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Section 125 Plans
               Premium Only Plan
               Flexible Spending Account
Section 105 Plans

 

 

 

Section 125 - Premium Only Plans

A Cafeteria Plan or Section 125 plan is an employee benefit plan that allows employees to select desired benefits from their employer's benefit package, "cafeteria" style.  The real benefit of this type of plan is that if set up in accordance with Section 125 of the Internal Revenue Code, the premiums can be paid with tax free money.  That's right...tax free. No federal income tax.  No state income tax. No Social Security or Medicare tax. 

Most health insurance policies and some life insurance policies are eligible for inclusion in a Section 125 Cafeteria Plan. Group term life insurance is eligible for a portion of the premium, up to $50,000 of coverage, to be included.

Some examples of insurance policies that are eligible for your Cafeteria Plan include:

  • Health Insurance
  • Dental Insurance
  • Cancer Insurance
  • Up To $50,000 Group Term Life Insurance on Employees Only
  • Hospital Indemnity Insurance
  • Accident Insurance
  • Heart Attack & Stroke Insurance
  • ICU/CCU Insurance
  • Accidental Death and Dismemberment

For more information about insurance
under Section 125 cafeteria plans,
contact SDSA toll free at 888-698-1429
or email.

 

Download Section 125 Forms

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Section 125 - Flexible Spending Account Plans

Flexible Spending Accounts (FSA) are one of the most flexible and beneficial aspects of a Section 125 Cafeteria Plan. With a Flexible Spending Account, employees can redirect a portion of their pre-tax salary into a tax free spending account. Employees typically contribute up to $3,600 per year to the medical plan and up to $5,000 per year for the dependent care plan, depending on the employer's guidelines. These funds can then be used to pay eligible medical and dependent care expenses. For more information about eligible expenses, click hereCalculate your savings!

Employees should be aware of a significant restriction on FSA monies. All money redirected into the cafeteria plan must be used to pay legitimate expenses during the term of the plan. This means any money left in the account at the end of the plan year is returned to the employer. Because of this "use it or lose it" restriction, it is best to be conservative when enrolling in an FSA.

For more information about insurance
under Section 125 cafeteria plans,
contact SDSA toll free at 888-698-1429
or email.

Click here to view your account on-line and access:

  • year-to-date totals by FSA benefit type and plan year;
  • remaining balances by FSA benefit type and plan year;
  • status and totals of FSA claims you've submitted;
  • detailed listings of FSA checks issued to you; and
  • cross reference checks to claims.

Download Section 125 Forms

 

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Section 105 Plans

With the rising costs of group health insurance, many employers are cutting costs by either increasing deductibles or decreasing co-insurance percentages. To ease the financial burden on employees, some employers are self-funding special tax free accounts to cover a portion of employees' out of pocket medical expenses.  This is done through the use of a Section 105 HRA plan coupled with a high deductible group health plan. The employer also benefits because funds directed into the HRA are treated as business expenses rather than salaries saving FICA and unemployment taxes.

An IRS Section 105 Health Reimbursement Arrangement (HRA) is an employer funded tax-free rollover medical spending account.  HRAs have been around for a while and are enjoying a new found popularity since the IRS issued new guidance on the plans in June 2003.  This guidance allows funds remaining in an HRA account at the end of the plan year to rollover tax-free to the next year.

For more information about insurance
under Section 105 plans,
contact SDSA toll free at 888-698-1429
or email.

 

 
 
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