Products & Services > HOW DOES A CAFETERIA PLAN WORK

Federal law (Section 125 of the Internal Revenue Code) permits you to pay designated expenses on a pre-tax basis. A Cafeteria/Section 125 Plan is designed to help you take advantage of this legislation. Section 125 Plans can increase your spendable income. You now can use pre-tax dollars to pay many of the benefit costs that you have paid with after-tax dollars. Therefore, you reduce the amount of income taxes that you pay. Employees can save on federal, FICA and in certain areas, state and local taxes. More importantly, reduced taxes mean more spendable income. At the beginning of each plan year, you simply select from the available coverages and determine how much you want to pay toward each one. Those amounts are pro-rated over the year's time and then deducted at each pay period. Once you incur an expense, notify AmeraPlan, Inc. by filing a claim form and receipt. You are then reimbursed for your expenses as they incur throughout the year.

By examining past health and dependent expenses and by forecasting those expenses expected in the next year, you determine how many pre-tax dollars you want allocated from your pay during the coming year.

Health Care Plan

The Health Care Plan covers deductibles, co-payments, transportation for medical purposes, prescription drugs, over the counter products and other non-covered medical, dental, and vision expenses. The full amount of the Health Care elections must be available to you at any time during the FSA plan year, regardless of the amount you have contributed as of the claim date. Upon termination, you can elect to remain as a participant in the FSA for the remainder of the plan year providing you continue to make your monthly contribution to the plan (with after-tax dollars). You have 60 days after the end of your plan year to submit claims for the period covered. You do not have to be covered by your employer’s medical insurance plan to participate in the health care plan.

Dependent Care Plan

The Dependent Care Plan covers care for children under the age of 13, as well as care for the elderly, disabled, or handicapped. Your plan year election for the Dependent Care Account, by law, cannot exceed more than $5,000 of eligible expenses per plan year. You determine how much of your pre-tax earnings will go into the plan. (Married/joint tax-return employees can deposit up to $5,000 in the Dependent Care Plan; this ceiling drops to $2,500 if the participant is married and filing separate returns). If you are using the Child Care Credit on your individual tax return, the total amount you claim for the Child Care Credit and the Dependent Care Plan cannot exceed $6,000. If your dependent care account has insufficient funds to cover a dependent claim, the system will pay up to the current account balance and hold the remainder of the claim for payment at the next deposit.

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