Nondiscrimination Testing Overview Employee Benefits Corporation. Copyright 2017 Employee Benefits Corporation

Similar documents
Nondiscrimination Testing Data Collection Employee Benefits Corporation. Copyright 2017 Employee Benefits Corporation

Cafeteria Plan Basics Employee Benefits Corporation

Advanced Cafeteria Plans Employee Benefits Corporation, All Rights Reserved. Copyright 2018 Employee Benefits Corporation

Eligibility Employee Benefits Corporation. Copyright 2018 Employee Benefits Corporation

Non-Discrimination Testing. Emily Allaire Healthy Dollars

Advanced HSA Concepts

The nondiscrimination tests can be complicated but boil down to three basic themes:

A highly compensated individual generally includes any individual who is: An officer; A spouse or dependent of a person described above.

Nondiscrimination Tests for Cafeteria Plans

Introduction to Health Savings Accounts (HSA)

IRS Issues New Proposed Cafeteria Plan Regulations

2018 Index Figures. In addition, individuals are liable for a 0.9 percent "Additional Medicare Tax" on all wages exceeding specific threshold amounts.

Employee Benefits Corporation Advanced HSAs P a g e 1. General Presentation Questions. General HSA Questions

Cafeteria Plans: Section 125 Nondiscrimination Rules Issue Date: August 2018

Section 125: Cafeteria Plan Common Questions

Health Savings Accounts

Introduction to Health Savings Accounts (HSA)

Today s webinar will begin shortly. We are waiting for attendees to log on.

LINKS AND RESOURCES HEALTH PLAN DESIGNS NONDISCRIMINATION RULES. Provided by The Insurance Exchange Health Plan Rules Treating Employees Differently

The Top 10 Funding Issues For HSA Account Owners And Employers

Section 125: Cafeteria Plan Common Questions

Volume Nine, Issue Nine September Non-discrimination rules affect many employer-sponsored benefit plans. Unfortunately,

Health Care Reform Update

What Are Flexible Spending Accounts (FSAs)? Amounts remaining in your FSAs at the end of a Plan Year do not carry over to the following year

Healthcare Reform. Greg Collins. Health Care Reform: Implications for Employers. President & CEO Parker, Smith & Feek.

Section 125 Cafeteria Plans: A Primer for Employers. Presented By Matt Stiles & Matthew Cannova Maynard Cooper & Gale, P.C.

SUMMARY PLAN DESCRIPTION PAYCHEX BUSINESS SOLUTIONS, LLC. FLEXIBLE BENEFITS CAFETERIA PLAN

Regarding non-student dependents over age 19; can funds from an HSA be used for their qualifying expenses?

2018 HEALTH SAVINGS ACCOUNT (HSA) FREQUENTLY ASKED QUESTIONS

UPDATE ON THE AFFORDABLE CARE ACT

IRS Clarifies Adult Child Dependent Coverage and Federal Healthcare Tax Credit for Small Employers

Section 125 Cafeteria Plans Overview

An Employer's Update on Employee Benefits

2018 Employee Benefits Webinar Series. Introduction to Consumer Directed Healthcare and Account-Based Plans (HSAs, FSAs, and HRAs) November 15, 2018

EMPLOYEE BENEFIT COMPLIANCE CHECKLIST

Nondiscrimination Rules for Cafeteria Plans

Health Care Reform: Legislative Brief Important Effective Dates for Employers and Health Plans

HEALTH CARE REFORM: CONSIDERATIONS FOR THE BUSINESS MANAGER

THE PATIENT PROTECTION AND AFFORDABLE CARE ACT UPDATE

Employee Benefits Corporation Introduction to HSAs Webinar

Transitioning to a Health Savings Account and High Deductible Health Plan Offering

Affordable Care Act: Key Issues for Employers in 2014 and Beyond

SUMMARY OF QUALIFIED SMALL EMPLOYER HEALTH REIMBURSEMENT ARRANGEMENTS (QSEHRAS) Background

Employer Shared Responsibility

Introduction to Nondiscrimination Testing

HSAs. Health Savings Accounts and 2018 Limits. Questions & Answers

Group Health Plan Enrollment Rules

Health Plan Enrollment Rules

Important Effective Dates for Employers and Health Plans

Health Care Reform: What s In Store for Employer Health Plans?

