Comparison · Last reviewed May 2026

Section 125 vs Giving Employees Raises — Which Actually Helps Both Sides?

By David Newman · Referral Partner, Section 125 Savings · San Pedro, CA

If you're considering a raise to retain employees, the math doesn't go where most owners think it goes. A traditional raise costs you the raise PLUS 7.65% employer FICA on the raise PLUS Workers' Comp premium on the higher payroll base. Section 125 delivers the same paycheck improvement to your employees — at zero net employer cost.

IRS Section 125 — Federal Law Since 1978
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Side-by-side comparison

FactorSection 125 Preventive CareTraditional Raise
Employee paycheck change+$71.96 / pay period (~$863/yr)Up to $100/pay period before tax
Employer cost (per employee, per year)$0 net (after $681.60 FICA savings)$1,000+ raise + 7.65% FICA + WC premium
Employer FICA savings+$681.60/employee/year−$76.50 to −$153/employee/year (more FICA)
Workers' Comp premium impactReduces 30–60% at next auditIncreases (higher payroll base)
Wellness benefits to employee24/7 telemedicine, free meds, dental, mental healthNone
Setup time6–8 weeksImmediate (next pay cycle)
Affects gross salary on offer lettersNoYes (permanent base increase)
Reversible if business shiftsYes (annual plan year boundary)No (permanent)

Why Section 125 Preventive Care wins for most operators

A 4% raise on a $50,000 employee is $2,000 in additional gross salary. The employer doesn't pay $2,000 — they pay $2,153 (the raise plus the 7.65% employer FICA on the raise) plus the Workers' Comp premium increase on the larger payroll base. For a 25-person operation with a 5% WC rate, the all-in cost of a $2,000/employee raise approaches $2,250/employee.

Section 125 Preventive Care delivers approximately $863/year of additional take-home pay to every participating W-2 employee — at zero net cost to the employer. The mechanism: $1,200/month of pre-tax salary reduction (which lowers FICA-taxable wages and triggers a $1,101.60/year FICA savings per employee), netted against the program's $35/month admin fee, leaves the employer with $681.60/year in net savings. The employee's tax withholding drops by ~$272/month and a post-tax wellness reward of ~$1,000/month flows into their paycheck.

The paycheck-improvement-per-dollar-of-employer-cost ratio is structurally different. Raise: $863 employee benefit / $2,250 employer cost = $0.38 of employee benefit per employer dollar. Section 125: $863 employee benefit / -$681.60 employer cost (negative — they save) = infinite ratio (employees benefit while employer saves).

There are reasons to give a raise — promotion, market correction, recognition. There are no reasons to give a raise as a benefits substitute when Section 125 exists.

Can they coexist?

Section 125 and traditional raises are not mutually exclusive. Many operators implement Section 125 first (because it's structural and zero-cost), then later add merit raises with the savings. A 50-employee operator who saves $34,080/year in FICA via Section 125 can fund a $1,000/year merit raise pool of 25 top performers using the saved tax dollars — without any net change to operating expenses.

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Minimum 10 W-2 employees  ·  $25K+ salary  ·  ACA-compliant health coverage required
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Skepticism is the right response. We don't ask you to take our word for it — we bring institutional proof that convinced CPAs, CFOs, attorneys, and insurance brokers to enroll their own companies.

Darcy L. Hitesman, J.D.

HitesmanLaw P.A. · Minneapolis, MN

35+ years as an Employee Benefits attorney specializing in IRC Section 125, ERISA, HIPAA, and the ACA. Her May 5, 2025 opinion letter concludes: “In this firm's opinion, the Program described satisfies applicable IRS requirements.”

She specifically reviewed the IRS Chief Counsel Advice memoranda on "double-dip" arrangements — the exact schemes the IRS has flagged — and concluded this program is built differently and compliantly.

Named a Super Lawyer every year since 2000. AV-rated (highest possible rating) in Martindale-Hubbell since 1998.
Co-author: ERISA Compliance for Health & Welfare Plans (Thomson Reuters/EBIA) — the national compliance standard manual since 1999.
Member, Technical Advisory Group — Employers Council on Flexible Compensation. She helps set the industry standards for Section 125 plans nationally.

CBIZ Advisors LLC

Top-7 U.S. Accounting Firm · Cleveland, OH · 135,000+ Clients

CBIZ independently reviewed the program against IRC §§ 125, 105, and 106, plus ERISA, ACA, and COBRA requirements. Their August 22, 2025 letter concludes: “If operated per its provisions, the Program appears to satisfy the requirements of ERISA, the ACA, and COBRA as well.”

This review was commissioned by Affinity Hospice's CEO before enrolling his nationwide organization — and the CFO (himself a CPA) shared the letter publicly in his testimonial.

Top-7 U.S. accounting firm. 10,000+ employees across 100+ offices. Serves 135,000+ clients nationally.
Review covers: IRC §125 cafeteria plan, §105/106 wellness benefit rules, ERISA plan asset treatment, ACA integration, and COBRA obligations.
$500,000 legal protection per enrolled employer · $10,000 per employee participant · Insurance-backed.
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Direct From the U.S. Government

Section 125 has been in the Internal Revenue Code since 1978. Congress wrote it there specifically to encourage employers to fund preventive healthcare for American workers. This is not a loophole — it is the precise, intended use of a 47-year-old federal law, grounded in IRS Revenue Ruling 69-154, the specific published ruling supporting the benefit payment structure.

→ Verify on IRS.gov — Section 125 Cafeteria Plans ↗
Common Questions

Specifically about this comparison

On their paycheck — they take home approximately $72 more each pay period either way. The difference is structural: the raise increases their gross salary (which affects their offer letter, employment contract, and future raise base), while Section 125 leaves their gross unchanged but adds the post-tax wellness reward. The wellness platform benefits (24/7 telemedicine, free generics, dental savings, mental health) are visible to them — most employees value these meaningfully.
Section 125 reduces FICA-taxable wages by the pre-tax amount, so the employee's Social Security earnings record is also reduced. The projected impact on future Social Security benefits is small relative to the immediate take-home increase. For most workers, the trade is overwhelmingly positive — but each employee should run the comparison with their own CPA.
Yes. They operate independently. Many employers use Section 125 to fund a portion of their merit-raise budget — the FICA savings flow back to the operating account, which can be redeployed for raises, bonuses, equipment, expansion, or whatever the business needs.
For monthly-paid employees it lands at $71.96/month. For biweekly-paid employees it works out to ~$33.21/pay period (since the same monthly figure splits across more pay periods). For weekly-paid employees, ~$16.61/week. The total annual figure is $863.52/year regardless of pay frequency.
Most employers have never heard of the complete Preventive Care variant of Section 125. CPAs know about the structure but cannot operate one (it requires a plan administrator, a HIPAA-compliant wellness platform, a licensed indemnity insurance carrier, and $500K of legal-protection backing — none of which a CPA firm holds). The result: the program exists, the math is mechanical and verified, and most operators with 10+ W-2 employees would qualify — but most have never had it presented to them.
6–8 weeks from a signed agreement. The plan administrator handles documentation, payroll integration, and employee enrollment. First payroll cycle after go-live reflects the change. WC adjustments apply at the next carrier audit cycle.

Content reviewed by Virginia Fish, CPA — tax and employer benefits specialist with 10+ years in financial reporting and payroll tax strategy.

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Verified: CBIZ Advisors LLC (Aug 2025) · HitesmanLaw P.A. (May 2025)
$500K legal protection per enrolled employer · IRS Section 125 · Federal law since 1978