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Deductions & credits
I did have W2 wages in 2021 and I had ACA health insurance but paid that with personal funds, and not thru the firm.
That's a SCH A itemized deduction on your personal 1040 tax return.
For 2022 I'm off the ACA and have a group health insurance plan. So it seems it's not possible to prepay a single year, 2022?
Depends on the rules of the plan, of which the plan administrator should be able to give you a definitive answer on that. For example, I would expect that if plan coverage begins on Jan 1, you would have to make at least one payment prior to that. But from my extremely limited experience with employer provided healthcare (and I mean very limited) plan coverage generally will start at the end of the 1QFY or the start of the 2QFY, which is the March-April timeframe for a business that does calendar year fiscals. But you really need to talk with the plan administrator, as I've been "out of touch" with this stuff for well over 15 years now.