Paying Premiums for Individual Health Insurance Policies Prohibited

Flexible Spending Account (FSA)

Q&A on Qualified High Deductible Health Plans (HDHP s) and Health Savings Accounts (HSA s)

Health Care Reform Health Plans Overview

Massachusetts Provides Guidance on Section 125 Plan and Minimum Creditable Coverage Requirements

Health Savings Accounts

July 28, 2016 HRA/HSA Compliance & Administration Issues. Presented by Regan Debban & Bob Radecki, Benefit Comply

Section 125 Overview. A Little Flex Humor. Mary Nash Section 125 Compliance Manager American Fidelity Assurance Company

Section 105(h) Nondiscrimination Rules

Health Care Reform: Laying the Groundwork January 23, 2013

Business & Health Savings Accounts

Health Reimbursement Arrangement (HRA) Plan Checklist DO NOT USE THIS CHECKLIST IN LIEU OF THE PLAN DOCUMENT.

2018 Benefits Frequently Asked Questions

Benefits Compliance Overview: PPACA, Wellness Programs, Cafeteria Plans, FSAs, HSAs

Health Care Reform: The Future is Now. Brydon M. DeWitt

This Employer Webinar Series program is presented by Spencer Fane Britt & Browne LLP in conjunction with United Benefit Advisors

Health and Welfare Nondiscrimination Testing: An Overview

Proposed Cafeteria Plan Regulations Are Consolidated and Updated

Overview of Cafeteria Plan Nondiscrimination Testing

Health Savings Accounts

Benefits Compliance Update

Employee Benefits Corporation Introduction to HSAs Webinar

Volume Nine, Issue Ten October Various non-discrimination requirements. employer-sponsored

Health Care Reform Exchanges, Penalties and Employer Responsibility

Flexible Spending Account Plans ECFC s 22 nd Annual Administrators Symposium

Health Savings Accounts: What You Need to Know

Rhonda A. O Brien, Esq. Lashly & Baer, P.C. 714 Locust Street St. Louis, Missouri Tel: ; Fax:

OxfordFlex SM Employer Application Attn: OxfordFlex Enrollment Department, P.O. Box 1021, Eatontown, NJ Phone: ; Fax:

Issue Fifty-Seven February 2013

Affordable Care Act (ACA) Violations Penalties and Excise Taxes

Health Savings Account (HSA) Contribution Rules

Section 125: Cafeteria Plans Overview. Presented by: Touchstone Consulting Group

Health Care Reform Exchanges, Penalties and Employer Responsibility

Maximizing the use of the Flexible Spending Accounts Program. Valencia Bellfield Benefits and Work Life Program Manager

Health Flexible Spending Account Issues

NFIB v. Kathleen Sebelius and its Impact on Employers: Healthcare Reform Revisited

Agenda. Annual Enrollment in the Era of. Healthcare Reform COMPLIANCE CONSULTING AUGUST 2015

CRS Report for Congress

Health Reform Update. Board of County Commissioners Study Session June 30, 2015

CDH Traps. William Stuart Spring 2013

ACA for Employers Employee Benefits Conference May 15, 2015

19 th ANNUAL MAINE TAX FORUM Solutions for ACA Implementation

Stay up-to-date with our compliance news!

All Things Medical. Presented by: Keith Altobelli, EA

KNOWLEDGE Builders WORKDAY: ENROLLING IN BENEFITS. Try It Out. Follow the steps below to enroll in Benefits in Workday:

Patient Protection and Affordable Care Act (PPACA) 2018 Financial Impact Analysis for Employers. Sample 1#

Q&A on Federal Tax Aspects of Health Savings Accounts

Health Care Reform in the United States

MEMORANDUM. A brief background of FSAs, HSAs and HRAs and further discussion of this guidance follows.

