Section 125 Plan vs. HSA vs. FSA | Key Differences & Benefits Explained

Section 125 Plan vs. HSA vs. FSA: What’s the Difference?

When it comes to saving on healthcare expenses and reducing taxable income, employees and employers have several options. But what’s the difference between a Section 125 plan, a Health Savings Account (HSA), and a Flexible Spending Account (FSA)?

This guide will break down the key differences, benefits, and eligibility rules to help you make the best choice.

 

What Is a Section 125 Plan?

A Section 125 Plan, also known as a “cafeteria plan,” is an umbrella benefits program that allows employees to pay for certain benefits with pre-tax dollars.

What Can a Section 125 Plan Include?

✅ Health insurance premiums
✅ Dental & vision insurance
✅ Flexible Spending Accounts (FSAs)
✅ Health Savings Accounts (HSAs)
✅ Dependent Care FSAs (DCAPs)

💡 Think of a Section 125 plan as the structure that allows FSAs and HSAs to offer tax benefits. Employers set up a Section 125 plan to let employees pay for qualified expenses pre-tax, reducing taxable income for both parties.

📢 Need a Section 125 plan for your business? Contact The Policy Shop to get started!

 

What Is a Health Savings Account (HSA)?

An HSA is a personal savings account used to pay for qualified medical expenses, funded with pre-tax dollars.

Key Features of an HSA:

Pre-tax contributions lower taxable income
Funds roll over year after year
Investing options available for long-term savings
Must be paired with a High-Deductible Health Plan (HDHP)

Who Can Have an HSA?

  • Must be enrolled in an HDHP (2024 minimum deductible: $1,600 individual / $3,200 family)
  • Cannot be enrolled in Medicare or another health plan
  • Cannot be claimed as a dependent on someone else’s tax return

HSA Contribution Limits (2024)

  • Individuals: $4,150
  • Families: $8,300
  • Catch-Up Contribution (55+): Additional $1,000

💡 HSAs are great for long-term healthcare savings! Funds never expire, and they can be used in retirement.

 

What Is a Flexible Spending Account (FSA)?

An FSA is an employer-sponsored account that allows employees to set aside pre-tax dollars for medical expenses.

Key Features of an FSA:

Pre-tax savings on eligible medical expenses
Must be offered by an employer
Funds typically expire at year-end (some plans allow a small rollover)

Types of FSAs:

🔹 Healthcare FSA – Covers medical, dental, and vision expenses
🔹 Dependent Care FSA (DCAP) – Covers childcare expenses for working parents

FSA Contribution Limits (2024)

  • Healthcare FSA: $3,200
  • Dependent Care FSA: $5,000 (married filing jointly)

💡 FSAs are great for planned medical expenses but have a “use-it-or-lose-it” rule, meaning funds may expire if not used within the plan year.

 

Comparison Chart: Section 125 Plan vs. HSA vs. FSA

Feature

Section 125 Plan

HSA

FSA

Who Can Use It?

Employers & employees

Individuals with HDHP

Employees (via employer)

Tax Savings?

Yes (pre-tax payroll)

Yes (pre-tax savings)

Yes (pre-tax savings)

Employer Required?

Yes

No

Yes

Funds Expire?

No

No (funds roll over)

Yes (unless small rollover allowed)

Investable Funds?

No

Yes

No

Paired with HDHP?

No

Yes (required)

No

 

Which Option Is Best for You?

🔹 If you’re an employer: A Section 125 plan lets you offer pre-tax benefits, helping reduce payroll taxes while providing employees with savings.

📞 Not sure which plan is best? Contact The Policy Shop for expert guidance!

 

Final Thoughts: Maximize Your Tax Savings with the Right Plan

Choosing between a Section 125 plan, HSA, and FSA depends on your employment status, healthcare needs, and tax-saving goals.

Employers benefit from setting up a Section 125 plan to offer pre-tax benefits
Individuals with an HDHP should consider an HSA for long-term savings
Employees with predictable medical costs may benefit from an FSA

🚀 Want expert help? The Policy Shop can assist with setting up the best tax-saving benefits for you or your business.

📢 Get in touch today to start saving more on healthcare costs!