Personal injury settlements are generally not taxable under federal law if they compensate for physical injuries or illness. However, punitive damages and interest are taxable. Since Nevada has no state income tax, you won’t owe state taxes on your settlement. Always consult a tax professional to ensure proper reporting of any taxable portions.

Are personal injury settlements taxable? This question worries many who have endured physical harm and seek compensation. Personal injury claims often result in settlements meant to cover medical costs, pain, and lost wages.
However, the tax implications of these settlements can be confusing and complex. Understanding what the Internal Revenue Service considers taxable income can help you avoid unexpected tax burdens.
This article breaks down the key points to clarify when you must pay taxes on your settlement.

Are Personal Injury Settlements Taxable?
Most personal injury settlements are not taxable under federal law. The IRS does not consider compensation for physical injuries as income you need to pay taxes on.
However, certain parts of your settlement might be taxable. These include punitive damages meant to punish the wrongdoer and any interest that builds up on your settlement amount. Understanding which parts are tax-free helps you plan better for your financial recovery.
IRS Section 104
IRS Section 104(a)(2) is the tax law that protects your settlement money. This law states that damages received “on account of personal physical injuries or physical sickness” are not taxable income.
The key phrase here is “on account of,” which means your settlement must be directly connected to a physical injury. The IRS asks one simple question when reviewing settlements: “What was this money meant to replace?” If it replaces your health and physical well-being, you don’t pay taxes on it.
Are Personal Injury Settlements Taxed in Nevada?
Nevada has no state income tax, which means you won’t owe any state taxes on your personal injury settlement. This is great news if you live in Nevada because you get to keep more of your recovery money.
You still need to follow federal tax rules from the IRS. The absence of state taxes doesn’t change what the federal government considers taxable or non-taxable.

What Parts of a Settlement Are Not Taxable?
The largest portions of most personal injury settlements are completely tax-free. These are the parts that directly compensate you for your physical injuries and the problems they caused in your life.
Medical Bills For Physical Injuries
Any money you receive to cover medical expenses from your physical injuries is not taxable, whether from car accidents or slip and fall settlements with and without surgery.
Your tax-free medical compensation covers:
- Hospital expenses: Emergency room visits, surgeries, overnight stays, and specialized treatments
- Ongoing care: Physical therapy sessions, chiropractic visits, prescription medications, and medical devices
- Future treatment: Estimated costs for surgeries, rehabilitation, or long-term care you’ll need later
Pain And Suffering Tied To Physical Injury
Pain and suffering damages compensate you for the physical discomfort and life disruption caused by your injuries. These payments are not taxable when they stem directly from physical harm to your body.
Pain and suffering includes compensation for your physical pain, loss of enjoyment in activities you used to love, and the overall negative impact the injuries had on your daily life. The IRS recognizes these as legitimate costs of your physical injury.
Emotional Distress Caused By Physical Injury
Emotional distress compensation has a specific tax rule that depends on what caused your emotional problems. If your anxiety, depression, or other mental health issues were caused by your physical injuries, the compensation is tax-free.
For example, if you developed anxiety about driving after a car accident that caused common car accident injuries like a broken leg, the emotional distress damages related to both the physical injury and the anxiety would not be taxed. The key is that your emotional distress must stem from a physical injury.
Workers’ Compensation Benefits
Workers’ compensation settlements follow the same tax rules as other personal injury cases. These benefits are not taxable at either the federal or state level because they compensate you for physical injuries that happened while you were working.
What Parts of a Settlement Are Taxable?
While most of your settlement is tax-free, certain portions are considered taxable income by the IRS. Knowing about these ahead of time prevents surprises when you file your taxes.
Punitive Damages
Punitive damages are money awarded to punish the person who hurt you, not to compensate you for a loss. Because these damages are meant to punish rather than heal, the IRS treats them as taxable income.
They typically only appear in cases involving extremely reckless behavior, such as drunk driving accidents or intentional harm, which often requires pursuing the full car accident litigation process to secure these additional damages.
Prejudgment And Postjudgment Interest
Interest earned on your settlement amount is always taxable income. This applies to two types of interest you might receive with your settlement.
Prejudgment interest accumulates on your award amount from the time of your injury until the court makes its decision. Postjudgment interest builds up from the time the court decides your case until you actually receive your money. Both types count as taxable income for the year you receive them.
Emotional Distress Without Physical Injury
Emotional distress damages are taxable if they’re not connected to a physical injury. This rule typically applies in cases like workplace discrimination, defamation, or harassment where the primary harm is emotional rather than physical.
The distinction is important: emotional distress from a physical injury is not taxable, but emotional distress that stands alone is taxable income.
Medical Expenses Previously Deducted
The “tax benefit rule” affects people who deducted medical expenses on previous tax returns. If you claimed a tax deduction for medical bills and later receive settlement money for those same expenses, you must report that portion as taxable income.
This prevents you from getting a double benefit—both a tax deduction and tax-free settlement money for the same medical expenses.
Property Damage That Exceeds Basis
Your property’s “basis” is typically what you originally paid for it. If your settlement includes more money for property damage than your property’s basis, the extra amount is taxable as a capital gain.
For example, if your car was worth $15,000 but you receive $18,000 in property damage compensation, the extra $3,000 would be taxable income.
Are Lost Wages In A Personal Injury Case Taxable?
Lost wages from personal injury cases follow different tax rules than regular employment income. The reason you missed work determines whether the compensation is taxable.
Lost Wages From Physical Injuries
Lost wage compensation is not taxable when you missed work because of physical injuries. The IRS considers this money part of your overall compensation for physical harm, which makes it tax-free.
This is an important exception to normal tax rules. Usually, wages and salary are taxable income, but personal injury lost wages are treated differently because they replace income you lost due to physical harm.
Lost Wages In Employment Or Nonphysical Claims
Lost wages are taxable in employment lawsuits or other cases that don’t involve physical injuries. Examples include wrongful termination, discrimination, or harassment cases where you weren’t physically hurt.
These wages are taxable because they replace regular income that would have been taxed if you had earned it normally through work.
Will You Receive A 1099 Or Have To Report Anything?
Understanding the paperwork and reporting requirements helps you handle your settlement taxes correctly. Proper documentation protects you from tax problems later.
When Payors Issue Form 1099
The defendant or their insurance company might send you a Form 1099 showing the full settlement amount. Receiving this form doesn’t mean your entire settlement is taxable income—it’s just their way of reporting the payment to the IRS.
You or your tax preparer will need to determine which portions of the settlement are actually taxable based on what each part was meant to compensate.
How to Reflect Settlement Allocations On Your Return
Your settlement agreement should clearly break down what each portion of money is for. This allocation helps you and your tax preparer determine what needs to be reported on your tax return.
| Settlement Component | Taxable Status | Tax Form Location |
|---|---|---|
| Medical expenses (not previously deducted) | Not taxable | Don’t report |
| Pain and suffering from physical injury | Not taxable | Don’t report |
| Lost wages from physical injury | Not taxable | Don’t report |
| Punitive damages | Taxable | Other Income line |
| Interest on settlement | Taxable | Interest Income line |
Do Structured Settlements Change Tax Treatment?
Structured settlements pay you in installments over time instead of one lump sum. The payment schedule doesn’t change the tax rules—what matters is what each payment is meant to replace.
If your structured settlement pays for medical expenses and pain and suffering from physical injuries, those payments remain tax-free regardless of when you receive them.
Let us Help Secure Your Personal Injury Settlement
If you’ve been injured and are wondering about the tax implications of your settlement, trust the experienced team at Ladah Injury & Car Accident Lawyers Las Vegas to guide you through every step.
Our knowledgeable personal injury attorneys understand the complexities of personal injury claims and can help you with your case..
Contact us today for a free consultation and get the support you deserve. Let us fight for your rights and help you secure the best possible outcome for your case.

