Health Care Reform, Insurance and Employee Benefits

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Displaying posts tagged "section 125" (Clear Search)

8 Benefits of a Premium Only Plan (POP) for Small Businesses

Note: None of this should be taken as legal or tax advice.

Premium only plans (POPs) are a great way for small businesses to save on taxes.  Section 125 of the IRS code allows small businesses to make a simple change to the company’s payroll process that reduces employees' taxable payroll. Every employees' premium contribution through a premium only plan (POP) can be deducted from the overall taxable payroll amount. 

Here’s 8 benefits small businesses and employees can expect with a Premium only Plan (POP) plan:

  1. Lower Employer Taxes - Every small business owner needs to take advantage of every tax break they can find. By using a premium only plan (POP), small businesses immediately lower taxes, which means more cash. A reduction in payroll taxes can be quite significant for a small business.

  2. Lower Administrative Costs - Many group plans feature high administrative costs. With a premium only plan (POP), health benefits costs drop to just $6-12 per employee per month.  

  3. Easy to Set-up - Setting up a premium only plan (POP) is simple and small businesses can administer it online via the payroll system.  

  4. Happier Employees - When employees make more money, they end up happier. By offering employees the ability to use a premium only plan (POP), a small business is automatically putting more money into employees' pockets. Small Businesses can use this to attract and retain quality employees. 

  5. Lower Employee Taxes - In addition to lowering the businesses taxes, employees will also save income taxes with a premium only plan (POP). When they become a member of a premium only plan (POP), they will see a reduction in FICA, federal and state taxes.

  6. Lower Insurance Costs - For employees who may have trouble making contributions towards their health plan, a premium only plan (POP) plan can allow them to save money on their health plan through the benefits of lower taxes. Even though the premium amounts may be the same as a regular plan, the tax savings that they will experience can help make up the difference. 

  7. Better Coverage - Even though a premium only plan (POP) offers many dollar benefits, it does not skimp on the health benefits. Employees will enjoy full health coverage from a company that they can trust. 

  8. More Take-Home Pay - One of the most popular benefits of a premium only plan (POP) is the ability for employees to take-home more pay each month. 

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Press Release: How Health Care Reform and the Economy are Affecting 2012 Group and Individual Insurance Renewals

Learn How Health Reform and the Economy are Impacting 2012 Renewals

New federal regulations are forcing employers to consider alternative health benefit options for 2012.  Zane Benefits, Inc. (http://www.ZaneBenefits.com) announced today a new free webinar series focused on educating insurance agents on new solutions that will increase client retention rates amid the impact of health care reform.  

The next webinar entitled, “How Health Care Reform and the Economy are Affecting 2012 Group and Individual Insurance Renewals”, will be presented by Professor Paul Zane Pilzer, a leading expert in defined contribution health benefits, on Tuesday, November 15th, 2011 at 2:00 pm EST.   

Pilzer is a world-renowned economist, the author of nine best-selling books and founder of the two leading suppliers of personalized health benefits. On October 14, 2011, the Obama Administration  announced they would not implement the CLASS ACT (i.e. the Long Term Care Program from the health care reform bill) due to lack of funding. According to Pilzer, “this has major implications for the future funding of the health care reform bill”.

Click here to read the full press release. 

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The 2007 Proposed Section 125 Regulations are Final!

Note: None of this should be taken as legal or tax advice.

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 Premium-Only-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 finality 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 Proposed Regulations become "final".  


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 were effective immediately upon their publication in the Federal Register and became final after the note and comment period.  While the "final" regulations are currently not available online at the Code of Federal Regulations, they are expected to be made available on April 1st, 2010.

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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2 Ways an Employer Can Contribute to an Employee's HSA (Health Savings Account)

Note: None of this should be taken as legal or tax advice.

I get this question all the time from employers and agents: "Can an Employer Contribute to an employee's HSA?" -- its a tough question to answer in one breath because the FULL answer requires an understanding of several different IRS legal term and plans.  Anyway, I got the question again today and decided to write a blog post about it.  So, here's how employer contributions to HSAs work...

Employers can make tax-free contributions to their employees' Health Savings Accounts (HSAs) in the following two ways:

  1. Without a Section 125 Plan 
  2. With a Section 125 Plan (Cafeteria Plan)

Remember that once an employer contributes money into an employee's account, the money is owned by the employee from that point forward, regardless of employment. In other words, employees own the HSA accounts (similar to how they own a checking account) -- They decide how and when the money is spent. Before an employer makes contributions to their employees' HSAs, they should first consider making contributions to an employee's HRA. 

Employer Contributions without a Section 125 Plan

Employers can make tax-free contributions to their employees' HSAs without using a Section 125 plan, as long as the contributions are "comparable" for all employees participating ("comparability rules"). Comparable contributions are contributions that are the same dollar amount or same percentage of the employee's deductible for all employees with the same category of coverage (i.e. self-only or family; FT or PT). 

Employer Contributions with a Section 125 Plan

To avoid the comparability rules on their HSA contributions, employers often utilize a Section 125 plan. HSA contributions through a Section 125 plan are not subject to the comparability rules, but Section 125 nondiscrimination rules do apply. Nondiscrimnation rules restrict employers from making contributions excessively in favor of highly compensated employees. Employers typically use a section 125 plan to offer matching contributions to their employees and to save payroll taxes (7.65%) on all employee contributions.

See IRS Publication 969 for more information.

Did this make sense?


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What is the tax treatment of FSAs (Flexible Spending Accounts)?

Note: None of this should be taken as legal or tax advice.

FSAs (Flexible Spending Accounts) are governed by Section 125 of the Internal Revenue Code. Employees contribute to FSAs through a salary reduction agreement. The employer may also contribute to an FSA if specified in the plan documents. All contributions are excluded from an employee’s gross income and wages subject to FICA (7.65%). Similarly, employers deduct reimbursements as a business expense and exclude them from wages subject to FUTA (0.8%) and the employer portion of FICA (7.65%).

See Publication 969 for more information.

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Clarifying Health is a blog about health insurance, health benefits, and everything else related to how Americans pay for medical expenses.

If you have any tips or suggestions for this blog, send an email to blog@ZaneBenefits.com and let us know. We always appreciate feedback

We also run a company called Zane Benefits where we're doing everything we can to help America out of the current healthcare mess.

If you want to learn more about how Zane Benefits helps companies with their benefits, or you're interested in working with us, visit the Zane Benefits website.
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