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Section 105 Information & Small Business Health Insurance Guide

  1. What is a Section 105?

  2. Who is eligible for a Section 105?

  3. What are the advantages of a Section 105?

  4. What are the requirements of a Section 105?

  5. Why establish a Section 105 vs. Health Savings Account?

  6. Why establish a Section 105 vs. Section 125?

  7. How much can I save in taxes with a Section 105?

  8. How do I participate in a Section 105?

  9. I am self-employed and I’m already deducting my insurance premiums. Why do I need a Section 105 plan?

  10. I am self-employed and I’m already deducting my medical expenses. Why do I need a Section 105 plan?

  11. What are eligible medical expenses?

  12. How do I get started with a Section 105?

 

 

What is a Section 105?

A Section 105 or Health Reimbursement Account is a designated plan that allows employers and the self employed to set aside a specific amount of money annually for employees to use to pay for eligible health care medical expenses as defined by the plan. 
 

The Section 105 of the Internal Revenue Code has been around since 1954. Section 105 plans were used primarily by farmers to provide tax reductions to their family members employed on the farm. Originally, the 80/20 indemnity plans were used to provide the insurance in those Section 105 plans. Today those same Section 105 plans provide valuable tax relief to the small business owner.

 

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Who is eligible for a Section 105?

All employers and sole proprietors are eligible for a Section 105. The plan documents need to be in place and administered in order to take advantage of their preferred tax treatment. When setting up a Section 105, the employer will be given the opportunity to determine the eligibility requirements for employees (one-on-one counseling available with every Section 105 enrollment).

 

Section 105 plans are useful for small business owners that can legitimately hire their spouse such as farmers, over-the-road truckers, real estate agents, insurance agents, etc. Because the spouse/employee can be reimbursed for family medical expenses, the employer benefits as well. 

 

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What are the advantages of a Section 105?

  • Save Money – By adjusting health insurance coverage, implementing a Section 105 plan can generate a savings in overall health benefits for the employer and employee.
  • Better Consumers – One key solution to the rising costs of health care is to put more choices in the hands of the consumers. By doing this, employees search for the most effective and cost efficient care.
  • Improved Employee Morale – The employer’s expenditures for health care are visible and clear to employees.
  • Recruit and Retain Quality Employees – Current and prospective employees view an employer in a positive light because a benefit package is being provided with the employee’s interest in mind.

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What are the requirements of a Section 105?

An employer gets to set the requirements of a Section 105 plan. Probationary periods, hours worked per week, years of service worked and age requirements are all options for the employer to set as requirements of a Section 105 plan. Utilizing our free counseling services will empower you in making sure you choose the most effective plan options.

 

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Why establish a Section 105 vs. Health Savings Account?

The main difference between a Health Reimbursement Arrangement (Section 105 HRA) and a Health Savings Account (HSA) is that with a Section 105 HRA the employer has control over the plan and the funds that are contributed to the plan. Employees own the HSA funds but an employer owns the Section 105 HRA funds. With the Section 105 HRA, an employer could allow carryover of funds from year to year too.  Section 105 HRA plans also save FICA or Self Employment taxes which is an extra 15.3%

 

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Why establish a Section 105 vs. Section 125?

The main difference between a Section 105 plan and a Section 125 plan is that the Section 105 plan can only be employer funded, while a Section 125 plan can be employee and employer funded The Section 105 plan would be put into place if the employer wanted to offer a benefit provided by the employer (i.e., health, disability or life insurance). A Section 125 plan is something that can be set up for employees to use their own funding.

 

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How much can I save in taxes with a Section 105?

All funds are tax deductible for employers. All funds are tax-free for employees. The average Section 105 plan participant utilizing our professional plan services save an average $2450 annually in taxes. Utilizing professional plan services, over 50,000 participants are enrolled nationally in these plans.

 

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How do I participate in a Section 105?

In Section 105 plans for small business owners (2-50 employees), the employee (which in this case generally is the spouse) gets reimbursed from the owner/spouse. Where the business owner cannot participate in a Section 105 HRA plan, the spouse can. For this reason, Section 105 plans are by far the most appealing options available as defined by the Internal Revenue Service. Again, because the spouse/employee can be reimbursed for family medical expenses, the owner/employer benefits as well.

 

In Section 105 plans for large employers (50+ employees), when an employee has a medical expense, they would simply submit the expense to the Section 105 plan administrator and then would receive their tax-free dollars in the mail from the administrator. Once the employer sets up the plan, the dollars are eligible to the employee at anytime in the plan year.

 

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I am self-employed and I’m already deducting my insurance premiums. Why do I need a Section 105 plan?

As of 2003 to present, 100% of health insurance premiums became tax deductible for the self-employed. The self-employed person can take the deduction whether they itemize or not. However, most tax payers are unaware that the 100% health insurance deduction only affects income tax and does not reduce income when calculating Social Security taxes. The 15.3% Self-Employment tax is still paid on insurance premiums. If an employer elects to establish a Section 105 plan for a spouse/employee, the Social Security taxes are eliminated for the employee as well as the employer. The beauty and the benefit of Section 105 plans, permits employers to take the additional 15.3% deduction!

 

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I am self-employed and I’m already deducting my medical expenses. Why do I need a Section 105 plan?

Medical expenses are deductible if the self-employed itemizes deductions; however, they are only able to write off deductions in excess of 7.5% of the Adjusted Gross Income. Two examples:

  1. If Adjusted Gross Income is $50,000 and you have $5,000 in out-of-pocket medical expenses, you can only deduct $1,250 ($50,000 X .075 = $3,750 and $5,000 - $3,750 = $1,250).

  2. If Adjusted Gross Income is $40,000 and you have $3,000 in out-of-pocket medical expenses, you can deduct $0 ($40,000 X .075 = $3,000 and $3,000 - $3,000 = $0)!!

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What are eligible medical expenses?

View eligible medical expenses for section 105 plans

 

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How do I get started with a Section 105?

  • Our plan document services provided by TASC pioneered the use of Section 105 plans, allowing family-owned businesses to deduct family health insurance premiums and other out-of-pocket medical expenses. TASC provides a long-term, value-oriented approach to your Section 105 plan. However it’s measured – dollars and cents or reduction of late-night headaches and worries – TASC provides consummate value to our clients and providers.
  • A true commitment to low overhead with a no-nonsense approach helps keep our fees low and makes our service affordable.
  • TASC offers well seasoned financial professionals with years of experience. We offer an unparalleled level of customer service. We stand behind our services and make sure everything is exactly right.
  • An endorsement of technology. From on-line communications to faster processing to the Benefits Debit MasterCard, we recognize the importance of technology in making many aspects of business more efficient. We continue to use these methods as a way to save time, save money, improve processes and generally make things easier.
  • A promise. As we head into the future, you can count on our growth and innovation to raise the level of our services in every regard. Our goal remains to continually increase customer satisfaction.
  • Audit guarantee.
  • Savings guarantee of $500 or your money back!

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