Federal Agencies Delay Automatic Enrollment for Group Health Plans

iStock_nowlater.jpgRecall that the Patient Protection and Affordable Care Act (“PPACA”) – the health care reform legislation passed in 2010 – originally required that group health plans implement automatic enrollment in 2014.  The Internal Revenue Service, Department of Labor and Department of Health and Human Services have jointly issued, in the form of “Frequently Asked Questions” or “FAQs,” guidance that delays the implementation of the group health plan automatic enrollment requirement.  Employers (to whom the Fair Labor Standards Act applies and with more than 200 full-time employees) have reprieve regarding the original 2014 deadline until the DOL issues final regulations that provide automatic enrollment guidance.

The FAQs detail issues regarding the requirement for employers to provide coverage to full-time employees or be subject to a penalty assessment (the “employer shared responsibility provisions”).  The FAQs also provide guidance on how employers will determine whether employees are “full time employees” and how to use W-2 income rather than household income to determine whether coverage is “affordable coverage.”  The FAQs provide that the agencies will issue further guidance on the coordination of the employer shared responsibility provisions and the 90-day waiting period limitation (and even more specifically, the application of the waiting period limitation to part-time and seasonal employees).

This guidance provides specific examples that will assist companies in preparing for future compliance.  The agencies are accepting public comments on the guidance through April 9, 2012. 

IRS Announces Pilot Program for Large Companies and Their Retirement Plans

iStock_audit.jpg

Last week, at a Joint Meeting of the IRS's top officials with ERISA/tax attorneys and accountants from across the country, the IRS announced a pilot program that targets companies with at least 2,500 participants.  Colleen Patton, the IRS's Area Manager for the Pacific Coast, says the pilot program has rolled out in her region, and the IRS expects to expand the program across the nation's remaining four geographic areas (Northeast, Mid-Atlantic, Great Lakes, and Gulf Coast). 

Under this program, the IRS hones in on a large plan sponsor (greater than 2,500 participants), rather than one specific qualified retirement plan. Thus, whereas a company usually worried about whether the IRS would audit a qualified retirement plan it sponsored, that same company, if targeted, will now have to worry that the IRS will audit all of the company's qualified retirement plans in just one examination.  Indeed, it is not atypical for one company to sponsor several 401(k) plans and several defined benefit plans and perhaps an ESOP too . . . in this case and under this pilot program, the IRS would examine all those plans together.  

Large companies: brace for FULL IRS audit of all retirement plans at once

A targeted company should expect the IRS to conduct an extensive review of all of its qualified plans' procedures, processes, and systems (e.g., how various company payrolls feed data to plans; how the various TPAs coordinate testing across plans; how money moves from the employee paychecks to the plan trusts).  The IRS hopes that after reviewing these procedures, etc., it can then use data-driven factors to surgically target a company's compliance weaknesses. 

Based on recent exam and survey activities, it seems large companies confront these types of compliance weaknesses:

  • control group issues,
  • deficient plan amendments,
  • employees who are not collectively bargained improperly participating in a plan,
  • minimum distribution failures,
  • improper loan provisions,
  • failure to adjust actuarially if termination is after normal retirement age,
  • misclassification of employees as higher- or lower-paid,
  • misclassification of employees as part-time, temporary, foreign national, independent contractor, etc.

Large companies must brace for this super-enhanced IRS audit of retirement plans.  It will be thorough and comprehensive; indeed, an IRS audit can easily last over two years.  Consider the effect on in-house counsel, HR, and payroll personnel.

Employers should not rely on the annual TPA testing or annual accountant's audit to vet out   these compliance issues.  Many of the compliance problems identified above are outside the limited engagement of the TPA's end-of-year testing or the annual accountant's audit.  Employers who sponsor retirement plans should consider performing a very compliance review to determine if tax qualification failures exist (plan document? operational? demographic?) with each of their qualified plans. 

If failures are found, companies should consider applying under the IRS compliance program to voluntarily identify and correct them, with the hope that the plan would receive an IRS letter confirming continued tax qualification.  Self-correcting and/or applying under the IRS program might postpone an IRS audit and certainly would help ameliorate any sanctions that the IRS would impose if it were the IRS instead who vetted out these compliance issues on audit.   