Frequently Asked Questions
Do I need to report my car accident settlement to the IRS if it’s not taxable?
No, you don’t need to report non-taxable portions of your settlement on your tax return. Only report taxable components like punitive damages or interest income.
Will I owe taxes on my Nevada personal injury settlement?
Nevada has no state income tax, so you won’t owe state taxes on any part of your settlement. You still need to follow federal tax rules for any taxable portions.
Is my attorney’s contingency fee considered taxable income to me?
No, you’re only taxed on the net settlement amount you actually receive. Your attorney’s contingency fee is not considered part of your taxable income.
What should I do if I receive a 1099 form for my physical injury settlement?
Even with a 1099 form, you only need to report taxable portions of your settlement. Consult with a tax professional to properly exclude non-taxable amounts from your return.
Are wrongful death settlements taxable to surviving family members?
Wrongful death settlements that compensate families for losses stemming from the victim’s death are typically not taxable under the same physical injury rules.
What happens if I previously deducted medical expenses that my settlement now covers?
You must include the reimbursed amount as taxable income if you received a tax benefit from deducting those medical expenses in a previous year.
Do punitive damages in wrongful death cases get taxed differently?
In some states, punitive damages in wrongful death cases may not be taxable, but this varies by state law. Consult with a tax professional about your specific situation.
Final Thoughts
Understanding whether personal injury settlements are taxable is crucial for proper financial planning after your case resolves.
While most settlements compensating for physical injuries, medical expenses related to treatment, and pain and suffering are generally non-taxable, certain components like punitive damages, interest income, and lost wages may increase your tax liability. The circumstances surrounding your case and how your settlement is structured can significantly impact your tax burden.
Consulting a personal injury lawyer and a tax professional can help you minimize taxation and avoid surprises. Proper allocation of settlement proceeds and awareness of IRS guidelines ensures you comply with tax code requirements and protect your financial recovery.
