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Cost Containment Strategies - Tips To Help Lower Your Costs & Get The Most From Your Coverage

Section 125 Cafeteria Plans (also called a Premium Only Plan or “POP”) and how it can save you and your employees’ money


A Section 125 Cafeteria Plan is neither a health plan nor is it a place to eat lunch! A Section 125 plan (also referred to as a Premium Only Plan or “POP”) 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 benefit premiums. Any size employer can take advantage of this special provision of Section 125 of the IRS code. Under a POP, employees will save an average of 30% - 40% on insurance premiums they deduct from their pay. That’s because a POP allows premiums to be deducted on a pre-tax basis. You, the employer, will also save about 7.65% (the FICA match) on every dollar your employees deduct. As a result, both employers and employees profit. Employees reduce their taxable income, which lowers their taxes and increases their take-home pay. You cut your payroll taxes by decreasing your total taxable payroll. Everybody wins – and saves.

 

Setting up a Section 125 POP is a simple and straightforward process that we can walk you through. It begins by completing a simple one page application. Most POP administrators charge an annual fee of $120.  The POP administrator is usually the same as the insurance company you have your group health insurance through, but it doesn’t have to be. Call us at 866-639-1662 or contact us  here to find out how to get a free POP!

 

In addition to group health insurance, other benefits that can fall under a POP are: Dental & Vision plans, Critical Illness, Cancer, Hospital Indemnity, Group-Term Life Insurance (up to $50,000) and Health Savings Account contributions. 


High Deductible Health Plan (HDHP) + Health Savings Account (HSA) or Health Reimbursement Arrangement (HRA)


This is one way for a small business to offer health insurance to employees at a reduced cost. HDHP’s (as the name suggests) do have very high deductibles, but the trade off is that they have much lower premiums compared to typical health plans. Like all health plans that comply with ACA requirements, HDHP’s cover preventive care without having to meet the deductible. They also have Out of Pocket Maximums which limits the exposure of catastrophic health care costs (the Out of Pocket Maximum is the most an enrollee could be responsible for within a calendar year). Pairing a HDHP with a tax advantaged Health Savings Account or Health Reimbursement Arrangement is a way to help pay for the deductible and Out of Pocket Maximum. Like all options, this approach has pros and cons that have to be carefully considered before deciding on offering this type of benefit.

 

Small Business Tax Credit


The small business health care tax credit is a part the Affordable Care Act and is for employers who have less than 25 employees. The credit works on a sliding-scale that is based on the number of full time employees within a company. The more employees a company has, the smaller the tax credit and vise versa. The most a company may qualify for is a credit of up to 50% off of premiums. However, non-profit employers are only eligible for up to 35% off of premiums. The tax credit is highest for companies with fewer than 10 employees who are paid an average of $27,000 or less.


Eligible companies can take advantage of the Small Business Health Care Tax Credit for two consecutive tax years. If an eligible company does not owe any tax for one year, the credit can be applied backwards or forwards to other tax years. Any excess amount paid by an employer for health insurance premiums above the allowable credit can be deducted as a business expense.


To qualify for the tax credit, all of the following must apply:


  • You have fewer than 25 Full-Time Equivalent (FTE) employees
  • Your average employee salary is about $56,000 per year or less
  • You pay at least 50% of your full-time employees' premium costs
  • You offer SHOP coverage to all of your full-time employees. (Note: you don't have to offer SHOP coverage to dependents or employees working fewer than 30 hours per week to qualify for the tax credit.)

To speak with a group insurance specialist, call us now at (866) 639-1662 or click here to get a free quote.

Looking For Group Health Insurance?

Get A Free Quote

Cost Containment Strategies - Tips To Help Lower Your Costs & Get The Most From Your Coverage

Section 125 Cafeteria Plans (also called a Premium Only Plan or “POP”) and how it can save you and your employees’ money


A Section 125 Cafeteria Plan is neither a health plan nor is it a place to eat lunch! A Section 125 plan (also referred to as a Premium Only Plan or “POP”) 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 benefit premiums. Any size employer can take advantage of this special provision of Section 125 of the IRS code. Under a POP, employees will save an average of 30% - 40% on insurance premiums they deduct from their pay. That’s because a POP allows premiums to be deducted on a pre-tax basis. You, the employer, will also save about 7.65% (the FICA match) on every dollar your employees deduct. As a result, both employers and employees profit. Employees reduce their taxable income, which lowers their taxes and increases their take-home pay. You cut your payroll taxes by decreasing your total taxable payroll. Everybody wins – and saves.

 

Setting up a Section 125 POP is a simple and straightforward process that we can walk you through. It begins by completing a simple one page application. Most POP administrators charge an annual fee of $120.  The POP administrator is usually the same as the insurance company you have your group health insurance through, but it doesn’t have to be. Call us at (866) 639-1662 or contact us here to find out how to get a free POP!

 

In addition to group health insurance, other benefits that can fall under a POP are: Dental & Vision plans, Critical Illness, Cancer, Hospital Indemnity, Group-Term Life Insurance (up to $50,000) and Health Savings Account contributions. 


