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all home aides (housekeepers, cooks, nanny, etc) are employees and you must insure W2.
so..here is the problem. If you ignore that and do not do withholding....you will likely be caught. The penality is that your (and only you) will have to pay all that back taxes AND penalties. None of that will fall on the employee. So instead of doing the withholding from the employees pay...you get caught, YOU pay all of it,
how do you get caught? Well...the employee gets hurt and cannot work for a period of time, so they file for workman’s comp. bang, you are caught. Or, after some time they lose the job and go file for unemployment insurance...bang caught.
and, why wouldn’t the employee do that? There is only benefit for the employee...no penality, no downside. Only you get hit (hard) for fraud,
so, just go hire a firm to do your payroll. With just one employee it is really cheap and you can do it all online.
Not providing a W-2 can you leave you open to the caregiver suing you years down the road
It would be easier for you if you hired a payroll service that processes payroll, does all taxes and insurances and you pay them, they get a percentage of the payroll.
Remember as an employer you are obligated to match SS/MEDICARE, provide workmans compensation insurance, pay into unemployment, withhold and pay state and federal taxes. Know how much those would cost you and you will see that the service is not gouging you. Labor burden is real and it can be expensive. But it protects everyone involved.