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Disclaimer: The ESPA's tax treatment follows from how the program is structured. The Employer Sponsored Preventive Access (ESPA) program pairs a Section 125 pre-tax election with a Section 105(b) self-insured medical reimbursement plan. Because the funding is pre-tax, employers may see reduced FICA obligations. For employees, the outcome depends on participation. A participating employee realizes the tax advantage by participating in the ESPA and receiving the associated reimbursement for 213(d) qualified services under the plan's terms. Without participation, the amount is treated as taxable and the associated tax advantage does not apply. By submitting your information, you agree to be contacted by phone, email, or text, including by automated means. Consent is not required to purchase. This site is not affiliated with or endorsed by Meta Platforms, Inc. or Facebook.