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By initialing I acknowledge that I understand the Important Information Regarding Participation in the Flexible Benefits Plan on the back of this form and agree to be bound by those requirements and any other requirements of the Flexible Benefits Plan. INITIAL WAIVER OF PRE-TAX BENEFITS UNDER THE FLEXIBLE BENEFITS PLAN I elect to waive all pre-tax benefits under the Flexible Benefits Plan. Except for a change in status I understand that I cannot .

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AFLAC is an IRS approved pre-tax program. This program is designed to allow certain benefit premiums to be pre-taxed from your biweekly paycheck.

Aflac offers plans that pay amounts for specific medical events, like hospitalization, or a doctor visit. These plans are considered health insurance for both payroll and tax purposes. If you aren't sure if your policy is considered health insurance, check with your agent or contact the company directly.

For example, let's say an employee earns $50,000 per year and elects to contribute $2,000 to their cafeteria plan to buy disability insurance, life insurance, and a critical illness insurance policy. Their taxable income is then reduced to $48,000, which lowers their tax liability.

Looking for a way to save? Let Aflac help make tax savings easy for you and give your employees the savings they deserve through Section 125 Cafeteria Plans. Aflac helps companies administer premium-only plans and Flexible Spending Accounts (FSAs) provided by WageWorks®, a preferred partner of Aflac.

A section 125 plan is the only means by which an employer can offer employees a choice between taxable and nontaxable benefits without the choice causing the benefits to become taxable. A plan offering only a choice between taxable benefits is not a section 125 plan.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232