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HIPAA PHI to Daughter
Can a doctor release PHI of a deceased patient (who passed away while under the doctor's care) to that individual's adult daughter? The daughter is not the executor of the estate nor is she an authorized representative. However, it seems ridiculous that HIPAA would prevent the doctor from explaining to the daughter what happened to her mother.
419(e) deduction calculation
For plans subject to 419(e) deduction limits, it is understood that the deduction is limited to the "qualified cost", where such cost is computed as the level premium for the death benefit coverage of a life insurance policy.
The question is when determining the qualified cost, is it necessary to compute the death benefit based on the guaranteed policy rates or the assumed policy rates?
With the assumed rates the death benefit is higher or the coverage extends to an older age, due to the greater return on the investment.
The guaranteed v. assumed rates are shown in the policy illustrations.
Thanks.
Form 5500 requirements for startup plan with no contributions (Cash Basis)
I've heard some thoughts about this in the past and am resigned to the fact a Form 5500 needs to be filed for the first plan year, even if the only contributions are accruals deposited in the following plan year.
For example, effective date of 401(k) plan is 12/1/2004. No contributions in 2004, however, there is a PS contribution deposited in early 2005.
Would a Form 5500 need to be filed for 2004? My guess is "yes" so that you could report the coverage results on the Schedule T, even though there will be no financial data because of cash basis reporting.
Any thoughts?
S-Corp loss created by DB Contribution
An S-Corp has income of $100,000 and the owner pays himself $90,000 in wages. The required DB contribution for the year is $100,000.
Based on previous posts it appears that a loss created by the DB plan is allowable and that the loss can be carried forward or even possibly backward to offset income from the S-Corp.
Is it possible to use the loss to offset income (not from S-Corp) from the spouse of the owner of the S-Corp?
Pension Benefit Recovery
We had a retiree pass away on 5/27 and we were not notified until 7/20 when her 7/1 pension check was returned to us. We were, of course, able to recover the 7/1 check since it was returned, but we have been unable to recover the 6/1 pension check.
I sent a letter to the retiree's sister, who sent me to her neice, who sent me to her daughter, who sent me to the greatneice of the woman who lived with our retiree. Apparently, the woman who lived with our retiree (they had a joint bank account) is now in a nursing home with Alzheimers. The greatneice just called and said she doesn't know what happened to the 6/1 check. And, everyone else I've dealt with is refusing to repay the 6/1 benefit.
The pension check has cleared our bank account and we're in the process of getting a copy of the endorsed check. But, I'm not sure that will even do us any good.
Not sure what to do at this point. Will our plan be in violation of any ERISA rules/regs if that benefit is never returned to the pension fund?
Help!!
IRS challenges "every participant is own allocation group" under audit
I utilize an off-the-shelf volume submitter software package with an IRS opinion letter on the pre-approved language. One of the design options is to make each participant their own allocation group with the allocation rate defined as a "pro rata" amount of the compensation of each participant in the group. I recently submitted this document to the IRS in the context of a proposed correction under audit and was told by the EB Manager that the plan was not qualified and did not contain a definitely determinable benefit. I was informed that an amendment to the plan would have to have been made each year to define the actual allocation?!? I am not interested in challenging this or becoming a "test case" for the service. Any thoughts on this unusual outcome??
FASB and Cash Balance Plans
What is the current state of the PBO = ABO = sum of cash balance accounts issue? Any chance this is going to be effective for FAS132 disclosure at 12/31/05?
Employee refusal to set up HSA
It is my understanding that if the employer contributes to an HSA for anyone who enrolls in the HDHP, it needs to make a contribution to an HSA for all the employees who enroll in the HDHP. What do you about employees who fail or refuse to sign the documents required by the trustee to set up the HSA?
Withholding in Error From Previous Tax Year
I found an error on withholding on a distribution from 2004. THe 1099R is OK but taxes were withheld and sent to the IRS and state in error. Now that we are in a the tax year 2005, I know there is a way to recliam the withholding errors from previous years,
Does any of the knowledgeable folk on this board know how to petition the government (what form?) to reclaim back taxes? Help! and Thanks!
Top Heavy Safe Harbor 401(k) Plan with different eligibilty requirements
The plan has 3 months eligibility for deferrals and 1 year for the safe harbor match. The plan consists soley of deferrals and safe harbor match. The plan is top heavy, is it deemed not to be top heavy since it has the safe harbor match, or would top heavy minimums be required for the new hires that aren't eligible for the match?
What about the ADP testing. would you have to test the new hires ie the otherwise excludables. Not a big issue since HCE's are rarely in theis group.
Thanks!
