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Can an employee who elected pre-tax medical insurance premium payments


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Posted

A company has a Premium Only Plan (section 125) for their medical insurance plan. It is my understanding that if an employee elects during the year (any time) to drop coverage for himself and/or dependents then he is allowed to do that. However, should this employee elect to enroll in the medical plan (Pre-tax deductions) he could not unless there was a "qualifying event". Otherwise, he would need to wait until the Open Enrollment period.

My question is can an employee who had previously elected medical insurance (pre-tax...Premium only plan) elect to drop coverage any time during the year without a "qualifying event" from occuring? (I would not think a company could require him to pay for deductions until the next open enrollment at which time he could decline coverage. I could imagine that there would be very many upset employees. And if they cannot change this election does anyone have a sample of the Premium Only Plan information that is given to new employees or current employees at Open Enrollment?)

THANKS!

Guest inslady
Posted

An employee can only make changes to pre-tax deductions during open enrollment or in the event of a change in status (i.e. - a qualifying event). Employees can not choose to no longer participate in a pre-tax benefit simply because they no longer want it.

Your plan administrator or human resources manager should have a copy of your plan document or a summary plan description for your review.

Guest jlcowden
Posted

I 2nd that opinion

quote:

Originally posted by inslady:

An employee can only make changes to pre-tax deductions during open enrollment or in the event of a change in status (i.e. - a qualifying event). Employees can not choose to no longer participate in a pre-tax benefit simply because they no longer want it.

Your plan administrator or human resources manager should have a copy of your plan document or a summary plan description for your review.

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jlcowden

Posted

I also agree. That is why we believe in permitting employees to choose whether or not they will pretax their premiums. The IRS does not give you a tax break without imposing restrictions. Here, the trade is a tax break on the premiums traded for losing the freedom to move in and out of the plan

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