By now, many employers have chosen to offer employees a high-deductible health plan (HDHP) along with a Health Savings Account (HSA). One interesting issue that’s arisen is, at some organizations, employees have asked whether they can make pretax HSA contributions. Doing so would enable them to save on income taxes every pay period rather than wait to enjoy those savings when they file their tax returns. What’s more, both employees and employers could save on their respective shares of FICA (Social Security and Medicare) taxes. The question is, can an employer simply set up pretax payroll deductions for employees without having a Section 125 cafeteria plan in place? Constructive receipt doctrine The answer is a resounding “no.” Employees can’t make pretax HSA contributions unless the employer offers a Sec. 125 cafeteria plan because of the constr...