Flexible Benefit Plan (Section 125) - Human Resources Department

Pictures of chickens, flowers, wheat, a boy looking through a magnifying glass, irrigation pipe, soybean pods, and fruits and vegetables.	Cooperative Extension Service





Cooperative Extension Service	Agricultural Experiment Station
Search \| Publications \| Jobs \| Personnel Directory \| Links County Offices \| Departments

U of A Board Policies
Division Policy and
Management Guidelines
Extension Policy Manual
4-H State Policy Handbook
Departments
OPM Policy Manual
Classified Pay Plan
Calendar of Events
Blue Letter

Giving

Dale Bumpers College
of Agricultural, Food &
Life Sciences

Division Home

Agricultural Experiment
Station Home

Cooperative Extension
Service Home

Cooperative Extension Service Departments
Human Resources - Group Benefits
Flexible Benefit Plan (Section 125)

The UA Flexible Benefit Plan, established under Section 125 of the Internal Revenue Code, permits employees to pay for certain expenses before taxes. When you pay for these expenses with pre-tax salary, you pay no social security, state, or federal tax on your contributions. The eligible expenses that may be paid with pre-tax salary are:

1. Employee portion of Group Medical and Dental Insurance premiums

2. Certain dependent care expenses (Flexible Spending Account) (Renewed Yearly)

3. Out-of-pocket medical expenses (Flexible Spending Account) (Renewed Yearly)

Employees have an opportunity to enroll annually. For determining the amount to be set aside in the Flexible Spending Accounts, you should be conservative. The Internal Revenue Service requires that any unused funds remaining in the account at the end of the year are forfeited. This means it is a “use it” or “lose it” situation.

Flexible Benefit Plan Enrollment Checklist

To tax shelter the employee portion of your Group Medical or Dental Insurance premiums, indicate your choice on the University of Arkansas Group Benefits Enrollment Form - EBEN-227 (PDF) and on the QualChoice/University of Arkansas Enrollment Application Form - EBEN-106 (PDF) and Delta Dental/University of Arkansas Enrollment Application Form - EBEN-105 (PDF) enrollment forms.
Current employees must enroll through Banner Self Service during open enrollment.

New hires wishing to participate in the Flexible Spending Accounts (dependent care or out-of-pocket medical), complete the University of Arkansas Flexible Benefit Plan Election Form - EBEN-112 (PDF). (This form must be completed at the beginning of each calendar year, and you may not change your enrollment within the calendar year except under limited circumstances.)

Return to Group Benefits

University of Arkansas • Division of Agriculture
Cooperative Extension Service
2301 South University Avenue
Little Rock, Arkansas 72204 • USA
Phone (501) 671-2000

Mission • Disclaimer • EEO •
Privacy • FOI

Cooperative Extension Service Departments Human Resources - Group Benefits Flexible Benefit Plan (Section 125)

Cooperative Extension Service Departments
Human Resources - Group Benefits
Flexible Benefit Plan (Section 125)