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IRMAA life-changing events › Employer settlement payment

IRMAA and an employer settlement payment

You got a settlement payment from an employer or former employer because of its bankruptcy or reorganization. If that lowered your income, Social Security can set your IRMAA from the newer, lower year instead of your income from two years ago. You ask with Form SSA-44 and tick "Employer Settlement Payment".

Does it qualify?

Counts

  • A payment from your employer's bankruptcy
  • A payment from your employer's reorganization

Doesn't count

  • A normal bonus
  • A severance package
  • A lawsuit award

Worked example: George, paid a one-time settlement in 2024

George's former employer went bankrupt. In November 2024 he received a $58,000 settlement payment from the bankruptcy. It pushed his 2024 income, the year used for his 2026 premium, into the fourth bracket.

IRMAA before and after the request, 2026 brackets
IncomeMAGIIRMAA a month
2024 income (used now)$178,000$385.00
2025 income (asked for)$91,000$0.00

Saves $385.00 a month

That's $4,620.00 a year, Part B and Part D surcharges together, at the 2026 brackets.
SSA-44 · Steps 1 and 2EXAMPLE
Field 1: Employer Settlement Payment ☑ Date of event (mm/yyyy)
11/2024
The month and year you received the payment.
Field 2: Tax year · Filing status
2025 · Single
The settlement was a one-time payment in 2024. His 2025 income is back to normal, and 2025 is more recent than the year Social Security used, so he uses 2025.

Watch out: This only covers settlement payments from an employer's bankruptcy or reorganization.

Proof of the event: send one

You also need proof of income for the year in Step 2: a signed copy of your Form 1040 or an IRS transcript. For a year you haven't filed yet, your estimate on the form is enough for now.

Don't have it yet?

Ask the bankruptcy trustee or the claims agent named in your settlement papers for a statement of what you were paid. The court's case number helps.

Check before you send

Send it online after signing in to your my Social Security account, or to your local Social Security office. The Form SSA-44 guide walks through every step. If Social Security says no, see how to appeal IRMAA.

Get it right the first time

A filled SSA-44 for "Employer Settlement Payment", ready to copy

2026 EDITIONIRMAAAppeal Kit
Lower your Medicare surcharge with Form SSA-44
Part B Forms
MONEY-BACKGUARANTEE14DAYS

George would save $4,620.00 a year. The kit costs $49 once, with a filled SSA-44 for your exact event.

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  • What gets rejected, and why
  • Income estimate worksheet
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The other life-changing events

Questions people ask

Does employer settlement payment count as a life-changing event for IRMAA?

Yes. "Employer Settlement Payment" is one of the 8 life-changing events on Form SSA-44. You got a settlement payment from an employer or former employer because of its bankruptcy or reorganization. It lowers IRMAA only if your income dropped enough to move you to a lower bracket.

What proof do I need?

A letter from the employer explaining the payment and why it was made. Or the bankruptcy court or trustee papers showing your payment. You also need proof of income for the year in Step 2: a signed copy of your tax return or an IRS transcript, or your estimate for a year not filed yet.

What date goes in Step 1?

The month and year you received the payment.

Which tax year do I put in Step 2?

The first year with the lower income. It must be more recent than the year Social Security used, and not before the event. If this year (the premium year) will be lower than last year, use this year as an estimate.

Last checked: November 12, 2026
Sources: Form SSA-44 (12-2025), Social Security: lower your IRMAA, SSA POMS HI 01120.001, CMS 2026 Part B premiums fact sheet
Written by the Part B Forms team · Not affiliated with Medicare, CMS, or Social Security