Key Elements of Health Care Reform for Employers

Transcription:

Nondiscrimination Testing Overview 2017 Employee Benefits Corporation 2 1

Jessica Theisen Compliance Advisor, FCS Employee Benefits Corporation The material provided in this webinar is by Employee Benefits Corporation and is for general information purposes only. The information does not constitute legal advice and may not be relied upon by anyone as such. Nor may the information be disseminated in any form. 2017 Employee Benefits Corporation 3 2017 Employee Benefits Corporation 4 2

IRS Requirements Common Data Errors Outside Factors 2017 Employee Benefits Corporation 5 IRS Requirements 2017 Employee Benefits Corporation 6 3

IRS Requirements Mandated testing for each plan year Test and results may be requested in financial audit Failure of a test results in taxation Number of tests determined by plan type 2 tests per self funded health plan (e.g. Health Care FSA, HRA) 4 tests per Dependent Care FSA 3 tests per Cafeteria Plan 2017 Employee Benefits Corporation 7 IRS Requirements Number of tests determined by plan type Section 105 Self funded Health Plan (e.g. Health Care FSA) Eligibility Test* Benefits Test Section 129 Dependent Care FSA Eligibility Test Contributions and Benefits Test 55% Average Test* 25% Owner Concentration test 2017 Employee Benefits Corporation 8 4

IRS Requirements Number of tests determined by plan type Section 125 Cafeteria Plan Eligibility Test Contributions and Benefits Test* 25% Concentration Test (key employee test)* Each set of tests has own Highly Compensated definition If 105 or 129 tests fail, 125 test is impacted 125 test must be done at end of plan year *Most common tests that fail 2017 Employee Benefits Corporation 9 Common Data Errors 2017 Employee Benefits Corporation 10 5

Common Data Errors Missing or incorrectly identifying Cafeteria Plan components 100% employer paid are not included 100% employee paid are included if pre tax Full cost of benefit included if any portion pre tax Officer not correctly identified All organizations have an officer under testing definition Most organization have more financial officers than testing officers 2017 Employee Benefits Corporation 11 Common Data Errors Incorrect compensation Should be gross wages, not gross taxable wages Compensation period looks back a year (ongoing employees) Calendar plans use prior plan year Off calendar plans can use prior plan year or calendar year ending during plan year Example: July 1, 2016 to June 30, 2017 plan may use either» July 1, 2015 to June 30, 2016 gross compensation or» January 1, 2016 to December 31, 2016 gross compensation 2017 Employee Benefits Corporation 12 6

Common Data Errors Extra employees or missing employees Employees employed during plan year Employees who terminated during plan year Employees hired during plan year Employees of related employers Non benefit eligible employees Incorrectly identifying eligible employees Must be eligible for the benefit being tested Especially difficult for Cafeteria Plan testing 2017 Employee Benefits Corporation 13 2017 Employee Benefits Corporation 14 7

Section 105 Self funded health plans Highly Compensated includes Over 10% owners Top 25% of employees by pay Officers 2017 Employee Benefits Corporation 15 Section 105 Self funded health plans (e.g. Health Care FSA) Excludable employees Ineligible employees who have not completed 3 years of service as of the first date of the plan year Ineligible employees who were under the age of 25 as of the first date of the plan year Ineligible employees who are part time or seasonal employees Ineligible employees who are not eligible due to collectively bargained agreements Ineligible employees who receive no U.S. source earned income 2017 Employee Benefits Corporation 16 8

Section 105 Self funded health plans (e.g. Health Care FSA) Eligibility Test* Fails if more Highly Compensated participants than non Highly Compensated participants Avoid failure by Increasing number of non Highly Compensated participants Decreasing number of Highly Compensated participants Limiting eligibility Auto enrolling all eligible employees by offering 100% employerpaid options (e.g. employer contributions to Health Care FSA) 2017 Employee Benefits Corporation 17 Section 105 Self funded health plans (e.g. Health Care FSA) Benefits Test Fails if Highly Compensated employees are offered Shorter waiting period than non Highly Compensated employees Larger benefit pay out than non Highly Compensated employees Avoid failure by offering non Highly Compensated employees Plan at the same time as Highly Compensated employees Same benefits as Highly Compensated employees 2017 Employee Benefits Corporation 18 9

