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Cash-Out Options
Things to Consider Before Jumping In


With the rise in health insurance costs and changing work demographics, employers nationwide are considering innovative benefit designs that are intended to not only contain costs but also provide employees greater flexibility toward benefit selection.

Enter the cash-out option in a cafeteria plan. This can include:

  • Unused employer-provided flex credits or additional credits for declining listed benefits;
  • Incentive payments for declining health insurance coverage – i.e. a strictly “cash in lieu of benefits” arrangement; or
  • A plan that offers deferral of flex credits to a 401(k) plan (such plans must offer a cash-out option).

While a cash-out benefit option is valuable in that it helps maximize employee choice (which can be especially useful when employing a wide range of employees with different interests), as with any benefit structure, it is important to consult with knowledgeable employee benefits counsel to assess the pros and cons before jumping in.

Many laws can affect a cash-out arrangement, including (but not limited to):

  • Incentives to opt out of health insurance can trigger concerns under the Medicare Secondary Payer and TRICARE incentive prohibition rules;
  • Directing too many flex credits to an FSA can lead to the FSA no longer being an “excepted benefit”;
  • Depending on whether the cash-out option is conditioned on proof of other group health insurance coverage, the amount of the cash-out can affect affordability calculations under the Employer Mandate;
  • Offering opt-out incentives to high-claims employees could be interpreted as discriminatory under HIPAA, ADEA, etc.; and
  • The compensation under a cash-out option may count as part of an employee’s “regular rate” of pay for purposes of calculating overtime under the FLSA.

The law is developing around cash-out features and should be continually monitored. For example, the United States Supreme Court recently declined to hear a 9th Circuit case that determined cash-out payments do in fact contribute to compensation calculations for overtime. This precedent is only binding in the 9th Circuit, but it affects employers nationwide who want to be circumspect about benefit offerings.¹

None of this means that employers cannot or should not utilize cash-out options – you simply need to be mindful of the issues. There are ways to address these issues. For example, you could adjust wages or benefit offerings to offset overtime costs or you could direct the cash-out options to a 401(k) deferral to take advantage of an FLSA exception. Solutions are only limited by your imagination as tempered by legal constraints and risk tolerance in the absence of clear guidance.


¹Specifically, the 9th Circuit includes Alaska, Arizona, California, Hawaii, Idaho, Montana, Nevada, Oregon, and Washington.

Brenna Davenport, an attorney no longer with Poyner Spruill, was the original author of this article.

Physical Address: 301 Fayetteville Street, Suite 1900, Raleigh, NC 27601

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