Requisite Information Related to FICA Savings

Double Dip: Defined

A "double dip" is a tax structure where an employer attempts to claim tax advantages on both the premium payment AND the benefit payment from the same insurance policy funded entirely with pre-tax dollars.

Specifically: premiums are paid through pre-tax salary reduction (avoiding FICA on those dollars), and then the benefits paid out are also claimed as tax-free—even though no after-tax employee contribution was ever made.

The Mechanism: How Double Dip Works

Here's the specific structure the IRS has challenged:

The Problematic Flow

  1. Employee elects salary reduction — e.g., $1,200/month goes to a wellness policy through a Section 125 cafeteria plan
  2. Employer saves FICA — Because taxable wages are reduced by $1,200, employer saves 7.65% ($91.80/month)
  3. Policy pays wellness benefit — e.g., $1,000/month for participating in wellness activities
  4. Benefit claimed as tax-free — Employer treats the $1,000 as excludable from income and wages

The IRS objects because the employer is getting tax advantages on both ends of the same dollar flow:

Why the IRS Objects

The tax code provides two different frameworks for health insurance benefits, but they're mutually exclusive:

Framework 1: Employer-Funded (§105/§106)

When the employer pays premiums (or premiums are paid pre-tax through §125), the coverage is excludable under §106, but benefits are only excludable under §105(b) to the extent they reimburse actual medical expenses. Excess benefits—payments beyond actual expenses—are taxable.

Framework 2: Employee-Funded (§104(a)(3))

When the employee pays premiums with after-tax dollars, benefits are excludable under §104(a)(3) without regard to whether they exceed actual medical expenses. The "excess benefit" problem doesn't apply because the employee funded the policy.

The "double dip" tries to use Framework 1 for the premium (pre-tax exclusion) and Framework 2 for the benefit (tax-free regardless of expenses). The IRS says you can't mix and match—you have to pick one framework based on how the premium is funded.

What "Double Dip" Does NOT Mean

The term is often misused to attack any wellness program that provides FICA savings. But "double dip" has a specific meaning:

"Double Dip" Does NOT Refer To:

  • Any program that saves employers FICA taxes
  • Programs with two separate policies (dual-premium)
  • The employer FICA savings from pre-tax premium deductions
  • After-tax funded policies that pay tax-free benefits
  • Section 125 cafeteria plans generally

The Origin: Revenue Ruling 2002-3

The "double dip" concept originates from Revenue Ruling 2002-3, which addressed a specific scheme where employers reimbursed employees for health insurance premiums that had been paid through pre-tax salary reduction.

"The exclusions under sections 106(a) and 105(b) do not apply to amounts that the employer pays to employees to reimburse the employees for amounts paid by the employees for health insurance coverage that was excluded from gross income under section 106(a) (including salary reduction amounts pursuant to a cafeteria plan under section 125 that are applied to pay for such coverage)."

— Revenue Ruling 2002-3

The ruling established that you can't reimburse pre-tax premiums and claim the reimbursement is also excludable. The same principle underlies the IRS position on wellness "double dip" arrangements.

The Compliant Alternative

A dual-premium structure avoids the double dip problem entirely by using two separate policies with two separate premium streams:

There's no "double dip" because each policy stands on its own legal foundation. The wellness benefits aren't coming from the pre-tax funded policy—they're coming from the after-tax funded policy.

Learn More

The PTE Gold Book provides comprehensive analysis of double dip structures, dual-premium alternatives, and the complete IRS guidance history.

Get Your Copy →