Is Medical Aid Taxable if Paid by the Employer in Kenya?

A case study investigating medical aid contributions in Kenya

One of our Praxima clients recently reached out with a compliance query regarding their Kenyan employeeโ€™s taxation of employer-paid medical aid. According to current statutory employee benefits, employees contribute up to KES 1,700 towards their health insurance and employers must deduct and remit National Hospital Insurance Fund (NHIF) contributions monthly. Premiums paid for education, health, or life insurance policies can be tax-deductible if the employee provides proof of payment and the policy has a maturity period of at least 10 years. The deduction is 15% of the premiums paid, capped at KES 5,000 per month or KES 60,000 annually.ย 

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The client wanted to know:

๐˜๐˜ฏ ๐˜’๐˜ฆ๐˜ฏ๐˜บ๐˜ข, ๐˜ช๐˜ด ๐˜ฆ๐˜ฎ๐˜ฑ๐˜ญ๐˜ฐ๐˜บ๐˜ฆ๐˜ณ-๐˜ฑ๐˜ข๐˜ช๐˜ฅ ๐˜ฎ๐˜ฆ๐˜ฅ๐˜ช๐˜ค๐˜ข๐˜ญ ๐˜ข๐˜ช๐˜ฅ ๐˜ต๐˜ข๐˜น๐˜ข๐˜ฃ๐˜ญ๐˜ฆ?

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Each country has its own laws regarding taxation of employer-paid medical aid. The answer for Kenya actually depends on the insurance provider of the medical aid.

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The benefit is not taxable, provided it is offered through an insurance provider approved by the Commissioner of Insurance.

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According to Section 3(2)(a)(ii) of the Income Tax Act (CAP 470), income subject to tax includes gains or profits from employment or services rendered.

However, Section 5(4)(b) specifically excludes:

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โ€œ๐˜ต๐˜ฉ๐˜ฆ ๐˜ท๐˜ข๐˜ญ๐˜ถ๐˜ฆ ๐˜ฐ๐˜ง ๐˜ฎ๐˜ฆ๐˜ฅ๐˜ช๐˜ค๐˜ข๐˜ญ ๐˜ช๐˜ฏ๐˜ด๐˜ถ๐˜ณ๐˜ข๐˜ฏ๐˜ค๐˜ฆ ๐˜ฑ๐˜ณ๐˜ฐ๐˜ท๐˜ช๐˜ฅ๐˜ฆ๐˜ฅ ๐˜ฃ๐˜บ ๐˜ข๐˜ฏ ๐˜ช๐˜ฏ๐˜ด๐˜ถ๐˜ณ๐˜ข๐˜ฏ๐˜ค๐˜ฆ ๐˜ฑ๐˜ณ๐˜ฐ๐˜ท๐˜ช๐˜ฅ๐˜ฆ๐˜ณ ๐˜ข๐˜ฑ๐˜ฑ๐˜ณ๐˜ฐ๐˜ท๐˜ฆ๐˜ฅ ๐˜ฃ๐˜บ ๐˜ต๐˜ฉ๐˜ฆ ๐˜Š๐˜ฐ๐˜ฎ๐˜ฎ๐˜ช๐˜ด๐˜ด๐˜ช๐˜ฐ๐˜ฏ๐˜ฆ๐˜ณ ๐˜ฐ๐˜ง ๐˜๐˜ฏ๐˜ด๐˜ถ๐˜ณ๐˜ข๐˜ฏ๐˜ค๐˜ฆ ๐˜ข๐˜ฏ๐˜ฅ ๐˜ฑ๐˜ข๐˜ช๐˜ฅ ๐˜ง๐˜ฐ๐˜ณ ๐˜ฃ๐˜บ ๐˜ต๐˜ฉ๐˜ฆ ๐˜ฆ๐˜ฎ๐˜ฑ๐˜ญ๐˜ฐ๐˜บ๐˜ฆ๐˜ณ ๐˜ฐ๐˜ฏ ๐˜ฃ๐˜ฆ๐˜ฉ๐˜ข๐˜ญ๐˜ง ๐˜ฐ๐˜ง ๐˜ข ๐˜ง๐˜ถ๐˜ญ๐˜ญ-๐˜ต๐˜ช๐˜ฎ๐˜ฆ ๐˜ฆ๐˜ฎ๐˜ฑ๐˜ญ๐˜ฐ๐˜บ๐˜ฆ๐˜ฆ ๐˜ฐ๐˜ณ ๐˜ฉ๐˜ช๐˜ด ๐˜ฃ๐˜ฆ๐˜ฏ๐˜ฆ๐˜ง๐˜ช๐˜ค๐˜ช๐˜ข๐˜ณ๐˜ช๐˜ฆ๐˜ด.โ€