Timeshare Sales Force? Employees, Of Course

iStock_timeshare.jpgLots of comments sent in regarding yesterday's post about California's penalties regarding intentional misclassification of workers.  Now, onto timeshare sales people.
 
Timeshare and hotel companies who think  their sales force is made up of independent contractors and not employees should really weigh the exposure.  The case of Whitehead et al v. Kalins (August term 2008, No. 03764) (Court of Common Please of Philadelphia County, PA) shows how both the IRS and a Pennsylvania court concluded this year that timeshare sales people are indeed employees:  Timeshare Employee Determination.pdf .  Class plaintiffs sued the timeshare company and won over $2.2 million in wages, benefits, penalties, and interest for the employees. 
TIMESHARE COMPANIES:
AREN'T YOUR SALES PEOPLE REALLY EMPLOYEES?
Other timeshare and hotel companies have as much risk with penalties (at least in California), wage-and-hour liability, federal/state employment taxes, Medicare, unemployment insurance, workers compensation, and coverage under employee benefit plans (health/401(k)/stock option). 

Gambling on the Employee/Independent Contractor Issue?

JLE_Headshot_Swidler.jpgWelcome to the Worker Classification Casino!

First, the IRS is scrutinizing the employ/independent contractor issue -- and offering a very nice settlement program to encourage companies to prospectively classify as "employees" workers who they improperly classified as "independent contractor."  See our earlier blog piece about the IRS's new program at 2011 Voluntary Amnesty Employee Classification.pdf.

Second, the Department of Labor and 11 state governments (Connecticut, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, Missouri, Montana, New York, Utah and Washington) are working together to fight improper classification of workers as "independent contractors." 

And now, California -- who is NOT a state listed above -- has enacted legislation effective for the new calendar year that imposes as high as a $25,000 per violation penalty for companies  who willfully misclassify "employees" as "independent contractors."   See CA Penalties.pdf

The federal government and state legislatures send a clear message:  misclassification is wrong.  

Companies should expect challenges not only from the federal and state governments, but plaintiffs' lawyers who can use "whistle blower" statutes to coax employers to confront the statutory penalties (at least in California), wage-and-hour liability, federal/state employment taxes, and ERISA obligations.  iStock_poker chips.jpg

Companies must grapple with the worker classification issue now.  To not do so is to take a big gamble, with very bad odds.

FREE Contraceptives for Women? No Co-Pay for Women's Preventive Health Care

The Patient Protection and Affordable Care Act of 2010 (PPACA) required health plans to cover services listed in the HHS comprehensive list of preventive services at no cost to patients.  Just this past August 1st, as part of an expansion of coverage for women’s preventive care under the PPACA, the U.S. Department of Health and Human Services (HHS) mandates that the following soon to be co-pay free:  

iStock_woman patient.JPG

  • well-woman visits;
  • screening for gestational diabetes;
  • human papillomavirus (HPV) DNA testing for women 30 years and older;
  • sexually-transmitted infection counseling;
  • human immunodeficiency virus (HIV) screening and counseling;
  • breastfeeding support, supplies, and counseling;
  • domestic violence screening and counseling; and
  • FDA-approved contraception methods and contraceptive counseling.

 

Continue Reading

Think Your Employee's Divorce is a Sham to Get at Retirement Benefits? Don't Out-Think Yourself

On Monday, the Fifth Circuit issued its opinion in Brown v. Continental Airlines, Inc., 2011 WL 2780505 (5th Cir.), a rather unusual case addressing what a plan administrator’s obligations are with respect to a Qualified Domestic Relations Order (QDRO) when the plan administrator thinks the underlying divorce that produced the order was a sham.

Plan administrators should take note: 

When it Comes to QDROs, Don’t Out-Think Yourself, Even if You Believe The Employee Faked a Divorce

In Brown, Continental alleged that the wives of nine pilots received lump sum distributions of the pilots’ retirement benefits from Continental's defined benefit plan by entering into fraudulent divorces where the couples continued to live together and then remarried once the plan paid out benefits.  The wives were able to obtain these lump sum distributions because the plan provided that an ex-spouse to whom benefits are assigned can elect to receive the same in lump sum form, provided that the participant was at least 50 years old (even if the participant was still working, which was the case for all of the pilots at issue).

