IRS 125 Plan (Cafeteria Plan)

An IRS 125 Plan, also known as a Cafeteria Plan, is an employee benefit plan that allows employees to choose from a selection of pre-tax benefits. These benefits can include health insurance, dental insurance, vision insurance, flexible spending accounts (FSAs), and other fringe benefits. Here are some key features of an IRS 125 Plan:

  • Pre-tax contributions: One of the main features of an IRS 125 Plan is that employees can make pre-tax contributions to their selected benefits. This means that their contributions are deducted from their paycheck before taxes are calculated, which can result in significant tax savings.

  • Flexibility: An IRS 125 Plan allows employees to choose from a range of benefits and contribution levels based on their individual needs. Employees can select the benefits that are most important to them and adjust their contribution levels accordingly.

  • Limited enrollment period: Employees typically have a limited enrollment period during which they can choose their benefits for the upcoming plan year. After the enrollment period ends, changes to benefit elections may be limited or restricted until the next enrollment period.

  • Use-it-or-lose-it rule: Some IRS 125 Plans may have a "use-it-or-lose-it" rule for certain benefits, such as FSAs. This means that if employees do not use the funds in their FSA by the end of the plan year, they will forfeit the remaining balance.

Example: ABC Company offers an IRS 125 Plan to its employees. The plan includes a range of benefits, such as health insurance, dental insurance, and an FSA for medical expenses. Employees can choose the benefits that best fit their needs and budget, and make pre-tax contributions to those benefits.

John, an employee at ABC Company, elects to participate in the plan and chooses a high-deductible health insurance plan, a dental plan, and contributes $2,000 to his FSA for medical expenses. By making pre-tax contributions, John saves money on taxes and has access to affordable health and dental insurance, as well as pre-tax funds to pay for qualified medical expenses.

At the end of the plan year, John has $500 remaining in his FSA. Because ABC Company's plan has a "use-it-or-lose-it" rule, John must use the remaining funds by the end of the year or forfeit the balance. He schedules a dental cleaning and uses the remaining FSA funds to cover the cost.

Next Up

Vision is the most commonly offered ancillary benefit in employer-sponsored plans — 89% of employers offer it nationally, higher than dental, higher than life insurance, and higher than any voluntary benefit. And yet vision is also one of the most underfunded benefits in the market.
Dental benefits are not your largest cost center. For most employers, dental represents a fraction of what medical costs per covered employee annually. But dental is one of the highest visibility benefits in your package: employees use it, notice it, and talk about it. When it’s good, it builds goodwill. When it’s inadequate (low maximums, no orthodontia, zero employer contribution) it registers as a signal that the employer isn’t invested in the total package.
How an employer funds its health plan sits quietly in the background of every benefits decision. Most CHROs and CFOs know their premium cost. Fewer understand the mechanics of how their plan is actually structured: who holds the risk, who administers the claims, how costs flow, and what flexibility, if any, they have to change any of it.