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What is a Premium Only Plan (POP)?

Plain English Benefits · Updated August 13, 2026 · Education, not tax advice

The short answer: a Premium Only Plan is the simplest kind of Section 125 cafeteria plan. It does exactly one thing: it lets your employees pay their share of insurance premiums with pre-tax dollars. No FSAs, no accounts, no claims — just the paycheck deduction moving to the pre-tax side of the ledger.

The base-model analogy

If a full cafeteria plan is the car with every option package — FSAs, dependent care accounts, benefit menus — a POP is the base model. Same chassis (a written Section 125 plan), one feature (pre-tax premiums), a fraction of the complexity. And for a lot of small businesses, the base model is genuinely all they need: if you offer health insurance and your employees pay any part of the premium, a POP is usually the cheapest tax win available.

What actually changes on payday

Without a POP, an employee's $200 monthly premium share comes out of their paycheck after taxes are figured. With a POP, that $200 comes out before — so their taxable income drops by $200/month. In this example, someone in a combined 25% bracket could keep roughly $50/month that used to go to taxes. The premium is the same; the order of operations changed.

The employer side: payroll taxes like FICA are figured on wages after the pre-tax deduction, so the business typically pays payroll tax on a smaller number. No guarantees on what that's worth — it depends on headcount and how many employees participate — but it's the reason POPs usually pay for their own paperwork.

What a POP requires (the honest checklist)

RequirementWhat it means
A written plan documentThe IRS requires the plan to exist on paper before the pre-tax deductions start — a payroll setting alone is not a plan
Employee electionsEmployees choose (usually at open enrollment) to pay premiums pre-tax; the choice generally locks in for the plan year
Nondiscrimination rulesThe plan can't be tilted toward owners and top earners; POPs have a simplified safe-harbor path most small plans can meet
An employer-sponsored planA POP runs through your group insurance — it's not a way to pre-tax employees' individual outside policies

POP or full cafeteria plan?

Start with what your people are asking for. If the answer is just “make my premium cheaper,” a POP does it with minimal moving parts. If employees also want to set aside money for medical bills or daycare, that's FSA territory — the full plan. (The upgrade path exists; nobody is stuck at the base model forever.) One thing employees will notice either way: their W-2 grows a curious little note in Box 14 — we decoded it in what “Cafe 125” means on your W-2.

Thinking a POP might fit your business?

We help businesses set up pre-tax benefit plans — and explain them so employees actually use them.

See how Section 125 setup works