26 us code104 compensation for injuries or sickness form
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APPENDIX A(2) Treasury Regulation ¤ 104-1
Tres. Reg. ¤ 104.1. Compensation for injuries or sickness.(a) In general. Section 104(a) provides an exclusion from gross income
with respect to certain amounts described in paragraphs (b), (c), (d) and (e) of
this section, which are received for personal injuries or sickness, except to
the extent that such amounts are attributable to (but not in excess of)
deductions allowed under section 213 (relating to medical, etc., expenses) for
any prior taxable year. See section 213 and the regulations thereunder.
(b) Amounts received under workmen's compensation acts. Section 104(a)(1)
excludes from gross income amounts which are received by an employee under a
workmen's compensation act (such as the Longshoremen's and Harbor Workers'
Compensation Act, 33 U.S.C., c. 18), or under a statute in the nature of a
workmen's compensation act which provides compensation to employees for personal
injuries or sickness incurred in the course of employment. Section 104(a)(1)
also applies to compensation which is paid under a workmen's compensation act to
the survivor or survivors of a deceased employee. However, section 104(a)(1)
does not apply to a retirement pension or annuity to the extent that it is
determined by reference to the employee's age or length of service, or the
employee's prior contributions, even though the employee's retirement is
occasioned by an occupational injury or sickness. Section 104(a)(1) also does
not apply to amounts which are received as compensation for a nonoccupational
injury or sickness nor to amounts received as compensation for an occupational
injury or sickness to the extent that they are in excess of the amount provided
in the applicable workmen's compensation act or acts. See, however, ¤¤ 1.105-1
through 1.105-5 for rules relating to exclusion of such amounts from gross income.
(c) Damages received on account of personal injuries or sickness. Section
104(a)(2) excludes from gross income the amount of any damages received (whether
by suit or agreement) on account of personal injuries or sickness. The term
"damages received (whether by suit or agreement)" means an amount received
(other than workmen's compensation) through prosecution of a legal suit or
action based upon tort or tort type rights, or through a settlement agreement
entered into in lieu of such prosecution.
(d) Accident or health insurance. Section 104(a)(3) excludes from gross
income amounts received through accident or health insurance for personal
injuries or sickness (other than amounts received by an employee, to the extent
that such amounts (1) are attributable to contributions of the employer which
were not includible in the gross income of the employee, or (2) are paid by the
employer). Similar treatment is also accorded to amounts received under accident
or health plans and amounts received from sickness or disability funds. See
section 105(e) and ¤ 1.105-5. If, therefore, an individual purchases a policy
accident or health insurance out of his own funds, amounts received thereunder
for personal injuries or sickness are excludable from his gross income under
section 104(a)(3). See, however, section 213 and the regulations thereunder as
to the inclusion in gross income of amounts attributable to deductions allowed
under section 213 for any prior taxable year. Section 104(a)(3) also applies to
amounts received by an employee for personal injuries or sickness from a fund
which is maintained exclusively by employee contributions. Conversely, if an
employer is either the sole contributor to such a fund, or is the sole purchaser
of a policy of accident or health insurance for his employees (on either a group
or individual basis), the exclusion provided under section 104(a)(3) does not
apply to any amounts received by his employees through such fund or insurance.
If the employer and his employees contribute to a fund or purchase insurance
which pays accident or health benefits to employees, section 104(a)(3) does not
apply to amounts received thereunder by employees to the extent that such
amounts are attributable to the employer's contributions. See ¤ 1.105-1 for
rules relating to the determination of the amount attributable to employer
contributions. Although amounts paid by or on behalf of an employer to an
employee for personal injuries or sickness are not excludable from the
employee's gross income under section 104(a)(3), they may be excludable
therefrom under section 105. See ¤¤ 1.105-1 through 1.105-5, inclusive. For
treatment of accident or health benefits paid to or on behalf of a self-employed
individual by a trust described in section 401(a) which is exempt under section
501(a) or under a plan described in section 403(a), see paragraph (g) of ¤ 1.72- 15.(e) Amounts received as pensions, etc., for certain personal injuries or
sickness.
(1) Section 104(a)(4) excludes from gross income amounts which are
received as a pension, annuity, or similar allowance for personal injuries or
sickness resulting from active service in the armed forces of any country, or in
the Coast and Geodetic Survey, or the Public Health Service. For purposes of
this section, that part of the retired pay of a member of an armed force,
computed under formula No. 1 or 2 of 10 U.S.C. 1401, or under 10 U.S.C. 1402(d),
on the basis of years of service, which exceeds the retired pay that he would
receive if it were computed on the basis of percentage of disability is not
considered as a pension, annuity, or similar allowance for personal injury or
sickness, resulting from active service in the armed forces of any country, or
in the Coast and Geodetic Survey or the Public Health Service (see 10 U.S.C.
1403 (formerly 37 U.S.C. 272(h), section 402(h) of the Career Compensation Act
of 1949)). See paragraph (a)(3)(i)(a) of ¤ 1.105-4 for the treatment of retired
pay in excess of the part computed on the basis of percentage of disability as
amounts received through a wage continuation plan. For the rules relating to
certain reduced uniformed services retirement pay, see paragraph (c)(2) of ¤
1.122-1. For rules relating to a waiver by a member or former member of the
uniformed services of a portion of disability retired pay in favor of a pension
or compensation receivable under the laws administered by the Veterans
Administration (38 U.S.C. 3105), see ¤ 1.122-1(c)(3). For rules relating to a
reduction of the disability retired pay of a member or former member of the
uniformed services under the Dual Compensation Act of 1964 (5 U.S.C. 5531) by
reason of Federal employment, see ¤ 1.122-1(c)(4).
(2) Section 104(a)(4) excludes from gross income amounts which are
received by a participant in the Foreign Service Retirement and Disability
System in a taxable year of such participant ending after September 8, 1960, as
a disability annuity payable under the provisions of section 831 of the Foreign
Service Act of 1946, as amended (22 U.S.C. 1081); 60 Stat. 1021). However, if
any amount is received by a survivor of a disabled or incapacitated participant,
such amount is not excluded from gross income by reason of the provisions of
section 104(a)(4).
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