The key tax advantage of a structured settlement is that the entire periodic payment stream, both the part that repays the settlement and the part that reflects growth over time, is excluded from federal income tax when the damages are for a physical injury. If you take the same money as a lump sum and invest it yourself, the lump sum is still excluded, but the investment returns are yours and are generally taxable.

TL;DR.

Physical injury damages are excluded from income under IRC §104(a)(2), “whether as lump sums or as periodic payments.” A structure keeps the growth inside the excluded damages. A lump sum you invest earns taxable returns. Emotional distress without physical injury, and punitive damages, do not get this exclusion. Selling a structure triggers a 40% tax on the buyer unless a state court approves the sale.

What the tax code actually says

Section 104(a)(2) of the Internal Revenue Code lists what is not gross income. It includes “the amount of any damages (other than punitive damages) received (whether by suit or agreement and whether as lump sums or as periodic payments) on account of personal physical injuries or physical sickness.” The words “as periodic payments” are why a structure works: each payment is itself damages, so each payment is excluded in full.

The same section draws two limits. Punitive damages are carved out of the exclusion. And emotional distress “shall not be treated as a physical injury or physical sickness,” so a settlement for emotional distress alone is treated differently from one for a broken leg.

Section 130 deals with the other side of the deal. Most structures work through a “qualified assignment”: the defendant or its insurer hands the obligation to make the payments to an assignment company, which buys an annuity to fund them. Section 130(c) sets conditions for that assignment, including that the payments are “fixed and determinable as to amount and time of payment” and “cannot be accelerated, deferred, increased, or decreased by the recipient.” Those conditions are the reason a structure is rigid: flexibility would break the tax treatment.

Tax comparison: structure vs lump sum

ComponentStructured settlementLump sum you invest
The settlement money itselfExcluded, §104(a)(2)Excluded, §104(a)(2)
Growth over timeExcluded, because it is part of each damages paymentGenerally taxable as interest, dividends or gains
Punitive damagesNot covered by §104(a)(2)Not covered by §104(a)(2)
FlexibilityFixed schedule; §130(c) bars changing itFull control
Selling future payments40% tax on the buyer unless court approved, §5891Not applicable

A worked illustration

The figures below are an illustration, not a quote or a prediction, and they ignore fees and inflation. Suppose a settlement for a physical injury is worth $400,000 today.

StepLump sum you investStructured settlement
Money received$400,000 up front, excludedScheduled payments, each excluded
Year one growth at an assumed 4%$16,000 of investment income, generally taxableGrowth is priced into the payments and stays excluded
What you reportThe $16,000 of income on your returnNo income from the scheduled damages payments
ControlSpend or invest as you choosePayments cannot be accelerated or increased

The longer the payments run and the larger the amount, the bigger the difference, because the investment income that a lump sum would earn keeps building up year after year. The trade off is control: a structure cannot be sped up if you need money for a house or a medical emergency, and changing your mind later means selling the payments at a discount.

Selling payments later: section 5891

Companies that buy structured settlement payments pay less than the payments are worth; the difference is the factoring discount. Section 5891(a) imposes on the buyer “a tax equal to 40 percent of the factoring discount” unless the transfer “is approved in advance in a qualified order.” A qualified order must find that the transfer does not break any federal or state law or court order and “is in the best interest of the payee, taking into account the welfare and support of the payee’s dependents.”

Where state law comes in

The qualified order has to be issued under an “applicable State statute” by a state court. Section 5891 defines that as a statute of the state where the payee lives or, if that state has none, the state where a party to the structure or the company issuing the annuity is based. That is why a sale of structured settlement payments goes before a state court judge, who applies that state’s own transfer rules as well as the federal best interest test. Our state guides cover the injury rules that come before any settlement.

Frequently asked questions

Are structured settlement payments taxable?
Not when they are damages for personal physical injuries or physical sickness. IRC §104(a)(2) excludes those damages from gross income whether they are received “as lump sums or as periodic payments”, so each scheduled payment is excluded in full, including the part that reflects growth over time.
Why is investing a lump sum taxed differently?
The lump sum itself is excluded, but once you invest it, the interest, dividends and gains the investment earns are your own income and are generally taxable. In a structure, the growth is built into the damages payments, so it keeps the exclusion.
What if my settlement is for emotional distress only?
Section 104(a) says emotional distress “shall not be treated as a physical injury or physical sickness,” so damages for emotional distress without a physical injury do not get the same exclusion. Punitive damages are also excluded from §104(a)(2) and are generally taxable.
What happens if I sell my structured settlement payments?
Under IRC §5891, the buyer (the factoring company) owes a tax of 40 percent of the factoring discount unless the sale is approved in advance by a court under a state statute, in a “qualified order” finding the sale is in the payee’s best interest. In practice, sales go through a state court approval hearing.

Sources

Editorial note. This guide explains tax treatment. It is not tax advice. See our full disclaimer.
📌Cite this article: “Structured Settlements and Tax Treatment.” MyClaimWorth.com, May 2026. https://myclaimworth.com/articles/structured-settlements-tax-treatment