Section 129 Dependent Care FSA Highly Compensated includes Over 5% owners Employees whose compensation exceeds threshold Prior year threshold and compensation applies unless new hires Limit to top 20% of employees by pay if more than 20% of employees compensation exceeds threshold 2017 Employee Benefits Corporation 19 Section 129 Dependent Care FSA Excludable employees Employees who are ineligible due to eligibility criteria stating an age requirement of age 21 Employees who are ineligible due to eligibility criteria stating a waiting period of one year Ineligible employees who are not eligible due to collectively bargained agreements 2017 Employee Benefits Corporation 20 10

Section 129 Dependent Care FSA Eligibility Test Fails if percentage of eligible non HCEs is less than 20% of the percentage of eligible HCEs Example: Client fails with percentage of 11.12%» 2 eligible HCEs, 4 total HCEs (50%)» 50 eligible non HCEs, 900 non HCEs (5.56%) Avoid failure by Hiring less seasonal or part time employees Expanding eligibility for benefit 2017 Employee Benefits Corporation 21 Section 129 Dependent Care FSA Contributions and Benefits Test Fails if HCEs are offered Options that are not available to non HCEs» Onsite daycare» Bussing programs Larger benefit pay out than non HCEs Avoid failure by Same benefits as Highly Compensated employees 2017 Employee Benefits Corporation 22 11

Section 129 Dependent Care FSA 55% Average Test* Fails if average non HCE election is 55% or less of average HCE election (excluding non HCEs earning less than $25,000) Example: Client fails with percentage of 3.71%» 20 HCEs elect $5,000 ($250 average)» 1000 non HCEs elect $9,000 ($9.28 average)» 30 non HCEs earning less than $25,000 2017 Employee Benefits Corporation 23 Section 129 Dependent Care FSA 55% Average Test* Avoid failure by Prohibiting HCEs from electing Limit HCEs elections» Constant monitoring required Mid year election changes New hire elections» Cannot increase mid year if results are better than anticipated 2017 Employee Benefits Corporation 24 12

Section 129 Dependent Care FSA 25% Owner Concentration Test Fails if more than 5% owner s and their spouse s and dependent s elections comprise more than 25% of the elections for the plan Example: Client fails with percentage of 28.57%» 10% Owner elects $5,000» Owner s dependent child elects $5,000» Non owners elect $25,000 2017 Employee Benefits Corporation 25 Section 129 Dependent Care FSA 25% Owner Concentration Test Avoid failure by Prohibiting > 5% owners, spouses and dependents from electing Limit >5% owners, spouses and dependents elections to 33% of non owners elections» Constant monitoring required Mid year election changes New hire elections» Cannot increase mid year if results are better than anticipated 2017 Employee Benefits Corporation 26 13

Section 125 Cafeteria Plan Highly Compensated includes Officers Employees whose compensation exceeds threshold Prior year threshold and compensation applies unless new hires Limit to top 20% of employees by pay if more than 20% of employees compensation exceeds threshold Over 5% owners Spouse or tax dependent of any of these 2017 Employee Benefits Corporation 27 Section 125 Cafeteria Plan Excludable employees Ineligible employees who are not eligible due to collectively bargained agreements 2017 Employee Benefits Corporation 28 14

Section 125 Cafeteria Plan Eligibility Test Fails if percentage of eligible non HCEs is less than 20% of the percentage of eligible HCEs Example: Client fails with percentage of 11.12%» 2 eligible HCEs, 4 total HCEs (50%)» 50 eligible non HCEs, 900 non HCEs (5.56%) Avoid failure by Hiring less seasonal or part time employees Expanding eligibility for benefit 2017 Employee Benefits Corporation 29 Section 125 Cafeteria Plan Contributions and Benefits Test* Passes automatically if company pays 75% or more of every health plan premium for every eligible employee Utilization Test Fails if HCEs benefit to compensation ratio exceeds non HCEs» Example: Client fails with HCEs at 12.82% and non HCEs at 9% HCEs elect $250,000 in Cafeteria Plan benefits HCEs earn $1,950,000 combined non HCEs elect $9,000,000 in Cafeteria Plan benefits Eligible non HCEs earn $100,000,000 combined 2017 Employee Benefits Corporation 30 15

