Section 125

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A POP. (Premium Only Plan) IRC Section §125 Internal Revenue Code is a way for the employees to pay their portion of the medical premiums and have it be tax deductible for employees and the employer saves on payroll taxes (FICA)   this is a simple, IRS-approved change in your payroll process that allows you to use pre-tax salary dollars to pay your employees’ share of medical benefit premiums.  Employees fill out a  salary reduction  contributions form  either elect or decline participation in the POP plan. Changes to the POP plan can be made at plan anniversary, more details are in the brochures and law below.  Premium contributions are only for employee and dependent coverage, they may not be given back in cash to the employee.  IRS form 5500 is not required.  Video Explanation

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Brochures

Health Net What is a POP  Application Brochure 14 pages

Blue Cross Ceridian Brochure P.O.P. Quote Engine   FSA & POP Pages

Blue Shield POP Brochure

Aetna Brochure on POP

POP plan administration - Ceridian Current Clients - Ask Ceridian for help  POP Savings Calculator - FICA only.

All of the Employer Group Companies work with this feature, Kaiser, Health NET, Blue Cross, Blue Shield, AETNA, Cal Choice, PacifiCare, if you don't find what you need, just email us.

Links

IRS Site - FAQ's 

 IRS Guide to Fringe Benefits  pdf

Allowable Medical Expenses - IRS Section §213   Publication 502  

Pay Check City - Deduction & Payroll Calculator

FICA - US Code Wikipedia

IRS Withholding Calculator 

 W-4 Form

 

Technical & Research Links

Cal Broker 125 Providers

Excel Spreadsheet

Final Regulations IRS

POP Discrimination Testing Worksheet
 Definition of Key Employees IRC §416 (i) (1) (A)
Treasury Regulation on Discriminatoin§1.125-7

Ceridian Administrators Guide

Mr. Shorr,
I'm doing research on using 125 plans for employees who purchase  individual insurance, and found your website very helpful, so I thought I would share the following legal analysis of mine, which  might be helpful to others:
HIPAA_125_Policy_Brief

Mark A. Hall, J.D.
Professor of Law and Public Health
Wake Forest University
Winston-Salem NC 27109-7206
hallma@wfu.edu     336-758-4476
faculty/profile
picture of Mark Hall

 

125 & Individual Plans

Section 125 Section 105 - HRA'sHSA Taxation ERISA Mental Health Parity Obama's Heatlh Plan Cafeteria Plans Orthotic Misstatements? CA Insurance Code Guaranteed Issue

 
 

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