Sample Plan Document: Premium Only Plan
It is the intent that this plan shall qualify as a Section 125 plan of IRC, as amended from time to time. The purpose of the plan is to allow employees the opportunity to elect to pay the portion of medical insurance premium costs, for which they are responsible, either on a pre-salary reduction basis, or through a post-tax salary deduction. The plan is effective from January 1, 200X through December 31, 200X. All employees working 35 hours per week as of January 1, 200X and who contribute toward the cost of coverage may elect to participate. Employees must enroll before each plan year.