Choosing between Premium ACA Tax Credits and Roth Conversions
Health care is perhaps the most difficult decision in early retirement. Health care insurance is expensive; yet, the risk of inadequate coverage is potentially devastating.
For early retiree who has a healthy Tax Planning Window, it is not “Death and Taxes” that needs to be considered. It is: “Healthcare and Taxes.” And then death.
One interesting option for healthcare in early retirement is an ACA plan with Premium Tax Credits to offset the cost.
Let’s consider who should go for Premium ACA Tax Credits (for Obamacare) and who should pay full price in order to go for Roth conversions.
Save or Spend on Health Insurance in Early Retirement
Case #1 – Go for Premium ACA Credits
Let’s think about a couple retiring at 60. Call them Mr. and Mrs. Credit.
- $3M in assets: $1M in each brokerage, IRA, and Roth IRA
- Live a frugal life
- Goal: Actively donate to charity
Case #2 – Go for Roth Conversions
Another couple, Mr. and Mrs. Conversion, also plan to retire at 60.
- $5M in assets, $1.5M brokerage, $3.5M IRA
- Goal: Maximize legacy to children, including one with special needs
Well, what do you think the Credits and the Conversions should do for their healthcare in early retirement? Both couples have 5 years until Medicare.
Let’s look at the options and discuss which type of healthcare insurance would be a good fit.
Considerations for Healthcare in Early Retirement – Premium ACA Credits
Both couples look very closely at ACA plans and Premium Tax Credits.
If you keep your income less than 400% of the poverty limit in your state, you may be eligible for Premium ACA Tax Credits. With these tax credits, the IRS actually pays part of your premiums directly to the insurance company. At the end of the year, you have better stay below the magical MAGI number, because it is a cliff penalty! If you are a single dollar above the cliff, you might own the IRS all the money paid on your behalf to the insurance company.
The Credits think it will be a good fit for them! They have lots of money in their Roth accounts due to near continuous Roth IRAs and some Roth conversions while working. In addition, they have access to high-basis index funds in their brokerage accounts. They can live off the brokerage account without Capital Gain implications due to the high basis. And, GASP, they can utilize Roth money for living expenses as well!
Think about this for a second, they have no legacy concerns, so why do they need all that Roth money at the end of their lives? Of course, it is good to keep Roth accounts in a tax-deferred status, but they also have an IRA that will continue to grow tax-deferred. If your goal is charity, then use your Roth money in order to donate more always taxable money later!
They plan to take out enough pre-tax money to fill up their standard deduction and 10% tax bracket, and then live on the Roth money. When they are 62, they will get a reverse mortgage (Yes, reverse mortgages are for the wealthy too). This way, they keep MAGI low enough to get Premium ACA Tax Credits, pay less in taxes, and leave more behind to charity.
What about the Conversions? They could also keep their income low. They don’t, however, have the option to use Roth money, and they have a massive amount of money in a traditional IRA. Tick, Tick, Tick, taxes will be massive when RMDs start.
Considerations for Healthcare in Early Retirement—Roth Conversions
The Conversions have other priorities. They live modestly and want to leave behind as much money as they can for their 4 children.
While they have plenty of resources, they are considering Premium ACA Tax Credits because healthcare insurance is expected to cost them $26,000 a year in premiums. Plus, a $12,000 deductible!
They see their Magic MAGI number and can easily get there. They can pull out just enough from the IRA to fill up the standard deduction and the 10% tax bracket and still do about $20k a year in Roth conversions. Will that help them save in taxes over their entire lives and leave a legacy to their children?
Before we look at Roth conversions more closely, let’s see about MAGI.
Magic MAGI Number for Healthcare in Early Retirement
What is the magic MAGI number? MAGI is important to consider when you are looking at IRMAA and Premium ACA Tax Credits.
In essence, it is your Adjusted Gross Income, plus modifications.
To modify your AGI (for the ACA), add back 1) Non-taxable social security benefits 2) Tax-exempt interest and 3) non-investment Foreign income.
So, to get under the MAGI: control your AGI, don’t take social security, limit municipal bonds, don’t earn wages in a foreign country. Sounds pretty easy!
Does a roth conversion count as income for obamacare? Yes!
Back to the Conversions. Let’s consider their future tax liability and discuss Roth conversions in their Tax Planning Window.
The Tax Planning Window and Health Care in Early Retirement
Let’s take a look at each couple’s Tax Planning Window. As a reminder, the Tax Planning window opens up when you retire and no longer have income. It allows you to access your lower tax brackets in order to do tax planning for the future. The Tax Planning window starts to close when you are forced to take social security at 70, and RMDs at 72.
