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“Medicare wages are lower than Social Security wages”

What this flag on a W-2 means, why it matters, and what to check.

What it means

Box 5 is lower than box 3.

Why it matters

Medicare has no wage limit, so box 5 is normally equal to or higher than box 3.

Ordinary explanations

What to check

Ask the applicant for the IRS wage and income transcript (free at irs.gov or with Form 4506-T), which lists W-2 amounts as the employer reported them.

A flag is a reason to verify with the source, not proof. Apply the same steps to every applicant.

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