to the potential loss of enhanced federal subsidies. In some states, insurers have filed for rate increases exceeding 60%, driven by surging medical costs and the expiration of premium tax credits established under the American Rescue Plan. For Aetna's former members, this change further complicates their healthcare landscape as they seek new insurance options amid heightened financial pressures. Click here to learn more

The COVID-19 pandemic has not only forced businesses to adopt remote work but has also accelerated a trend that was already on the rise. Even before the pandemic, the number of Americans working from home was increasing steadily. Between 2005 and 2019, the number of people regularly working remotely grew by an impressive 216% (GlobalWorkplaceAnalytics.com, 2021), especially for top companies. As millions of Americans have now begun to return to the office, the option to continue telecommuting either part- or full-time has become the norm (McKinsey and Company, 2022). However, while working from home offers numerous benefits, such as reduced commuting expenses and increased schedule flexibility, it also presents certain challenges in terms of tax obligations.

Here are four key tax issues to be mindful of if you work from home or employ remote workers at a company like Aetna:

1. Withholding Tax from Wages

The ability to work remotely has enabled many individuals to move to new states, both in metropolitan areas and smaller cities. This mobility can lead to withholding errors if you fail to promptly inform your payroll department about your change in residence. It is important to note that workers are required to have taxes withheld according to their state's tax rules, regardless of their employer's location. Neglecting to update your withholding information could result in a significant tax bill or even underpayment penalties when Tax Day arrives.

Additionally, some states mandate that employers withhold taxes from the wages of nonresident employees. For instance, the state of New York requires employers to withhold state income tax from nonresidents' wages.

2. Filing Returns in Multiple States

If you work in two or more states, it is likely that you will need to file a tax return for each state. This requirement arises because many states necessitate nonresident employees to pay state income taxes if they earned money within that state, regardless of their place of residence. Some states even mandate a tax return if you worked within their borders in any capacity, including for a business trip.

It is worth noting that individuals who live or work in one of the nine U.S. states that do not charge income tax—Alaska, Florida, Nevada, New Hampshire, South Dakota, Tennessee, Texas, Washington, and Wyoming—will not be obligated to report their income to that state.

3. Deducting Business Expenses

The Tax Cuts and Jobs Act of 2017, effective until 2025, eliminated many miscellaneous tax deductions, including unreimbursed business expenses. Consequently, any out-of-pocket expenses incurred while working from home that are not reimbursed by your employer cannot be deducted from your taxes. In previous tax law, workers were able to deduct certain out-of-pocket work-related expenses that exceeded 2% of their adjusted gross income. However, this deduction is scheduled to return in 2026.

On the other hand, if you are self-employed, you can still deduct many business expenses on Schedule C of your Form 1040.

4. Employing Workers in Multiple States

If you own a business in one state but have an employee working remotely in another state, you may be required to register your business in the employee's home state. This entails paying estimated taxes, filing tax returns, and fulfilling other reporting obligations to that state. If you find yourself in this situation, it is crucial to consult with a qualified tax professional who can guide you through the intricacies of state and federal tax laws.

In conclusion, taxes are complex, and the shift to remote work has further emphasized the importance of understanding your tax obligations, whether as an employee or an employer. If any of the aforementioned scenarios apply to you, it is highly recommended to meet with a tax advisor who can assist you in navigating the complexities of this evolving landscape.

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It is evident that the rise of remote work offers numerous advantages, such as increased flexibility and reduced expenses. However, it also brings about tax-related considerations that should not be overlooked. By staying informed and seeking expert guidance, individuals and businesses can ensure compliance with tax regulations and avoid potential pitfalls.