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What Are the IRS Rules for Section 125 Plan Benefits?

 

When it comes to offering valuable employee benefits without breaking the bank, Section 125 has been a game-changer. But here's the catch: understanding the IRS rules for Section 125 benefits is essential if you want to do it right—compliantly, efficiently, and with lasting impact.

 

At Life Strong Care, we’ve created Life Flex, a smarter solution that leverages Section 125 pre tax benefits alongside a fully managed Preventative Care Management Plan (PCMP) and Self Insured Medical Reimbursement Plan (SIMRP). The result? One of the most compliant, benefit-rich programs available today, with no added cost or complexity for employers.

 

Let’s break down what the IRS expects, how Section 125 works, and why Life Flex is the strategic path forward for employers who want to care for their teams while cutting costs.

 

What Are Section 125 Benefits?

 

Section 125 benefits, often called “cafeteria plans,” allow employees to choose between taxable income and certain qualified non-taxable benefits. The IRS allows employers to set up these plans so employees can pay for specific benefits using pre-tax dollars—things like health insurance premiums, dental or vision care, and dependent care assistance.

 

That means less taxable income for the employee and lower payroll taxes for the employer. It’s a win-win—when done right.

 

However, not all Section 125 plans are created equal. Life Flex takes this foundational structure and enhances it with additional, compliant layers that support employee well-being and employer savings in new and powerful ways.

 

IRS Rules You Need to Know

 

The IRS outlines strict rules around how Section 125 pre tax benefits can be implemented. Here are the key compliance requirements employers must meet:

 

1. Plan Document Requirement

 

The IRS requires that all Section 125 plans have a written plan document in place. This document must describe:

 

  • The benefits offered

 

  • Eligibility rules

 

  • Election procedures

 

  • The plan year

 

Life Flex includes this documentation as part of our fully managed rollout, so employers don’t have to worry about legal pitfalls or missed details.

 

2. Only Certain Benefits Qualify

 

Under Section 125, only specific benefits can be offered on a pre-tax basis, including:

 

  • Health insurance premiums

 

  • Health savings accounts (HSAs)

 

  • Dependent care assistance

 

  • Group term life insurance (limited)

 

Life Flex goes beyond these basics by combining compliant Section 125 benefits with a PCMP and SIMRP, offering expanded value while remaining within IRS guidelines.

 

3. Elections Must Be Irrevocable

 

Employees typically make benefit elections during open enrollment, and under IRS rules, those elections must remain unchanged for the rest of the plan year—unless they experience a qualifying life event (like marriage, birth, or loss of coverage).

 

Our team ensures all Life Flex participants are educated on their options and that employers remain compliant with these election rules.

 

4. Nondiscrimination Testing

 

This is a big one. Section 125 plans must undergo annual nondiscrimination testing to make sure they don’t favor highly compensated employees. If the plan fails this test, the benefits may become taxable for those employees.

 

The Life Flex program is designed with built-in compliance tools, so employers never have to worry about failing these IRS checks.

 

What Makes Life Flex Different?

 

Life Flex isn’t your average cafeteria plan. It includes Section 125 pre tax benefits, yes—but that’s just the beginning. We’ve built a next-generation solution that combines three components:

 

  • IRS-compliant Section 125 framework
  • Preventative Care Management Plan (PCMP)
  • Self Insured Medical Reimbursement Plan (SIMRP)

 

By integrating these three elements, Life Flex delivers unmatched value—for both the company and its people.

 

Employer Benefits with Life Flex:

 

  • Save ~$680 per year per W2 employee (That’s $68,000 for every 100 employees!)

 

  • Zero out-of-pocket cost to implement

 

  • Lower healthcare claims (average savings of $1,400 over 3 years)

 

  • Full implementation in just 30–45 days

 

  • Strengthen team performance and retention

 

  • Immediate impact on your bottom line

 

Employee Benefits with Life Flex:

 

  • No change in take-home pay

 

  • $0 copay 24/7 Telehealth for doctors, nurses, and wellness coaching

 

  • Mental health and counseling support—including addiction resources

 

  • Access to Mayo Clinic tools and personalized health dashboards

 

  • Universal Life, Disability, and Critical Illness coverage

 

  • Enhanced benefits for spouses and dependents

 

  • More than 30,000 employees are already enrolled in Life Flex, experiencing a better, more supportive benefits system every day.

 

Why Compliance Matters More Than Ever

 

In today’s regulatory environment, a mistake in your benefit structure could cost your business more than just money—it could impact employee trust, damage your reputation, and trigger audits.

 

Life Flex gives you peace of mind. Our solution is fully managed, fully compliant, and fully customized. That means you can offer section 125 benefits with confidence, knowing everything is handled by experts who specialize in this space.

 

Real Value, Not Empty Promises

 

It’s easy to get caught up in flashy benefit programs that look good on paper but are impossible to maintain or afford. Life Flex is different. Our plan is designed with one clear goal: to help businesses support their teams in a sustainable, compliant, and cost-free way.

 

No fine print. No hidden fees. No added stress.

 

Just real benefits for real people—without changing your existing coverage or asking your employees to pay more.

 

How to Get Started

 

If you’ve been wondering how to implement Section 125 benefits the right way—or how to go beyond them without creating more work for your HR team—Life Flex is your answer.

 

We handle everything:

 

  • Plan design and compliance

 

  • Employee communication and education

 

  • Documentation, recordkeeping, and reporting

 

  • Ongoing support and updates

 

Your team gets better benefits. You get stronger retention, lower costs, and a streamlined setup process that takes less than 45 days.

 

Final Thoughts

 

The IRS rules for Section 125 plan benefits are detailed for a reason—they’re designed to ensure fairness, transparency, and employee protection. But that doesn’t mean navigating them has to be hard.

 

Life Flex from Life Strong Care makes it simple.

 

By combining Section 125 pre tax benefits with a PCMP and SIMRP, our program stands out as one of the most innovative and compliant offerings available today. It’s more than a benefits plan—it’s a culture-building, cost-saving, loyalty-driving advantage.

 

Book your 10-minute consultation today.

 

Let’s build a stronger, healthier team—together.