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Are Car Accident Settlements Subject to Taxes?

Published on May 5, 2025 by Ken Christensen

Are Car Accident Settlements Subject to Taxes?

If you’ve been hurt in a car accident and receive money through a settlement, one of your first questions might be: Do I have to pay taxes on this? The answer depends on what the payment covers. Some parts of a settlement may be taxable income, but many are not, especially when they relate to a physical injury or physical sickness.

Good Guys Injury Law helps clients understand how tax laws apply to their personal injury settlements. You shouldn’t have to guess whether your money will be taxed. Our team will walk you through what counts as taxable and what doesn’t based on your unique case.

General IRS Rule on Personal Injury Settlements

The IRS has specific rules about personal injury settlements, and most of them are based on what kind of harm you suffered. If your settlement comes from a physical injury or physical sickness, you typically do not have to include that money in your taxable income. But there are exceptions.

Most Personal Injury Settlements Are Not Taxable

When you receive money for a personal injury that caused a physical injury or physical sickness, the IRS generally does not treat that settlement as taxable income. This means you usually do not need to pay taxes on the amount you receive, whether it is for medical bills, pain and suffering, or other losses related to the accident.

For example, if you were hurt in a car accident and received compensation to cover surgery, hospital visits, and recovery costs, that money is not taxed. The same goes for pain from broken bones or long-term injuries, as long as they are tied to a clear physical condition. The key point is that the injury must be physical, and not just emotional, to qualify for this tax-free status under current tax law.

IRS Publication 4345 Overview

The IRS created a guide called Publication 4345, which helps explain when you must include settlement money in your gross income. According to this document, payments for personal physical injuries are not taxed as long as you did not take a deduction for the same medical expenses in a previous tax year.

However, the publication also outlines when some parts of a settlement can be taxed. For instance, if your settlement includes money for punitive damages, lost interest, or lost income, those parts may be subject to federal income taxes. The IRS sees these as financial gains rather than reimbursement for a loss, and that’s why they’re treated differently.

Understanding how IRS Publication 4345 works can help you avoid mistakes when filing taxes after a car accident settlement.

Which Parts of a Settlement Are Not Taxable

Which Parts of a Settlement Are Not Taxable

Not every part of a car accident insurance settlement is subject to income tax. When the money is tied to a physical injury or physical sickness, that portion is usually not taxed by the IRS.

Here are the areas where settlements are not taxable:

Medical Expenses

If your settlement includes money to cover medical bills for injuries caused by the accident, that part is not considered taxable income. The IRS lets you keep that money tax-free because it is seen as reimbursement for what you had to spend due to your injuries.

This applies to hospital visits, surgery, follow-up appointments, rehab, and even prescription medications. However, there is one important rule: if you already claimed those medical expenses as deductions in a past year, you might have to pay taxes on that part of the settlement. If you didn’t take a deduction, you won’t owe taxes.

Pain and Suffering

Pain and suffering can be physical or emotional. If your pain and suffering is connected to a physical injury, like a broken arm or back pain, that money is generally not taxed. The IRS treats it the same as medical expenses, as compensation for harm caused by the accident.

But if the pain is not tied to a personal physical injury, such as emotional stress alone, the IRS may tax it. For example, if you had no visible injury but experienced anxiety after the crash, that could be seen differently under tax law. In most personal injury cases with real injuries, though, this part of the settlement is tax-free.

Property Damage

If you received part of your settlement for damage to your vehicle or belongings, that portion is not taxed, unless you end up receiving more than what your property was worth. For example, if your car was worth $10,000 and the settlement gave you $10,000 or less to fix or replace it, you won’t be taxed.

However, if the money exceeds your actual loss, that extra amount might be considered taxable income. The IRS only taxes you when you gain from the settlement, not when you’re simply being paid back for a loss. This applies to other property too, like phones, laptops, or child car seats that were damaged in the crash.