Section 125 Cafeteria Plan Contributions and Benefits Test* Utilization Test Avoid failure by» Increasing Cafeteria Plan participation among non HCEs» Avoiding 100% employer paid single insurance premiums» Increasing HCE overall compensation» Having HCEs pay post tax for insurance (mostly health)» Decreasing number of eligible employees 2017 Employee Benefits Corporation 31 Section 125 Cafeteria Plan Contributions and Benefits Test* Availability Test Fails if HCEs are offered options that are not available to non HCEs» Better insurance plans» Additional insurance plans Avoid failure by offering same insurance plans to all eligible employees 2017 Employee Benefits Corporation 32 16

Section 125 Cafeteria Plan 25% Concentration Test (key employee test)* Key employees include Officers who earn over threshold More than 5% owners More than 1% owners who earn over $150,000 Spouses and dependents of any of these 2017 Employee Benefits Corporation 33 Section 125 Cafeteria Plan 25% Concentration Test (key employee test)* Fails if key employees elections comprise more than 25% of the elections for the plan Example: Client fails with percentage of 26.32%» 10% Owner elects $25,000» Owner s dependent child elects $25,000» Non key employees elect $190,000 2017 Employee Benefits Corporation 34 17

Section 125 Cafeteria Plan 25% Concentration Test (key employee test)* Avoid failure by Prohibiting key employees from electing Avoiding 100% employer paid single insurance premiums Having HCEs pay post tax for insurance (mostly health) Waiting to make HSA contributions until end of plan year 2017 Employee Benefits Corporation 35 Outside Factors 2017 Employee Benefits Corporation 36 18

Outside factors Large changes in number of total employees Mass layoffs Lowers participation among non HCEs Section 105 Eligibility Test at risk (following plan year) Mass hiring New employees ineligible: Section 129 and 125 Eligibility Tests at risk (current plan year) New employees eligible but not electing self funded health plan: Section 105 Eligibility Test at risk (current plan year) 2017 Employee Benefits Corporation 37 Outside factors Implementing a HDHP Section 105 Eligibility Test risks for Health Care FSA Higher interest in HDHP among lower paid individuals Alleviates most interest in Health Care FSA due to HSA interaction Limited Health Care FSA not as appealing Section 125 Contributions & Benefits Test risks HCEs deposit more pre tax HSA contributions than non HCEs Maximum HSA contribution based on family structure 2017 Employee Benefits Corporation 38 19

Outside factors Changing plan year Interest for short plan year among non HCEs declines Section 105 Eligibility Test at risk for Health Care FSA Section 129 55% Average Test at risk Section 129 25% Owner Concentration Test at risk Employees children aging out of Dependent Care Section 129 55% Average Test at risk Section 129 25% Owner Concentration Test at risk 2017 Employee Benefits Corporation 39 Outside factors Economy declines Employees feel need to save Section 105 Eligibility Test at risk Section 129 55% Average Test at risk Section 129 25% Owner Concentration Test at risk Section 125 Contributions & Benefits Test at risk Section 125 25% Concentration Test (key employee test) at risk 2017 Employee Benefits Corporation 40 20

Outside factors Economy declines Employees become ineligible for Dependent Care expenses Section 129 55% Average Test at risk Section 129 25% Owner Concentration Test at risk Employees spouse s employer implements HDHP Section 105 Eligibility Test at risk for Health Care FSA Premium rate increases Section 125 Contributions & Benefits Test at risk 2017 Employee Benefits Corporation 41 Outside factors Economy declines Spousal surcharge added or employee + spouse coverage dropped Section 125 Contributions & Benefits Test at risk 2017 Employee Benefits Corporation 42 21

Questions? Any questions can be addressed by e mail or phone at your convenience Compliance Department 800 346 2126 compliance@ebcflex.com Thanks for Attending!! Visit our online blog: http://www.ebcflex.com/newscenter/compliancebuzz.aspx 2017 Employee Benefits Corporation 43 22