Employer-paid medical aid is not taxable in Kenya, provided it is offered through an insurance provider approved by the Commissioner of Insurance.

An important caveat applies to directors:

For directors other than whole-time service directors, the value of such medical insurance is taxable, ๐˜€๐˜‚๐—ฏ๐—ท๐—ฒ๐—ฐ๐˜ ๐˜๐—ผ ๐—น๐—ถ๐—บ๐—ถ๐˜๐˜€ ๐—ฝ๐—ฟ๐—ฒ๐˜€๐—ฐ๐—ฟ๐—ถ๐—ฏ๐—ฒ๐—ฑ ๐—ฏ๐˜† ๐˜๐—ต๐—ฒ ๐—–๐—ฎ๐—ฏ๐—ถ๐—ป๐—ฒ๐˜ ๐—ฆ๐—ฒ๐—ฐ๐—ฟ๐—ฒ๐˜๐—ฎ๐—ฟ๐˜† ๐—ณ๐—ฟ๐—ผ๐—บ ๐˜๐—ถ๐—บ๐—ฒ ๐˜๐—ผ ๐˜๐—ถ๐—บ๐—ฒ.

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Employer-paid medical cover in Kenya is therefore generally a ๐—ป๐—ผ๐—ป-๐˜๐—ฎ๐˜…๐—ฎ๐—ฏ๐—น๐—ฒ ๐—ฏ๐—ฒ๐—ป๐—ฒ๐—ณ๐—ถ๐˜ for full-time employees, provided it complies with the statutory requirements.

๐˜๐˜ง ๐˜ข๐˜ฏ ๐˜ฆ๐˜ฎ๐˜ฑ๐˜ญ๐˜ฐ๐˜บ๐˜ฆ๐˜ณ ๐˜ฉ๐˜ข๐˜ด ๐˜ข๐˜ฏ๐˜บ ๐˜ถ๐˜ฏ๐˜ค๐˜ฆ๐˜ณ๐˜ต๐˜ข๐˜ช๐˜ฏ๐˜ต๐˜บ ๐˜ข๐˜ฃ๐˜ฐ๐˜ถ๐˜ต ๐˜ธ๐˜ฉ๐˜ฆ๐˜ต๐˜ฉ๐˜ฆ๐˜ณ ๐˜ต๐˜ฉ๐˜ฆ ๐˜ข๐˜ฃ๐˜ฐ๐˜ท๐˜ฆ ๐˜ข๐˜ฑ๐˜ฑ๐˜ญ๐˜ช๐˜ฆ๐˜ด ๐˜ต๐˜ฐ ๐˜ต๐˜ฉ๐˜ฆ๐˜ช๐˜ณ ๐˜ฆ๐˜ฎ๐˜ฑ๐˜ญ๐˜ฐ๐˜บ๐˜ฆ๐˜ฆ๐˜ด, ๐˜ช๐˜ต ๐˜ช๐˜ด ๐˜ณ๐˜ฆ๐˜ค๐˜ฐ๐˜ฎ๐˜ฎ๐˜ฆ๐˜ฏ๐˜ฅ๐˜ฆ๐˜ฅ ๐˜ต๐˜ฉ๐˜ข๐˜ต ๐˜ญ๐˜ฆ๐˜จ๐˜ข๐˜ญ ๐˜ข๐˜ฅ๐˜ท๐˜ช๐˜ค๐˜ฆ ๐˜ฃ๐˜ฆ ๐˜ด๐˜ฐ๐˜ถ๐˜จ๐˜ฉ๐˜ต.
Deonรฉ Ferreira
Tax Manager, Praxima