Tag: Employee Benefits

More Investment Advice from Fiduciaries Deemed Trustworthy by DOL

Retirement plan investors will save between $5 billion and $13 billion annually, thanks to new exceptions to DOL’s prohibited transaction rules, DOL estimates. The DOL’s Employee Benefits Security Administration (EBSA) opened the door to allowing fiduciaries to offer investment advice in a final rule published to become effective Dec. 27, 2011. DOL estimates this new rule […]

Transit Benefit Drops by Nearly Half for 2012, While Parking Tax Break Rises

Administering qualified transportation fringe benefits (QTFBs) will be more complicated in 2012. Congress has allowed the parity between mass transit and parking thresholds — which gave transit and vanpool users the same tax advantage as drivers — to expire. Starting Jan. 1, 2012, the excludible amount for those who purchase bus, rail and other mass […]

Surrogate Mother Fails to Impose State Definitions to Make Plan Pay for Delivery

A plan participant cannot pick definitions from various state or federal statutes and impose them on an employer-sponsored health plan where the plan left terms undefined, if the plan applies a common and ordinary meaning to those terms when asked to justify a claims denial. Applying this rule, a Michigan appeals court affirmed a lower […]

CLASS Dismissed: Health Reform Law’s LTC Program Tabled

I’ve read how, due to the cost of administering long-term care (LTC) insurance, some private-sector vendors are either revisiting that benefit  or jacking up premiums — partly because not enough people are signing up to sufficiently spread the risk, and costs, around. Well, the federal health reform law included a lofty goal of establishing a […]

Not Again: SIIA Refutes ‘Misinformation’ About Self-funding

It’s like the Hollywood movie Groundhog Day all over again. The Self Insurance Institute of America (SIIA) wakes up and has to face the same “anti-self-funding” arguments about adverse selection, insolvency and inferior benefits that it refuted last year … the year before … and the year before that. Again in damage-control mode, this time the […]

DOL Clarifies E-Delivery of Participant Fee Disclosures

It’s important to disclose information through ERISA-required documents properly: it can be a plan administrator’s last line of defense if participants allege that they suffered losses because they didn’t know their rights or important plan terms. That obligation has  grown in response to the financial scandals of the last decade (Enron, WorldCom, mortgage-leveraged bonds, etc.). […]

Top 5 Health Reform Issues Employers Should Focus on Today

It has now been almost a year since health care reform was first enacted. The first year involved many compliance challenges, not the least of which was keeping up with the many pieces of guidance issued by DOL, IRS and HHS. Plans had to expand coverage (more dependents, fewer dollar limits, no more questions about […]

‘Out of Control’ Employee Screaming Profanities Loses out on COBRA Due to Gross Misconduct

Although the COBRA statute never defined gross misconduct — leaving it up to the courts — no dictionary is needed when an “out-of-control” employee screams profanities at and makes seemingly threatening hand gestures toward another employee, saying she would “get” hers. This behavior was “so manifestly so outrageous and extreme as to constitute gross misconduct,” […]

Feds Team Up With States to Increase Heat on Employee Misclassification

Using independent contractors is a way to avoid paying unemployment, Social Security and Medicare taxes, overtime and  benefits. However, if an employer is found liable of misclassifying an employee in tandem with committing wage and hour violations, DOL may fine the employer, and the employer may be assessed back wages and taxes. The U.S. Department of Labor (DOL) […]

Help the Government Figure If Your Health Coverage is ‘Unaffordable’

Jan. 1, 2014, sounds far away, but some plan sponsors may be hoping that day never comes. That’s the day the “shared responsibility provisions” of the Patient Protection and Affordable Care Act (PPACA) kick in; and it’s the time plan sponsors become subject to health reform’s “unaffordable coverage trigger.” Under the law, if an employee’s […]