Medicare levy reduction or exemption – item 56

When to complete item 56

A trustee needs to complete this item only if all of the following conditions apply:

The trustee is liable to be assessed on a share of the net income of the trust because a beneficiary is presently entitled to a share of the income of the trust (or specifically entitled to an amount of capital gains or franked distributions) but under a legal disability.
The amount of the net income of the trust upon which the trustee is liable to be assessed in respect of a particular beneficiary is more than the relevant threshold amount for the Medicare levy as set out in part A of Question M1 in the Individual tax return instructions 2023.
The beneficiary qualifies for an exemption or reduction in the Medicare levy under one of the categories set out in Question M1 in Individual tax return instructions 2023.

If there is more than one such beneficiary, provide a statement on a separate sheet of paper setting out the information required at this item for each additional beneficiary. Attach the statement to the tax return and print X in the Yes box at Have you attached any ‘other attachments’? at the top of page one of the tax return.

Spouse’s 2022–23 taxable income

Print at label A Spouse's 2022-23 taxable income – if nil write '0' the taxable income of the beneficiary’s spouse for 2022–23. If the beneficiary had no spouse or had a spouse who had no taxable income, print zero 0.

Number of dependent children and students

Print at label B Number of dependent children and students the number of the beneficiary’s dependent children and students, if any.

Full Medicare levy exemption – number of days

For details of the Medicare levy exemption categories, see Question M1 in the Individual tax return instructions 2023.

Print at label C Full Medicare levy exemption – number of days the number of days in 2022–23 for which the beneficiary was entitled to the full Medicare levy exemption. If you have completed label C and the beneficiary has been issued with a statement from the Medicare Entitlement Statement Unit of Services Australia showing that the beneficiary is not entitled to any Medicare benefits, print C in the CODE box.

Half Medicare levy exemption – number of days

For details of the Medicare levy exemption categories, see Question M1 in the Individual tax return instructions 2023.

Print at label D Half Medicare levy exemption – number of days the number of days during 2022–23 for which the beneficiary was entitled to a half Medicare levy exemption.

Medicare levy on net income assessed to the trustee under sections 99 or 99A of the ITAA 1936

If a trustee is liable to be assessed on that part of the net income of a trust (other than a trust of a deceased person) under either sections 99 or 99A of the ITAA 1936 the trustee may need to pay the Medicare levy.

If a trustee is assessed on part or all of the net income of a trust under either sections 99 or 99A of the ITAA 1936 and is liable to pay tax on all of the income so assessed at the top marginal tax rate, the trustee must pay the Medicare levy at 2% of net income.

In other situations, if the net income assessed to the trustee is:

$416 or less, no Medicare levy is payable
$417 to $520, the Medicare levy is 10% of the excess over $416
more than $520, the Medicare levy is 2% of the net income assessed to the trustee.

For a trust of a deceased person, no Medicare levy is payable on that part of the net income of the trust that is assessed under either sections 99 or 99A of the ITAA 1936.

Medicare levy surcharge

If the beneficiary’s share of the trust net income to which a trustee is assessed under section 98 exceeds either $90,000 (if single) or $180,000 for the family surcharge threshold (plus $1,500 for each dependent child after the first) the trustee may be liable for the Medicare levy surcharge (MLS). See Question M2 in the Individual tax return instructions 2023.

Provide a statement on a separate sheet of paper showing:

the trust's name
the trust's TFN
the beneficiary’s name
the beneficiary’s TFN
the beneficiary’s share of the net income of the trust estate
the number of days not liable for MLS
the full name of the beneficiary’s spouse, if applicable
if the beneficiary did not have a spouse for the full year (the period they had the spouse)
- the date from which the beneficiary had a spouse
- the date to which the beneficiary had a spouse
if the beneficiary's spouse died during the year
the spouse’s income for (Medicare levy) surcharge purposes, if applicable
the number of dependent children, if applicable
the health insurer identification (ID) code, if applicable
the membership number, if applicable.

Sign the statement, attach it to the tax return and print X in the Yes box at Have you attached any ‘other attachments’? at the top of page one of the tax return.

The definition of dependant for the purposes of MLS differs from the definition of dependant for other tax purposes.

The beneficiary’s and their spouse’s income for MLS purposes must be calculated:

ignoring the exemption under section 271-105 of Schedule 2F to the ITAA 1936 for distributions on which FTDT has been paid. For more information on the circumstances that FTDT is payable, see Family trust distribution tax.
excluding the taxed element of a superannuation lump sum, other than a death benefit, that they received when they were over their preservation age and under 60 years old that does not exceed their low-rate cap amount.

Medicare levy surcharge rate

The amount of Medicare levy surcharge (MLS) payable may increase depending on the beneficiary’s income for (Medicare levy) surcharge purposes.

The rates are detailed in Question M2 in the Individual tax return instructions 2023.

The MLS is income tested against the following income tier thresholds:

MLS income thresholds
Threshold	Base tier	Tier 1	Tier 2	Tier 3
Single threshold	$90,000 or less	$90,001 – $105,000	$105,001 – $140,000	$140,001 or more
Family threshold (see note)	$180,000 or less	$180,001 – $210,000	$210,001 – $280,000	$280,001 or more
Medicare levy surcharge	0%	1%	1.25%	1.5%

Note: The families’ threshold is increased by $1,500 for each dependent child after the first. Families include couples and single parent families.

Income for (Medicare levy) surcharge purposes is only used to determine whether the beneficiary is liable to pay the MLS. It is not used to calculate the surcharge amount.

The MLS is only levied on the total of the beneficiary’s:

taxable income
reportable fringe benefits amount, and
any amount on which family trust distribution tax has been paid.

If the beneficiary is over their preservation age and under 60 years old, MLS is not levied on any taxed element of a super lump sum they received (other than a death benefit) that does not exceed the low rate cap.

For more information, see Income for Medicare levy surcharge purposes.

Continue to: Income of the trust estate – item 57