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IRS Reminder: Not All Health Expenses Qualify for Deductions
In a recent news release, the Internal Revenue Service (IRS) has reiterated important guidelines regarding the eligibility of health and wellness expenses for deductions and reimbursements under health Flexible Spending Arrangements (FSAs), Health Reimbursement...
Understanding DCAP Reimbursement Rules: Can You Pay Your Child for After-School Care?
Can Our DCAP Reimburse Expenses for the Care of a Child Who Will Turn 13 Later in the Plan Year? A participant in our company’s Dependent Care Assistance Program (DCAP) faces a common scenario: hiring an adult son to provide after-school care for their 10-year-old...
Broker Builder Solutions Names NueSynergy a Preferred PartnerBroker
LEAWOOD, Kansas – NueSynergy, Inc., one of the nation’s fastest growing employee benefits and billing administrators in the country, is pleased to announce its preferred partnership with Broker Builder Solutions (BBS), a national leader in support services for the...
When Are Disability Benefit Programs Exempt From ERISA?
QUESTION: I am reviewing our company’s employee benefit programs and confirming that they are treated appropriately for ERISA compliance purposes. Our disability program provides income-replacement benefits to employees who are unable to work because of illness...
Are HSA Contribution Programs Ever Subject to ERISA?
QUESTION: We are planning to add an HDHP and to make company contributions to employees’ HSAs. We have been told that an HSA contribution program—unlike the HDHP coverage—would not be subject to ERISA. Is that always true, or are there circumstances in which...
Can Our Health Plan Exclude Drug Manufacturers’ Coupons From Participants’ Cost-Sharing?
QUESTION: Our group health plan uses a copay accumulator program that does not count drug manufacturers’ financial assistance toward participants’ cost-sharing limits. We’ve heard that the agencies have restricted the use of these programs. Can we continue to...
What Group Health Plan Documents Must Be Provided to a Participant Upon Request?
QUESTION: Our company has just received a letter from a participant in our health plan, asking for copies of numerous documents relating to the plan. What are our responsibilities? ANSWER: ERISA § 104(b)(4) requires a plan administrator to furnish...
Are PCOR Fees Plan Expenses?
QUESTION: Our company sponsors a calendar-year self-insured major medical plan subject to ERISA. Are we permitted to treat Patient-Centered Outcomes Research (PCOR) fees as plan expenses? ANSWER: The DOL has indicated that PCOR fees generally are not permissible...
Must Our Plan Offer COBRA Coverage to Spouses and Dependents Whose Coverage Was Dropped at Open Enrollment?
QUESTION: When employees drop coverage for dependents or spouses under our company’s group health plan during open enrollment, our practice has been to provide the dropped individuals with COBRA election materials. However, our new COBRA TPA says this is not...
May Terminating Employees Elect COBRA Coverage for Domestic Partners?
QUESTION: Our company will soon begin offering coverage under our group health plan to employees’ domestic partners. What rights do domestic partners have under COBRA? May terminating employees elect to continue coverage for their domestic partners?...
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