Employee Benefit Plans

Employee Benefit Plans (Cafeteria Plans)

Also called flexible benefit plans, cafeteria plans allow participating employees to choose among two or more benefits consisting of cash and qualified benefits. [IRC Sec. 125(d)(1)(B)].

There is no need to change current benefit programs. If the employer is unable to pay for fringe benefits, the employee can enter into a salary-reduction agreement with the employer. The employer then uses these funds to pay for the employee's benefits. This allows the employee to pay for his or her own benefits with pre-tax dollars.

Employee Benefits

Some of the benefits that can be enjoyed by employees include the following:

bullet Lower FICA and income tax withholding due to lower gross pay
bullet Ability to select those benefits most needed
bullet Opportunity to refuse benefits already provided by a spouse's employer
bullet Option of redirecting tax savings to retirement meet retirement needs; e.g., 401(k) plan, life insurance, etc.
bullet Potential qualification for the earned income credit due to lower gross income

Employer Benefits

Some of the benefits that can be enjoyed by employers include the following:

bullet Lower payroll taxes (FICA, FUTA and sometimes worker's compensation insurance) due to lower gross pay
bullet Sharing cost of benefits with employee, if desired
bullet Help in retaining key employees
bullet Improved employee morale due to show of employer concern
bullet Potential reduction in fringe benefit costs

Qualified Benefits

In addition to those benefits listed above, some qualified benefits may also be included:

bullet Employee paid medical insurance premiums
bullet Group term life insurance
bullet Dependent care assistance

Excluded Benefits

bullet Scholarships or fellowships described in IRC Sec. 117
bullet Educational assistance programs described in IRC Sec. 127
bullet Miscellaneous fringe benefits (including transportation and parking) described in IRC Sec. 132 1
bullet Nonqualified deferred compensation plans
bullet Qualified retirement plans, except cash or deferred arrangements under IRC Sec. 401 (k)
bullet Long-term care benefits described in IRC Sec. 4980C and IRC Sec. 7702B
bullet Contributions to medical savings accounts described in IRC Sec. 220

Plan Requirements

The plan must be written and include only employees.2  The plan should include the following items:

bullet Description of benefits and coverage periods
bullet Eligibility rules for participation
bullet How benefit elections are to be made
bullet How employer contributions are to be made; i.e., employer funds or salary reduction
bullet Maximum amount of employer contributions
bullet Plan year 3
bullet Annual filing of an information return (Form 5500 and Schedule F) with IRS

Flexible Spending Accounts

Flexible spending accounts (FSA) are a type of cafeteria plan commonly used by many employers. In an FSA, participating employees generally elect to have their salary reduced each month. The employer then uses these funds to pay for certain benefits with pretax dollars. There are two types of FSAs.

1. Medical expenses not otherwise covered

2. Dependent care expenses for both children and parents

Tax Benefits

The payment of the benefit is tax deductible for the employer and is not considered additional income to the employee. As these dollars are not considered to be wages, they are not subject to either FICA or FUTA tax.

Health Benefits

If an FSA provides health benefits (like medical or dental expenses) to participants, it must be ready to pay the full year's benefits to an employee who qualifies for the benefit.

For example, if the employee has contributed for only one or two months at the time of the claim, the employer must pay for the entire expense up to the amount projected for the full year of contributions by the employee.

If the employee then terminates employment before the amounts are deducted from his or her paycheck, the employer must suffer the loss.

1 The Transportation Equity Act of 1998 allows pretax contributions for qualifying transit vouchers or parking, but these cannot be part of a cafeteria plan.
2 Sole proprietors and partners or subchapter S shareholders who own 296 or more of the business may not participate. See proposed Regulation Sec. 1.125 1, A-3.

Continue for more information: Employee Benefit Plans and Discrimination