Lost Wages (If Paid in a Physical Injury Claim)

If you miss work due to a physical injury, the lost pay you recover through a personal injury settlement is generally not taxable. The IRS makes an exception in this case because the loss is directly tied to your injury. You couldn’t earn money because you were hurt, so the payment is treated like other personal injury compensation.

But this is only true when the wages are linked to a physical injury or physical sickness. If the case is not injury-related, the lost pay would likely be taxed. So as long as your lost income comes from a personal injury claim, you likely won’t owe income tax on it.

Which Parts of a Settlement May Be Taxed

Some parts of a car accident insurance settlement do count as taxable income. These usually involve payments not directly tied to a physical injury, or compensation seen as financial gain rather than reimbursement.

Lost Wages in Non-Injury Cases

When you receive money for lost wages that are not connected to a physical injury or physical sickness, this amount is treated as taxable income by the IRS. For example, if you miss work due to the stress of the accident rather than a bodily injury, the settlement amount received for those lost earnings must be reported as part of your taxable settlement income.

The IRS views these payments similarly to regular wages, meaning they are subject to standard income tax rules. Even if you were not physically injured, the money given to cover your lost income in a car accident claim may be taxed, since it replaces the income you would have otherwise earned. It is best to review your settlement documents and work with a tax professional to know exactly which parts may be counted as taxable income.

Interest on the Settlement

If you receive a car accident insurance settlement and the payment is delayed, you might earn interest on that money. This interest, even if earned on a delayed payment, is considered income and must be reported to the IRS.

The interest is not a direct part of the damages for your injury but is a gain over time from the amount you received. In other words, while the principal amount for your personal injury may be non-taxable if it compensates for physical injuries, the interest earned on that amount is treated separately and as taxable income.

You should review any statements or forms provided by the payer that show interest earned. Keeping track of this interest can help you correctly file your taxes. A tax professional can assist in ensuring that the interest is reported properly so you don’t end up owing extra income tax later.

Punitive Damages

Punitive damages are awarded when the court wants to punish the at-fault party for extreme behavior and to deter similar conduct in the future. Unlike damages meant to cover your medical bills or lost wages, punitive damages are always treated as taxable income.

The IRS views these payments as a windfall rather than a reimbursement. When you receive punitive damages from a personal injury lawsuit, you must report them as part of your gross income. Even if the rest of your settlement for physical injury is non-taxable, punitive damages are not exempt.

You must note this distinction when you review your settlement agreement. This taxable nature can increase your overall tax liability, so working with your accountant and lawyer to plan for any additional taxes is essential.

Emotional Distress

Emotional distress damages can be granted when a car accident causes significant mental suffering such as anxiety, depression, or severe emotional distress. However, whether these damages are taxable depends on the circumstances. If the emotional distress is directly linked to a physical injury, the settlement for such distress is usually not taxable.

But if you receive compensation solely for emotional distress, without an underlying physical injury, it is generally considered taxable income. This can include payments for mental anguish that you might experience after the accident. Courts and the IRS often scrutinize these amounts to determine if they should be taxed in the same way as regular income.

In addition, if you receive an emotional distress claim that exceeds what might be expected for a physical injury, the excess amount could be taxed. It’s crucial to clearly separate the compensation in your settlement agreement so you know exactly what is taxable.

Tips to Avoid Unnecessary Tax Liability

Tips to Avoid Unnecessary Tax Liability

To protect as much of your car accident insurance settlement as possible from taxes, you need to be careful about how your case is handled and how your settlement is written. Some helpful steps to reduce your tax liability and avoid paying more federal income taxes than necessary include:

1. Clearly Separate Taxable and Non-Taxable Damages

Ask your attorney to break down the settlement into specific categories. For example, amounts for medical bills, physical injury, and property damage should be listed separately from punitive damages or emotional distress not tied to an injury. A clear breakdown helps show the IRS which parts are not taxable income.

2. Avoid Deducting Medical Expenses You Might Later Get Reimbursed For

If you plan to receive a settlement that includes payment for medical bills, do not claim those same expenses as deductions on your tax return. If you do, and later get reimbursed through the settlement, the IRS may treat that portion as taxable. This is to prevent a “double benefit” on your taxes.