Continue Reading

Next IRS Target: College and University Retirement Plans

iStock_College.JPGFirst, it was K-12.  Now, it's higher education.  It's the IRS's next featured project.  In fact, the IRS web page refers to it as that:  

Employee Plans Compliance Unit (EPCU) - Featured Project - 403(b) Universal Availability Higher Education

As part of a a larger compliance initiative, the IRS is now zeroing in on the 403(b) plans that colleges and universities sponsor.  Plan fiduciaries must take note. 

Over 300 large, small, public, and private higher education institutions will receive a 21-item questionnaire from the IRS.  Make sure to respond.

Failing to complete the questionnaire will almost guarantee follow-up by way of a formal IRS audit.  As the IRS warns "[f]ailure to provide the information requested could result in further action or examination of your plan."

Continue Reading

Eligibilty Requirements for 403(b) Plans Differ From 401(k) Plans

iStock_Warning.jpgEmployers who sponsor a 403(b) tax-deferred annuity plan for their employees need to be aware of the "universal availability" eligibility requirement for employee pre-tax deferral contributions.  This rule requires that all employees must be eligible to make deferral contributions to the plan as of their first day of employment.

The universal availability requirement for 403(b) plans is significantly different from the rules applicable to qualified retirement plans.  For example, a 401(k) plan can require employees to wait for up to a year before becoming eligible to make deferral contributions.

One of our tax-exempt clients who sponsors a 403(b) plan ran afoul of the universal availability requirement by requiring employees to complete a 90-day "probationary" period before being eligible to make deferral contributions.  This service requirement could have been included in a 401(k) plan, but not in a 403(b) plan.

The result? The employer had to go through a costly correction process, involving both a submission to the IRS under the Voluntary Correction Program (including the payment of a significant compliance fee), plus making corrective "deferral" contributions to the plan on behalf of the excluded employees.  The employer had to make this expensive correction even though the employees had been paid the entire amount that they presumably would have contributed to the plan!

What if Your 401(k) Plan Failed the ADP and ACP Tests?

Beware the IRS Ides of March. 

March 15th is a looming deadline.  If your 401(k) plan failed the ADP test, it must remove participants' excess contributions (and related earnings) by March 15th to avoid a 10% excise tax.  Similarly, if your plan failed the ACP test, same thing:  remove the excess match and after-tax contributions (and earnings) by March 15th to avoid the excise tax.  The failure to address ADP and ACP problems will likely mean that an employer will have to come out-of-pocket with an unanticipated, but required, contribution into the 401(k) plan.

In informal sessions with IRS officials in early February, the officials observed that many employers have difficulty understanding the discrimination testing data that a TPA hands back to them.  If you have concerns evaluating the information, check with your TPA for clarification.  It is not a grave error to fail a discrimination test; it is, however, typically a tax-disqualifying error not to correct. 

IRS Focuses on 401(k) Plans -- Audits Will Begin

Thumbnail image for iStock_Microscope.jpgDuring the 2010 summer, the IRS issued its first-ever electronic 401(k) Compliance Check Questionnaire to 1,200 plan sponsors.  According to Monika Templeman, IRS Director, Employee Plan Examinations at a meeting with both IRS officials and tax practitioners last week, some "double digit" (i.e., 10 to perhaps 99) plan sponsors refused to respond.  She signaled that the IRS intends to conduct a full scope audit of those non-responder plans.  As to those who did respond, the IRS will help guide those who might have experienced some compliance issues, as a sort of gesture of gratitude for helping the IRS determine where the ERISA/tax lapses were overall. Compared to the full scope audits, Templeman said the IRS involvement for those who took the time to respond would be "nothing draconian."

The IRS expects to publish the full compilation of the compliance issues revealed through the 401(k) Questionnaire this coming summer.  Templeman listed, though, the issues that seem to pervade:

  • Participants obtain loans or hardship distributions, without having met the Internal Revenue Code for allowing such loans or hardship distributions;
  • Companies fail to transmit employee elective deferrals timely to the plan;
  • Companies fail to amend their plan documents timely and, better yet, fail to execute the documents;
  • Companies do not use the proper definition of "compensation" when determining match or other allocations;
  • Companies fail to include eligible employees into their plans;
  • Companies do not know how to evaluate results of discrimination testing, including the ADP/ACP test (and, if there are failures, companies do not know how to resolve them). 

Continue Reading