Tax Savings With Cafeteria Plan 

By completing the following information, you can calculate your estimated ANNUAL and PER PAY PERIOD tax savings. (Please use - Tab Key - Or Mouse Click to another field to Sub-Total)

Select Your Annual Income

Select Your Pay Cycle

Annual Insurance Premiums 
Health Insurance $
Group Term Life Insurance $
Disability Insurance $
Vision and/or Dental Insurance $
Other $
Total $

Annual Healthcare Expenses (estimated)
Doctor Visits and Co-pays $
Deductibles $
Prescription Drugs $
Prescribed Medical Supplies/Equipment $
Travel to and from Doctor or Hospital (mileage expenses) $
Eye Exams/Surgery $
Glasses/Contacts/Solutions $
Dental Checkups $
Fillings/Crowns $
Orthodontia $
Chiropractic $
Other $
Total $

Annual Dependent Care Expenses (Maximum $5,000 Per Family)
Children $
Adults $
Total $

Annual Adoption Expenses (estimated)
Attorney Fees $
Court Costs $
Legal Adoption Fees $
Other $
Total $

Annual Transportation and Parking Expenses for Travel to and from Work (estimated)
Bus or Transit Pass $
Token or Fare Card $
Voucher for Mass Transit $
Parking Located Near Place of Employment $
Parking Located from Which You Take Mass Transit or Carpool $
Vanpooling Expenses $
Other $
Total $

Estimated Annual Expenses and Tax Savings
Total Insurance Premiums $
Total Healthcare Expenses $
Total Dependent Care Expenses $
Total Adoption Expenses $
Total Transportation Expenses $
Total Annual Expenses $
Annual Tax Savings $

Estimated Savings Amount Per Paycheck:

 $

Tax Estimate Table
The following tax rates are estimated based on a combination of social security, federal, and state income taxes (national averages) and may not reflect your actual tax rate.

If your annual 
household earnings are:

 Estimated 
tax rate is:
Less than $30,000
$30,000 - $40,000
$40,000 - $70,000
Greater than $70,000		 25%
29%
31%
33%

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