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Tax Planning

Net Investment Income Tax (NIIT) & Medicare Surtax

High earners face two additional taxes above the standard rates: the 3.8% Net Investment Income Tax and the 0.9% Additional Medicare Tax. Understanding what triggers these surtaxes and how to manage exposure can save thousands annually.

Net Investment Income Tax (NIIT) & Medicare Surtax

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The 3.8% NIIT Explained

  • Applies to the LESSER of net investment income OR the amount by which MAGI exceeds the threshold
  • Thresholds: $250,000 (married filing jointly), $200,000 (single), NOT indexed for inflation
  • Investment income includes: interest, dividends, capital gains, rental income, royalties, passive business income
  • Does NOT apply to: wages, self-employment income, tax-exempt interest, retirement plan distributions

Full Guide

The 3.8% NIIT Explained

  • Applies to the LESSER of net investment income OR the amount by which MAGI exceeds the threshold
  • Thresholds: $250,000 (married filing jointly), $200,000 (single), NOT indexed for inflation
  • Investment income includes: interest, dividends, capital gains, rental income, royalties, passive business income
  • Does NOT apply to: wages, self-employment income, tax-exempt interest, retirement plan distributions

The 0.9% Additional Medicare Tax

  • Applies to wages and self-employment income above $250,000 (MFJ) or $200,000 (single)
  • Unlike NIIT, this surtax applies to earned income, not investment income
  • Employers withhold the additional 0.9% only on the individual employee's wages exceeding $200,000
  • For married couples with two earners, underwithholding is common and estimated payments may be needed

When Both Surtaxes Apply

  • A high-earning tech professional with significant investment income can face both taxes simultaneously
  • Combined effect: wages above threshold pay 0.9% surtax + investment income pays 3.8% NIIT
  • Example: $400K wages + $100K investment income → 0.9% on $150K wages + 3.8% on $100K NIIT
  • Total surtax exposure can easily exceed $5,000-$10,000+ annually for high earners

Strategies to Reduce NIIT

  • Shift investments to tax-exempt municipal bonds (interest is excluded from net investment income)
  • Maximize contributions to retirement accounts, distributions are not investment income for NIIT purposes
  • Consider installment sales to spread capital gains across multiple years and manage threshold exposure
  • Invest in qualified opportunity zone funds, deferred gains may reduce current-year NIIT exposure

MAGI Management Tactics

  • Charitable contributions to a donor-advised fund in high-income years can reduce MAGI
  • Timing of Roth conversions matters, conversions increase MAGI and can trigger or increase NIIT
  • Harvesting capital losses offsets gains and directly reduces net investment income
  • Business owners: material participation in a trade or business can reclassify income as non-passive (excludes from NIIT)

Key Takeaways

  • The NIIT and Medicare surtax thresholds are not inflation-adjusted, more taxpayers are affected each year
  • Proactive MAGI management and investment income timing can meaningfully reduce surtax exposure
  • Retirement account contributions and tax-exempt investments provide structural NIIT reduction
  • Work with a tax advisor to model your surtax exposure and develop a multi-year reduction strategy