Sri Lanka: Tax Treatment of Employer-Paid Medical Expenses

When employer-funded health benefits qualify for income tax exemption in Sri Lanka

A client sought clarity on whether reimbursements made to Sri-Lankan employees for medical-related expenses could be excluded from taxable employment income.They wanted to know whether employer payments for health-related costs qualified for exemption under employment income tax rules.

Relevant Legislation

In Sri Lanka, Section 5(3)(c) provides that

‘In calculating an individual’s gains and profits from an employment for a year of assessment the following shall be excluded:

(c) a discharge or reimbursement of the person’s dental, medical or health insurance expenses where the benefit is available to all full-time employees on equal terms;’

This provision establishes a clear exemption, but only where specific conditions are met.

Conditions for the Exemption to Apply

For the exemption to be valid, all of the following three requirements must be satisfied:

1. Discharge or Reimbursement

Discharge implies that the Sri Lankan employee has a legal obligation to pay the medical, dental, or health insurance expense, which is then settled by the employer.

Reimbursement means the employee has already paid the expense personally and is later repaid by the employer.

Payments that do not meet one of these two criteria may be regarded as additional remuneration and become taxable.

“A discharge or reimbursement of the person’s dental, medical or health insurance expenses where the benefit is available to all full-time employees on equal terms.”
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2. Nature of the Expense

According to Sri Lankan legislation, the exemption applies strictly to:

  1. Dental expenses
  2. Medical expenses
  3. Health insurance expenses

Other wellness or healthcare-related benefits that fall outside these categories may not qualify.

3. Equal and Universal Availability

The benefit must be:

  • Available to all full-time employees, and
  • Provided on equal terms, without preferential treatment for specific individuals or groups.

If access to the benefit is restricted or applied inconsistently, the exemption may be disallowed.

𝘐𝘧 𝘢𝘯 𝘦𝘮𝘱𝘭𝘰𝘺𝘦𝘳 𝘩𝘢𝘴 𝘢𝘯𝘺 𝘶𝘯𝘤𝘦𝘳𝘵𝘢𝘪𝘯𝘵𝘺 𝘢𝘣𝘰𝘶𝘵 𝘸𝘩𝘦𝘵𝘩𝘦𝘳 𝘵𝘩𝘦 𝘢𝘣𝘰𝘷𝘦 𝘢𝘱𝘱𝘭𝘪𝘦𝘴 𝘵𝘰 𝘵𝘩𝘦𝘪𝘳 𝘦𝘮𝘱𝘭𝘰𝘺𝘦𝘦𝘴, 𝘪𝘵 𝘪𝘴 𝘳𝘦𝘤𝘰𝘮𝘮𝘦𝘯𝘥𝘦𝘥 𝘵𝘩𝘢𝘵 𝘭𝘦𝘨𝘢𝘭 𝘢𝘥𝘷𝘪𝘤𝘦 𝘣𝘦 𝘴𝘰𝘶𝘨𝘩𝘵.

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If this article raised questions or highlighted areas you’d like to understand better, let’s talk.Our team can walk through the details, implications, and practical considerations for your business.

Deoné Ferreira
Tax Manager, Praxima