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questions and answers about health insurance and employee benefits

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Health Insurance FAQs
Health Insurance FAQs

questions and answers about health insurance and employee benefits

POPs

Premium Only Plans (POPs) are simple Section 125 plans that allow employees to pay their share of health insurance premiums with pre-tax dollars. These FAQs explain how POPs work, who can participate, and what employers need to do to stay compliant with IRS rules.

What’s the difference between a cafeteria plan, a Section 125 plan, an FSA, and a POP?

HealthInsuranceFAQs, March 27, 2025January 25, 2026

Short answer: A cafeteria plan, also called a Section 125 plan, is the tax-advantaged structure; an FSA is a benefit that can be offered within that structure; and a POP is a limited type of Section 125 plan that only allows pre-tax insurance premium deductions.

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Tax-Advantaged Accounts

  • POPs – Premium Only Plans
  • FSAs – Flexible Spending Accounts
  • DCAs – Dependent Care Accounts
  • HSAs – Health Savings Accounts
  • HRAs – Health Reimbursement Arrangements
  • MERPs – Medical Expense Reimbursement Plans
  • MPRAs – Medicare Premium Reimbursement Arrangements
  • ICHRAs – Individual Coverage HRAs
  • QSEHRAs – Qualified Small Employer HRAs

Compliance Requirements

  • Marketplace Notice
  • HIPAA Notice
  • COBRA
  • State Continuation
  • SBCs
  • ERISA
  • Medicare Part D Notice
  • Medicare Secondary Payer
  • RxDC Reporting
  • Employer Reporting
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