Rules, costs & savings

Section 125 (Cafeteria) Plans

Let employees pay premiums pre-tax

Michael Furman
Reviewed by Michael Furman, COO — 24 years in insurance · MDRT Top of the Table
NovaVida Group licensed team · Updated August 2026

A Section 125 plan — also called a cafeteria plan or premium-only plan (POP) — lets employees pay their share of premiums with pre-tax dollars. That lowers payroll taxes for both the business and the employee, often for little more than the cost of setting it up.

Savings on Both Sides

When employees pay premiums pre-tax, their taxable wages drop — so they take home more — and the business owes less in matching FICA taxes on those wages. A basic premium-only plan is inexpensive to establish and often pays for itself quickly. You can expand it to include flexible spending accounts (FSAs) for medical and dependent-care expenses.

Fast Facts

  • Employees pay premiums pre-tax (lower taxable pay)
  • Employer saves on matching payroll (FICA) taxes
  • Can include FSAs for medical and dependent care
  • Simple to add on top of your existing benefits

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Quick answers

Frequently Asked

Does a Section 125 plan cost the employer money?

Setup is modest, and the employer typically saves on payroll taxes for every dollar employees run pre-tax — so it often more than pays for itself. We can add it alongside your group plan, ICHRA, or ancillary benefits.