3. Ask for a Structured Settlement If the Tax Burden Might Be High

A lump-sum payment can push you into a higher income tax bracket for the year you receive it. Instead, you might request a structured settlement, which spreads out the payments over several years. This could reduce your yearly income and lower the taxes you owe.

4. Work With a Tax Professional or CPA

A tax expert can help you understand which parts of your car accident claim are safe from taxes and which ones are not. They can also help you report the correct figures on your return, especially if your case involves punitive damages, interest, or complex issues like emotional distress damages.

5. Keep All Records and Documents Organized

Save copies of your settlement agreement, receipts for medical expenses, and any tax forms like a 1099. If the IRS ever questions your return, having this paperwork ready will make the process smoother. Accurate records are also key to showing the nature of each payment.

FAQs

Do I have to pay federal income taxes on a personal injury settlement?

Most of the time, personal injury settlements are not considered taxable income, especially if they are tied to a physical injury or physical sickness. However, there are situations where you may need to pay federal income taxes, such as if you receive money for punitive damages, interest, or emotional distress not linked to a physical injury. It’s important to understand the full tax implications of your settlement.

Is an auto accident settlement taxable if it includes lost wages?

It depends on the reason behind the lost wages. If your auto accident settlement includes lost pay due to a verified physical injury, that portion is usually not taxed. But if the lost wages are unrelated to any injury or are part of a non-injury lawsuit, that money is treated as regular earnings, and yes, it could be taxable under current income tax rules.

Are emotional damages from a car accident taxed?

When emotional distress is the result of a physical injury, the payment is typically tax-free. But if the distress is not connected to a physical injury, such as anxiety alone after an accident, the Internal Revenue Service may view that part of your compensation as taxable income. This is one area where people often get confused, so talking to a tax professional is smart.

Can personal injury settlements be taxable if I have already deducted medical expenses?

Yes. If you previously deducted your medical bills on a past tax return and then receive money later to cover those same expenses, the IRS could count that as taxable income. These tax consequences are common in cases where people receive a settlement after they’ve already filed taxes with medical deductions.

Are personal injury settlements taxable in Utah?

In most cases, personal injury settlements are not taxable in Utah if they are tied to a physical injury or physical sickness. Like federal law, Utah generally follows the rule that compensation for medical costs, pain, and suffering due to injury is not considered taxable income.

Contact Our Utah Personal Injury Lawyer for a Free Case Consultation

Contact Our Utah Personal Injury Lawyer for a Free Case Consultation

If you’ve been injured in a car accident and are expecting a settlement, it’s important to understand how taxes might affect your compensation. Not every part of your settlement is taxed, but knowing which parts will and which will not can save you from costly surprises.

At Good Guys Injury Law, we don’t just fight for fair compensation, but we also help you understand what happens after your case is resolved. Our team works to make sure your rights are protected, and that includes helping you prepare for any tax questions that come up.

You don’t have to figure it out alone. If you’re concerned about tax implications or just want to know more about how your settlement will be handled, reach out today. Call us for a free case consultation with a trusted Utah personal injury lawyer. We’re ready to help you move forward with clarity and confidence.

Good Guys Injury Law - Orem

1145 S 800 E #101A Orem,UT 84097

Phone: (801) 224-2999

Good Guys Injury Law - Bountiful

503 W 2600 S #200 Bountiful,UT 84010

Phone: (801) 294-9500

Good Guys Injury Law - Salt Lake City

32 W 200 S Salt Lake City, UT 84101

Phone: (801) 849-1949

Good Guys Injury Law - Draper

11693 S 700 E #100

Draper, UT 84020

Phone: (801) 506-0800

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Kenneth L. Christensen
Founding Attorney

Ken Christensen, founder of Christensen & Hymas, is a Utah personal injury attorney dedicated to defending injury victims and securing fair settlements. Authorized to practice in all Utah courts, he takes pride in advocating for injured Utahns while balancing work, family, and his love for fishing.