Let’s start with the Credits.
Credit’s Tax Planning Window
Above you can see the tax brackets and the required minimum distribution from the pre-tax money for the Credits.
From age 60-70, they have their standard deduction, and their 10 and 12% tax brackets that they can fill with ordinary income. This means they can pull money from the IRA and pay no or minimal taxes. In addition, they might consider Capital Gain Harvesting up to the limit of the 0% Capital Gain Bracket. They can also use their Roth accounts for tax free income, or a reverse mortgage.
Due to the conservative returns of their IRA, required minimum distributions stay under the 12% (which becomes the 15% in 2026) tax bracket throughout.
Special bonus for premium ACA tax credit planning when you are 63 and 64: you minimize IRMAA when you are 65 and 66! If you haven’t looking into IRMAA the hidden Tax, please do so!
Conversion’s Tax Planning Window
What about the Conversions?
The Conversions have different issues. They have a huge Required Minimum Distribution problem starting at the age of 72 (used to be 70 as reflected above).
Above, we have baseline in green, and Roth conversions in blue (the blue is a little hard to see as it sticks right to the top of the 22%/25% tax bracket the whole time).
Let’s start with the baseline scenario (no Roth conversions). Look at the green in the figure above. Without Roth conversions, their IRAs grow massively over time. As they don’t think they will need most of the money, the IRA is actually invested aggressively for their children. After de-risking to prevent sequence of return risk, they pick an asset allocation of 60/40 with a Rising Equity Glidepath.
Note that when required minimum distributions start without Roth Conversions (again, in green), they shoot up into the 28% tax bracket. This increases over time. Soon, counting state income taxes, they pay 40% taxes on their last dollars as they have filled up all the other brackets.
What about doing some Roth conversions?
In blue, they do aggressive Roth Conversions up to the 22% tax bracket. Note that these conversions keep the Conversions just under the 22/25% tax bracket for the foreseeable future.
Roth conversions are expected to save them almost $1M in tax payments if they live to be 90. Not too bad!
The back of the envelope math: spend 12-20k extra a year for health insurance now to save $1M over your lifetime in taxes. Since you get to spend (or give to your children) every dollar you save in taxes, it is an easy decision when you have a large IRA!
When it is not an easy decision, what factors should you consider when deciding on premium ACA tax credits or Roth conversions?
Factors to Determine if you Go for Premium ACA Tax Credits or do Roth Conversions
Remember to qualify for Premium ACA Tax Credits you need to keep your income low. If you are taking social security early, or have pensions or other sources of ordinary income, this may be difficult. Also, capital gains and qualified dividends count against you in the MAGI calculation.
Tax Diversification in Retirement Accounts
If you have good tax diversification (ie, money in all three type of accounts) by having lots of Roth, and no legacy goals for your Roth money, you can use this money for your living expenses. Conversely, if you have massive pre-tax accounts, likely you will need to do Roth conversions at some point to control your required minimum distributions in the future.
Other Tax-Free Sources of Income
Roth money is tax-free. Other sources of tax free income include: reverse mortgages or HELOCs, the cash value of permanent life insurance, high basis assets in your brokerage account, and loans on your brokerage assets. These can be used as buffer assets for sequence of return risk, or when you need to limit your taxable income to get tax credits.
If you want to leave a legacy to your heirs, Roth conversions are indicated. If you are leaving money for charities, you might as well give away your pre-tax money. See this excellent piece on leaving your money to heirs or consider maximizing your gifts to charity.
Does a Roth Conversion Count as Income for Obamacare?
So, does a roth conversion count as income for obamacare? Yes it does! You need to decide if the future tax savings from Roth conversions makes up to the loss of obomacare tax credits.
Conclusion Premium ACA Tax Credits or Roth Conversions
Should you go for Premium ACA Tax Credits or do Roth conversions?
For the Conversions, they could save thousands of dollars a year now if they go for ACA Premium Tax Credits. Or, they could save $1M in taxes over the course of their lifetimes. As their main goal is to leave a legacy to their heirs, the decision is easy!
For the Credits, they have access to Roth accounts and, later, a reverse mortgage. They easily keep their income low and receive maximum Premium ACA tax credits. They save $20k a year in health care premiums, and sail into traditional retirement with plenty of resources to last their lifetime
The Healthcare decision is difficult in early retirement. Healthcare insurance costs are outrageous, and only likely to get worse in the near future.
Understanding how to control your ordinary income, and planning for taxes not only now but for the rest of your life, can help you make the decision what type of healthcare is right for you in early retirement.