Personal Injury Settlements & Taxes

Close-up of a personal injury claim form with a stethoscope, calculator, and cash, indicating healthcare expenses.

Are personal injury settlements taxable? For most Floridians who were hurt and recovered money for medical bills, pain tied to real bodily harm, or lost function, the core of that payout is not taxed under Internal Revenue Code §104(a)(2). But portions like punitive damages, interest, and payments for purely emotional distress (without a physical component) are taxable—and the IRS starts from the premise that everything is income unless a statute says otherwise.

If you want that money to stay in your pocket instead of being siphoned off by the IRS, the wording of your release matters, the way fees are handled matters, and timing matters. Buchalter Hoffman and Dorchak—personal injury attorneys in Miami trusted for over 40 years—can draft and negotiate settlement language with tax fallout in mind. Call 305‑891‑0211 now or fill this out for a comprehensive case review.

All Income Is Taxable (Unless You Point to an Exclusion)

IRC §61 treats every dollar you receive as taxable income unless a statute carves it out. For injury claimants, that statute is §104(a)(2). It excludes damages paid “on account of” personal physical injuries or physical sickness. The key words are “on account of.” You must connect the check to torn ligaments, fractures, nerve damage—something your medical file can verify. If the IRS concludes the payment compensated reputation harm, breach of contract, or a silence agreement, the exclusion collapses and the amount becomes taxable.

Florida’s lack of a state income tax eases the bill, but it does not keep federal auditors away. Revenue agents read complaints, mediation summaries, and signed releases to see how each dollar was described. Vague language invites reallocations. Treat your settlement agreement like an audit binder: state that the harm was physical, reference medical records, and tie every category of damages to that harm.

Congress narrowed §104 in 1996. Emotional distress standing alone is taxable. Reimbursement for therapy or medication may still be excluded, but general anxiety or humiliation is not. Lost wages follow the same origin‑of‑the‑claim test. If you missed work because a back injury sidelined you, those wages ride under §104. If the money stems from discrimination or retaliation, it does not.

Some buckets are always taxable: punitive damages, pre‑ and post‑judgment interest, and confidentiality buyouts. Under Commissioner v. Banks, the government can treat your lawyer’s contingency fee as your income on taxable portions unless another statute grants an above‑the‑line deduction. Recapturing prior medical deductions can also be required if earlier write‑offs were later reimbursed.

Assume everything will be taxed, then carve out what you can prove belongs under §104(a)(2). Separate taxable items in the release, match them to proper tax forms (W‑2 for wages, 1099‑INT for interest, 1099‑MISC for other income), and keep lien payoff letters. Watch constructive receipt: once funds are unconditionally available, the clock starts; structures or a qualified settlement fund must be in place before you touch the money to preserve exclusion benefits.

Physical Injury Compensatory Damages

Money you receive to treat, heal, or compensate for a physical injury or sickness is generally excluded from gross income. That covers:

Courts look to the “origin of the claim.” If the complaint and release spell out that the harm was physical, exclusion stands. If the settlement says “emotional distress” without medical evidence of bodily harm, expect the IRS to tax it. 

Punitive Damages, Interest & Other Taxable Settlement Pieces

Not every dollar in a settlement is shielded by Internal Revenue Code §104(a)(2). Several categories are squarely taxable and deserve careful labeling in the release. First, punitive damages: the Supreme Court in O’Gilvie v. United States, 519 U.S. 79 (1996), confirmed they count as taxable income even when the underlying injury is physical. Think of punitives as a penalty on the defendant, not compensation to make you whole—so the IRS wants its share.

Second, pre‑ and post‑judgment interest—the extra money added while a case winds through appeal or while payment is delayed—is taxed as ordinary interest income. Whether the check says “interest” or “statutory interest,” it goes on your return just like bank interest.

Third, emotional‑distress damages are taxable unless they stem from a documented physical injury or you’re being reimbursed for medical treatment of that distress. Sleepless nights, anxiety, or humiliation without a bodily component fall outside §104’s exclusion. If you incurred therapy bills, the reimbursement portion can be excluded, but anything above that is generally taxable.

Fourth, confidentiality buyouts—extra dollars paid so you won’t speak about the case—are taxable because they compensate you for a covenant, not an injury. The same goes for amounts tied to non‑physical employment claims such as discrimination or defamation; those are typically taxable wages or other income.

Finally, attorney’s fees can sting. Under Commissioner v. Banks, the government treats the gross settlement as your income, even if the lawyer is paid directly. Limited “above‑the‑line” deductions exist for certain statutes (e.g., unlawful discrimination claims under IRC §62(a)(20)), but most garden‑variety bodily‑injury torts don’t qualify. The takeaway: spell out each category—punitive, interest, emotional distress, confidentiality, and fee allocations—so you can budget for the tax bill and keep the non‑taxable core of your recovery intact.

Drafting the Release

The settlement agreement is the document the IRS will read first, so treat it as your tax blueprint. Spell out that the harm was physical and tie every dollar to that bodily injury or sickness. Refer to medical records, diagnostic codes, and surgical reports right in the recitals or an attached exhibit. That paper trail shows the money was paid “on account of” a qualifying injury—not for something the IRS taxes.

Next, segregate every taxable category. Punitive damages, pre‑ or post‑judgment interest, and any payment for a confidentiality clause should appear in their own paragraphs with their own figures. When taxable and non‑taxable amounts are lumped together, auditors assume the worst. Clear labeling preserves the exclusion for medical bills, lost income tied to the injury, and pain and suffering tied to genuine physical harm.

If a slice of the settlement represents wages, decide upfront whether it’s reported on a W‑2 (with withholding and payroll taxes) or a 1099. Misclassification can trigger penalties, back withholding, or a personal audit. Coordinate with defense counsel and the insurer so the tax forms match the language in the release.

Don’t ignore liens and subrogation rights—Medicare, Medicaid, Tricare, workers’ compensation carriers, and private health insurers must often be repaid. Reimbursements don’t change whether the settlement is taxable, but they hit your net recovery and may influence what you can deduct. State clearly who pays which lien and from which portion of the settlement.

Finally, insist on precision. One loose sentence can turn an excluded damage award into taxable income. Our North Miami personal injury lawyers deal with insurers daily and know how to keep taxable buckets distinct from the non‑taxable core. Careful drafting today prevents a costly dispute with the IRS tomorrow.

Ready to Keep More of Your Settlement?

Choose a firm that drafts with the IRS in mind. Buchalter Hoffman and Dorchak will align your settlement language with §104(a)(2), isolate taxable pieces, and protect every dollar you earned through recovery. Florida has no state income tax, but the federal rules are unforgiving—let seasoned South Florida lawyers handle both the insurance battle and the tax traps. Call 305‑891‑0211 or contact us today to put our 40+ years of experience to work.

Request a Free Consultation

Fill out the form below to recieve a free and confidential initial consultation.