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Section 125 POP - Reimbursable Health Insurance Premiums

 
Section 125 Premiums Reimbursable

A Section 125 Premium-Only-Plan (POP) is a cafeteria plan that allows employees to pay their health insurance premiums with tax-free dollars. Since 2009, employees have been able to use POP plans to pay individual health insurance premiums with tax-free dollars.

Section 125 Premium Only Plan Rules & Regulations

 
premium only plan rules

IRS code Section 125 allows an employer to set up a Premium Only Plan (POP), where an employee's insurance premium contributions can be deducted from his or her payroll on a pre-tax basis. There are many advantages of setting up a Premium Only Plan for employees.

Why Businesses Should Never Pay Individual Health Insurance Premiums

 
Employer Payment of Individual Health Insurance

Federal regulations prohibit businesses from paying directly for employee's individual health insurance premiums, outside of an HRA (Health Reimbursement Arrangement), or other IRS/HIPAA/ERISA-qualified tax-free vehicle (e.g. Section 125).

Some businesses might want to pay directly for an employee's individual health insurance plans without utilizing an ERISA and HIPAA-compliant HRA, but doing so may put the business out of compliance with federal regulations and may increase the business's (and employee's) tax liability.


Tax Free Individual Health Insurance in North Carolina via HRAs

 
north carolina hra

HRAs, POPs and tax free individual health insurance are 100% allowed in North Carolina if administered the correct way.

Tax Free Individual Health Insurance in Connecticut Using HRAs, POPs and Payroll Reimbursement Arrangements

 
connecticut hras

HRAs, POPs and tax free individual health insurance are 100% allowed in Connecticut if administered the correct way.

Form 5500 Now Requires Electronic Submission

 
form 5500 electronic submission

Companies that sponsor a welfare benefit plan and have over 100 participants at the beginning or end of the plan year are required to file a Form 5500 Annual Report for health flexible spending accounts and health reimbursement arrangements if the plan had 100 or more participants during the plan year.

Form 5500 and Section 125 Premium Only Plans (POPs)

 
form 5500 section 125 pop

A POP (Premium only Plan) is a Section 125 Cafeteria Plan. Internal Revenue Service (IRS) Notice 2002-24 suspended the Form 5500 filing requirement for cafeteria plans. However, if the plan provides ERISA benefits, it is a welfare benefit plan and the employer must file a Form 5500 annual if the plan had 100 or more participants in the plan year.

The 2007 Proposed Section 125 Regulations are Final!

 
section 125 guidelines
Over at ZaneBenefits.com, we are getting ready to release a new product next week that allows an employer to reimburse an employee for the taxes that employee pays on his or individual policy(s). The product is a Section 125 plan for individual polices that we have talked a lot about over the last year.

Some health insurance agents and tax-professionals are doubting the legality of the August 2007 Proposed Section 125 Regulations that make this product legal under the Internal Revenue Code. 

So, the purpose of today's post is to confirm that the 2007 Proposed Section 125 Regulations are final.  Below, I first outline how Proposed Treasury Regulations work and then list the applicable parts of the new Section 125 regulations.  If, after reading the below explanation, you remain unconvinced, please contact the IRS.  

How it works

All Proposed Treasury Regulations are drafted by the IRS and published in the Federal Register so that taxpayers may submit written comments or speak at hearings (during the "notice and comment period") before final regulations are published in the Code of Federal Regulations.  The Proposed Regulations become effective when they are published in the Federal Register.  After the notice and comment period (which is defined in the Federal Register publication), the IRS publishes final regulations. Taxpayers may rely on proposed regulations for planning purposes if there are no applicable final or temporary regulations in force and there is an express statement in the proposed regulations that taxpayers may rely on them currently.

Applying this to the new Section 125 regulations

The Section 125 Proposed Treasury Regulations were published in the Federal Register on August 6, 2007 (click here to access the Federal Register publication) with an effective date of January 1, 2009.

The notice and comment period for this Federal Register publication ended on November 15, 2007.
The proposed regulations state: "Taxpayers may rely on these regulations for guidance pending the issuance of final regulations".

The proposed regulations were effective immediately upon their publication in the Federal Register. While the "final" regulations are currently not available online at the Code of Federal Regulations, they are expected to be made available.

According to the Federal Register publication, the IRS contact person for these new regulations is "Mireille T. Khoury".  Mireille can be reached at 202-622-6080.










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Disclaimer: The information provided on this website is general in nature and does not apply to any specific U.S. state except where noted. Health insurance regulations differ in each state. See a licensed agent for detailed information on your state. Zane Benefits, Inc. does not sell health insurance.