Does Traditional IRA Rollover into 401k plan require Form 5498?
Is a TPA required to prepare a Form 5498 for a traditional IRA Rollover into a 401k plan? I ask this because I am becoming aware that we have participants who make this request with their IRA Custodian but the Custodian will only issue the check directly to the participant - unless a TOA request is made in advance (in this case it was not). I gather that the participant will have a taxable event and no 5498 to offset the timely rollover into the 401k.
Thanks for your response.
Change in control
I am trying to determine whether a clause in a change in control severance agreement is a common one for publicly-traded companies. The agreement provides that an executive will be considered to have terminated employment and be eligible for the severance benefit if he/she is reassigned to substantial duties that are materially inconsistent with his/her duties, responsibilities and status prior to a change in control. OK so far. In the same paragraph, the agreement further provides that the "reassignment" provision will not apply if the company is no longer publicly-traded and the executive no longer has duties and responsibilities associated exclusively with a publicly-traded company, such as SEC reporting, stock exchange reporting, etc. I'm being asked whether this exception is a common provision.
My sense is that such a provision is not unusual, but I don't have much hands-on experience with this type of agreement. What is your experience?
Thanks!
Hours of Service
Does severance pay generate hours of service in a DB plan?
Document reviews by QDROphile.
Coverage of independent directors as a MEWA
A client maintains a self-funded plan that covers independent directors. As I read the definition at 3(40) of ERISA, this makes them a MEWA. I realize that the DOL does not require a Form M-1 in this instance. However, nothing I have found so far takes them out of the definition of a MEWA.
My impression is that many companies cover their independent directors without considering their plan to be a MEWA - and just do not worry about this issue. Does anyone have any thoughts/comments? Am I missing something?
Performance Options and Section 409A
I am looking for some independent thoughts on a feature of an existing long-term incentive plan that has resulted in many 409A group discussions.
This award has a performance-based stock option component where the number of options that will eventually vest can range from none to 140% of a target number detailed in the agreement. The determining performance achievement levels will be measured at the end of a 3-year period.
The feature that is causing robust debate is the provision that sets the ultimate exercise price at the fair market value (fmv) of the underlying stock at the time the award was granted.
As an example: In 2004, 100 performance options were awarded with an exercise price of $4.00 which equaled the fmv of the stock on the grant date. Based on a 140% performance achievement level, the employee received 140 vested options at the end of the 3-year performance period with the grant date exercise price of $4.00. The employee will have 7 years to exercise the options.
Question: At the end of the period, the stock value is $10.00. How do you think the provisions of 409A would look at the spread between the vest date fair market value of $10.00 and the grant date based exercise price of $4.00?
Would the spread be immediately recognized as income or would the income be recognized when the employee chose to exercise? This is a performance based plan and these are non-qualified options.
I would provide my guess, but I would rather read the feedback.
Earned Income and 30% Limit under 1.401-10(c)(3)(i)
I am wondering if the 30% limit under 1.401-10©(3)(i) still applies. It states that "If a self-employed individual is engaged in a trade or business in which capital is a material income producing factor, then, under section 911(b), his earned income is only that portion of the net profits from the trade or business which constitues a resonable allowance as compensation for personal services actually rendered. However, such individual's earned income cannot exceed 30 percent of the net profits of such trade or business. The net profits of the trade or business is not necessarily the same as the net earnings from self-employment derived from such trade or business."
For example, assume a business generates $1,000,000 in income. Does this mean than only $300,000 could reasonably be considered as constituting earned income.
What about situations where a business pays an owner a management fee that exceeds 30% of the entity's income?
Thanks in advance.
Ed
Disability Distribution - Non-Taxable Scenario?
OK - Maybe it's a stupid question, but.
Anyone know how to structure a 401(a) plan distribution due to disability that will afford the employee to receive the monies on an income tax-free basis?
I thought the general rule is tax treatment of disability benefits atbrutable to employer contributions that were not includible in the gross income of the employee or contributions made by the employee on a pre-tax basis are always subject to income taxation, (perhaps excepting a few types of insurances).
Thanks.
How would you correct a failure to offer an in-kind distribution of employer stock?
The headline shows it all. This is a failure to follow the terms of the plan that has been ongoing for several years. Plan provides for in-kind distributions, but the plan has just been making lump sum distributions in cash.
Safe harbor inclsuign previously excluded employees mid-year.
Calendar year safe harbor plan. They currently exclude division A employee's from participating. They want to allow them to participate beginning Sept. 1. I can't see any reason why would this would jeopardize safe harbor, but I want to make sure I'm not missing anything.
Thanks in advance for any guidance.









