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Exploring your flexible benefit options is easy and efficient with SABC. Our associates will help design and implement a plan that meets your organizational needs, while saving you & your employees money.
Exploring your flexible benefit options is easy and efficient with SABC. Our associates will help design and implement a plan that meets your organizational needs, while saving you & your employees money.
IRS code Section 125 allows employers to adopt a plan in which employees can pay for eligible benefits on a pre-tax basis through a salary reduction agreement. This type of coverage, especially when combined with other permitted benefits, can offer substantial tax savings to both the employer & employees.
Premium only plans allow participants to pay for certain employer-deducted insurance premiums with tax-free dollars.
The premiums are deducted before the computation of Federal, State and FICA taxes, which means the premium amount will not be reported as income for W-2 wages, thereby increasing participants’ take-home pay. Employees should be made aware that these pre-tax deductions may also result in a reduction of Social Security benefits.
Pre-taxing dependent care under a cafeteria plan may save participants more money than if claiming end-of-year tax credits (unless the participant makes very little income).
Participants’ annual selections will be divided by the number of deductions in the plan year and then placed into a spending account, tax-free, which will be used to reimburse validated dependent care expenses.
For more information on dependent care, please refer to the IRS Publication 503.
Unreimbursed Medical Accounts allow participants to set aside tax-free dollars to cover out-of-pocket expenses that wouldn’t otherwise be covered by insurance or available as a tax deduction, such as co-pays, co-insurance, deductibles, orthodontia, or other types of medical care. Depending on the plan design, unused funds may be able to be rolled over or used during a temporary extension period.
Employees should be made aware that early termination of the plan may result in the unpaid election being deducted from the participant’s pre-tax salary. The participant will have until the end of the coverage period to incur the expense and (30) days after the coverage period to submit receipts that incurred prior to the termination date. If the participant has a positive balance upon termination, the employer will offer the option to elect COBRA and continue in the plan on a self pay basis, with after-tax dollars.
SABC has extensive experience servicing Cafeteria Plans for municipalities, state agencies, banks, hospitals, educational institutions, associations, manufacturing firms, and other private businesses. Our friendly staff is highly educated in IRS guidelines and requirements while delivering great service for our clients.
Your Plan Document is a detailed outline of your plan design and terms that dictates how your plan must operate based on federal regulations and/or choices made by the plan administrator (employer). It is important that this document remain up-to-date. Should you make any changes that affect your plan, such as changes, additions, or deletion of insurance products, please notify SABC, so that your document can be updated.
You will also receive a Summary Plan Description (SPD), which is a simplified version of the Plan Document, intended to help participants more easily understand the benefits they are entitled to under the plan.
After the enrollment, the SPD must be sent to all employees. If you choose to put the SPD on your company website, you must notify each employee as to its location. In addition, you must offer a copy to any employee that request a copy or does not have access to the company website.
Once you’ve enrolled, you will receive a deduction report outlining each employee’s election. This report will list the insurance product(s), premium amount, and indicate café or non-café. Premium(s) listed as café will be pre-taxed under the plan. The report will also list any flexible spending elections (i.e. Dependent Care and/or Unreimbursed Medical).
Federal Regulations require that annual elections for Unreimbursed Medical Spending participants be available to them at all times during the plan year. Therefore, as described to you during the plan set-up, the employer is required to front supplemental funds at the beginning of the plan year to ensure that claims can be paid, regardless of the participants’ current balance. Your SABC representative will recommend a pre-funding amount based on participation.
You will continue to send all insurance premiums to the designated insurance carrier, as you have likely done in the past. After each payroll, you will submit your flexible spending deductions in one of two ways:
All elections made under the Cafeteria Plan are irrevocable, meaning insurance premiums, and/or flexible spending deductions cannot be changed or dropped during the plan year without a qualified status change.
However, just because the event occurs does not necessarily mean that the change requested qualifies or will be approved. The change requested must be consistent with the event. For instance – if an employee gets a divorce, they would be allowed to drop their spouse from their insurance plan(s). However, if an employee had a baby, it would not allow her to drop her spouse from her insurance, because it is not consistent with the event. It is recommended that you contact our office to verify that the status change qualifies, before approving. Once verified, a status change form will need to be completed.
If a participant terminates, your plan may require that you deduct their remaining plan year election from their final paycheck. Check your plan document or contact SABC.
HRAs, or Health Reimbursement Arrangements, allow organizations to adopt higher deductible health plans and offset participants’ out-of-pocket expenses through funds contributed by the employer. These funds offer participants increased flexibility, and depending on the plan design, may be used toward deductibles, co-pays and other allowable standalone expenses, such vision and dental. Employees are able to roll funds over at the end of the plan year.
Health Savings Accounts (HSA) are IRA-style accounts that are owned by the participant and follow them through changes in coverage and/or employment. HSAs can be established to pay for qualified medical expenses when eligible participants are already covered by a high-deductible health plan (HSHP).
HSAs may be established for an individual or a group of employees. Individuals and/or employers both may contribute funds to the HSA for a tax savings. Employee contributions may be through a salary reduction agreement under a cafeteria plan. This allows employees to see the immediate tax savings and employers to save the matching FICA on employees contributions. Employer contributions must also be nondiscriminatory.
Every industry is different, requiring benefits programs to be tailored to satisfy regulations in addition to organizational needs. SABC’s experts can help you determine which options will best meet your organizational needs and offer your employees the best value for their dollar.
In addition to our core benefits offerings, our highly trained staff can help you obtain supplemental insurance, get a quote, review your current benefit package, or simply explore the options. We have partnered with all major carriers, along with many private brokers, to offer our clients a one-stop-shop for all their benefit needs.
With SABC, there’s an easier way for participants to pay with the SABC FlexCard, a prepaid benefits card which gives participants immediate access to the funds in their Unreimbursed Medical Account.
If you offer the FlexCard, additional funding in a separate bank account is required to ensure that funds are always available when a participant uses the card. After enrollment, you will be contacted by SABC with the amount required for your initial deposit. The bank requires that 7% of the annual elections for those with the card be available in the account at all times, and be replenished weekly for any purchases made by cardholders. Funds will be utilized from the supplemental funds sent to SABC to fund manual claims.
If your organization would like to begin offering flexible cafeteria plan benefits, please contact SABC to begin designing your plan.
Southern Administrators and Benefits Consultants, Inc. provides cafeteria plan benefits services for businesses and employees seeking flexible medical and daycare coverage options.
Phone: (601) 856-9933
Fax: (601) 856-8088