Premium Only Plan Document

The Section 125 Premium Only Plan is part of the IRS Code that allows employees to purchase health insurance and other ancillary benefits tax free.

How Employees Benefit

The premium or HSA contribution is actually deducted before taxes are calculated. Employees save from 20% to 40% of their pre-tax premium or contribution deductions in just federal income taxes alone. Under a Premium Only Plan employees take home pay is increased which helps reduce the high cost of providing health coverage for family members.

Premium Only Plan Employee Savings Example


Estimated Eligible Expenses Without POP With POP
Annual Salary $25,000 $25,000
Annual Before-Tax Contributions* $0 -$3,000
Taxable Income $25,000 $22,000
Estimated Taxes (30.65%)** -$7,663 -$6,743
Annual After-Tax Contributions -$3,000 $0
Net Take-Home Pay $14,337 $15,257
Percent of Premiums Offset With Tax Savings 30.65%

* Based on a monthly premium of $250

** Based on an average 20% federal, 7.65% FICA and 3% state tax rates

How Employers Benefit

A Section 125 POP is one of the few employee benefits that provides savings back to the employer. The POP does this by eliminating the 7.65% in employer matching Social Security and Medicare taxes and in some cases Federal and State unemployment taxes.

Employer Savings Example


"Your" Company:
20 participating Employees
Without POP With POP
Average Pre-Tax Contribution $0 $3,000
Number Of Employees x 20 x 20
Total Annual Pre-Tax Employee Contributions $0 $60,000
FICA (Medicare & SS) x 0.0765 x 0.0765
Total Annual Savings (est.) $0 $4,590

Annual social security tax is based on tax rate of 7.65%. Annual pre-tax payroll deductions are based on insurance premiums averaging $250 per month per employee.

News

HHS Issues Updated Model Notices of Privacy Practices and Announces Part 2 Enforcement Program

HHS has updated its model Notice of Privacy Practices (NPP) materials to help covered entities and business associates comply with the Part 2 related NPP requirements that became enforceable on February 16, 2026.

02/26/2026

What Federal Mandates Apply to Our Company's Group Health Plan Other Than ERISA, COBRA, and HIPAA?

Many federal laws create mandates that may apply to your group health plan.

12/18/2025

IRS Guidance on Trump Accounts Addresses Cafeteria Plans and Employer Contributions, Announces Regulations on the Way

The IRS has announced that it intends to issue proposed regulations regarding Trump Accounts (TAs)

12/11/2025

Who Must Receive SPDs for ERISA Health and Welfare Plans?

QUESTION: We are reviewing the SPD procedures for our ERISA health and welfare plans and need some guidance. Who must receive SPDs for these plans?

12/02/2025

What Employees Are Counted for Purposes of COBRA’s Small Employer Exception?

QUESTION: We understand there is a small employer exception to COBRA for employers with fewer than 20 employees. What employees should we count for purposes of this exception?

12/02/2025