J.R.
Deductions for health care plans would only reduce taxable gross income if the employer chose to offer pre-tax contributions and met requirements under Section 125 to offer. Section 125 is the section of the tax code that people usually think of in connection with "cafeteria plans" but it applies to a premium conversion only plan as well, meaning that there is still a choice between "cash" and "non cash, non taxable" compensation. Some Section 125 requirements are pretty simple - like having the plan in writing and distributing to employees and making an annual choice. Other requirements, like non-discrimination requirements and annual testing might be the obstacle to offering pre tax contributions especially for a smaller employer. Check with your husband's employer - probably the payroll dept - to see if they are offering pre-tax contributions or not.