High Deductible Health Plan (HDHP) + Health Savings Account (HSA) or Health Reimbursement Arrangement (HRA)


This is one way for a small business to offer health insurance to employees at a reduced cost. HDHP’s (as the name suggests) do have very high deductibles, but the trade off is that they have much lower premiums compared to typical health plans. Like all health plans that comply with ACA requirements, HDHP’s cover preventive care without having to meet the deductible. They also have Out of Pocket Maximums which limits the exposure of catastrophic health care costs (the Out of Pocket Maximum is the most an enrollee could be responsible for within a calendar year). Pairing a HDHP with a tax advantaged Health Savings Account or Health Reimbursement Arrangement is a way to help pay for the deductible and Out of Pocket Maximum. Like all options, this approach has pros and cons that have to be carefully considered before deciding on offering this type of benefit.

 

Small Business Tax Credit


The small business health care tax credit is a part the Affordable Care Act and is for employers who have less than 25 employees. The credit works on a sliding-scale that is based on the number of full time employees within a company. The more employees a company has, the smaller the tax credit and vise versa. The most a company may qualify for is a credit of up to 50% off of premiums. However, non-profit employers are only eligible for up to 35% off of premiums. The tax credit is highest for companies with fewer than 10 employees who are paid an average of $27,000 or less.


Eligible companies can take advantage of the Small Business Health Care Tax Credit for two consecutive tax years. If an eligible company does not owe any tax for one year, the credit can be applied backwards or forwards to other tax years. Any excess amount paid by an employer for health insurance premiums above the allowable credit can be deducted as a business expense.


To qualify for the tax credit, all of the following must apply:



  • You have fewer than 25 Full-Time Equivalent (FTE) employees
  • Your average employee salary is about $56,000 per year or less
  • You pay at least 50% of your full-time employees' premium costs
  • You offer SHOP coverage to all of your full-time employees. (Note: you don't have to offer SHOP coverage to dependents or employees working fewer than 30 hours per week to qualify for the tax credit.)

To speak with a group insurance specialist, call us now at (866) 639-1662 or tap here to get a free quote.

Looking For Group Health Benefits?

Get A Free Quote

Cost Containment Strategies - Tips To Help Lower Your Costs & Get The Most From Your Coverage

Section 125 Cafeteria Plans (also called a Premium Only Plan or “POP”) and how it can save you and your employees’ money


A Section 125 Cafeteria Plan is neither a health plan nor is it a place to eat lunch! A Section 125 plan (also referred to as a Premium Only Plan or “POP”) 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 benefit premiums. Any size employer can take advantage of this special provision of Section 125 of the IRS code. Under a POP, employees will save an average of 30% - 40% on insurance premiums they deduct from their pay. That’s because a POP allows premiums to be deducted on a pre-tax basis. You, the employer, will also save about 7.65% (the FICA match) on every dollar your employees deduct. As a result, both employers and employees profit. Employees reduce their taxable income, which lowers their taxes and increases their take-home pay. You cut your payroll taxes by decreasing your total taxable payroll. Everybody wins – and saves.

 

Setting up a Section 125 POP is a simple and straightforward process that we can walk you through. It begins by completing a simple one page application. Most POP administrators charge an annual fee of $120.  The POP administrator is usually the same as the insurance company you have your group health insurance through, but it doesn’t have to be. Call us at (866) 639-1662 or contact us here to find out how to get a free POP!

 

In addition to group health insurance, other benefits that can fall under a POP are: Dental & Vision plans, Critical Illness, Cancer, Hospital Indemnity, Group-Term Life Insurance (up to $50,000) and Health Savings Account contributions. 


High Deductible Health Plan (HDHP) + Health Savings Account (HSA) or Health Reimbursement Arrangement (HRA)


This is one way for a small business to offer health insurance to employees at a reduced cost. HDHP’s (as the name suggests) do have very high deductibles, but the trade off is that they have much lower premiums compared to typical health plans. Like all health plans that comply with ACA requirements, HDHP’s cover preventive care without having to meet the deductible. They also have Out of Pocket Maximums which limits the exposure of catastrophic health care costs (the Out of Pocket Maximum is the most an enrollee could be responsible for within a calendar year). Pairing a HDHP with a tax advantaged Health Savings Account or Health Reimbursement Arrangement is a way to help pay for the deductible and Out of Pocket Maximum. Like all options, this approach has pros and cons that have to be carefully considered before deciding on offering this type of benefit.

 

Small Business Tax Credit


The small business health care tax credit is a part the Affordable Care Act and is for employers who have less than 25 employees. The credit works on a sliding-scale that is based on the number of full time employees within a company. The more employees a company has, the smaller the tax credit and vise versa. The most a company may qualify for is a credit of up to 50% off of premiums. However, non-profit employers are only eligible for up to 35% off of premiums. The tax credit is highest for companies with fewer than 10 employees who are paid an average of $27,000 or less.


Eligible companies can take advantage of the Small Business Health Care Tax Credit for two consecutive tax years. If an eligible company does not owe any tax for one year, the credit can be applied backwards or forwards to other tax years. Any excess amount paid by an employer for health insurance premiums above the allowable credit can be deducted as a business expense.


To qualify for the tax credit, all of the following must apply:


  • You have fewer than 25 Full-Time Equivalent (FTE) employees
  • Your average employee salary is about $56,000 per year or less
  • You pay at least 50% of your full-time employees' premium costs
  • You offer SHOP coverage to all of your full-time employees. (Note: you don't have to offer SHOP coverage to dependents or employees working fewer than 30 hours per week to qualify for the tax credit.)


To speak with a group insurance specialist, call us now at (866) 639-1662 or tap here to get a free quote.

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