Washington Section 125 Plan Guide for Employers (2026)

Washington Section 125 guide: how pre-taxing benefits affects the 1.13% PFML premium rate and the WA Cares Fund requirements for 2026.

Washington Section 125 Plan Guide for Employers (2026)

Washington employers compete in technology, healthcare, and services. A Section 125 plan reduces payroll taxes and increases employee take‑home pay without changing your carrier.

CMS reports 282,971 Marketplace plan selections in Washington during the 2026 open enrollment period. Employees are actively comparing employer coverage to individual options, making affordability a key lever.


Washington Coverage Context

Washington operates a state‑based Marketplace and has expanded Medicaid. Employee affordability is a major retention driver across the state.


Washington Employer Strategy Options

StrategyStrengthBest Fit
Traditional group planStabilityFull‑time teams
Fixed employer contributionBudget controlMulti‑location employers
Group plan + Section 125Net‑pay liftPrice‑sensitive teams

Washington Cost Drivers You Can Control

  • Employer contribution level
  • Plan design
  • Participation rate
  • Pre‑tax vs after‑tax deductions

Section 125 directly impacts payroll taxes, which is why it’s a key lever.


Washington Implementation Steps

  1. Eligibility rules
  2. Payroll deduction setup
  3. Plan document creation
  4. Election collection
  5. Employee education

Summit Health Benefits manages compliance and rollout as your advisor/administrator. Start with the Section 125 overview.


Washington Paycheck Example (Illustrative)

ExampleAfter‑taxPre‑tax
Employee contributionTaxed wagesPre‑tax wages
Employer payroll tax costHigherLower
Employee net payLowerHigher

Washington Employee Communication Tips

  • Explain why taxable wages may be lower.
  • Provide a paystub example during enrollment.
  • Share W‑2 guidance early.

Helpful links:


Washington FAQs

Do we need a plan document?

Yes. Section 125 requires a written plan document.

Can we keep our carrier?

Yes. Section 125 works with your existing plan.

Is this only for large employers?

No. Small employers often see strong payroll tax ROI.


Next Step for Washington Employers


Sources

  • CMS 2026 Marketplace plan selections by state (Washington platform and enrollment): https://www.cms.gov/newsroom/fact-sheets/marketplace-2026-open-enrollment-period-report-national-snapshot-2
  • CMS state-based exchange list (Washington SBE): https://www.cms.gov/cciio/resources/fact-sheets-and-faqs/state-marketplaces
  • Medicaid expansion status by state: https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/