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HIPAA
We received a request from an employee who wants to inspect and copy the health information contained in his designated record set. Does anyone have a definition of the term designated record set? Is this information we have collected prior to or after April 14th? At this point in time, he is only a participant in our self-insured EAP but was previously a participant in the other "health" plans 2 years ago.
Thanks.
Self Administering an FSA
I have a small client who is interested in self-administering a Flexible Spending Account. What would be the disadvantages to doing this?
How I'm running nondiscrimination testing for doctor's plan; please check me
Just to make sure I've got the testing down right...., I have a client (doctor) who makes well over $200,000. He has establilshed a new comp plan with a last day rule. There are 2 groups: 1.) the dr 2.) all others.
The dr. is set to get $40,000. The employees we're giving 1/3 of his % which is 6.7%. Actually, we giving group #2 7%.
My 410(b) coverage (70%) passes.
My 410(b) average benefit fails
The minimum allocation gateway and safe harbor minimum both pass.
Based upon the above testing, the allocation is ok. I don't need to worry about the average benefit test failing because the gateway passed. Right?
I generally have the new comp plans pass both gateway tests (minimum and safe harbor). Am I being too conservative?
Pat
Merger of 2 welfare funds
Can two Taft-Hartley funds (one providing dental and optical benefits and the other providing health, prescription, life and accidental death and dismemberment benefits) be merged?
Can the funds of one plan be transferred from one plan to the other?
Both are funded solely through employer contributions.
Remaining assets of terminated welfare plan
A previously qualified Taft-Hartley severance plan lost its qualified status (501©(9)). The trust and fund for this plan were created to provide lump sum payments upon severance or death to eligible members employed by various employers who entered into collective bargaining agreements w/ the Union. The trust is funded solely through employer contributions.
The Plan was terminated as of 11/97. Distributions were made to participants. Subsequently, a tax refund was issued and the assets amount to approximately $100,000.
1. Can these assets be transferred into another fund maintained by the Union, also funded solely through employer contributions?
2. Is there any prohibition on terminating a plan whose assets are above a certain dollar amount?
3. Other than issuing dividends or refunding administrative charges, is there anything else that can be done w/ the $?
Any help is greatly appreciated.
How do you find an old mortality table?
I'm looking for annuirty rates for ages 60 - 70 -- life only and joint and 100% survivor -- 1983 Individual Annuity for Females projectd to 2000 by scale G with 6% interest. Anyone have a clue as to where I could obtain this table?
Thanks,
Pat
Is consent required from AP's spouse
If a DB plan requires a participant to obtain spousal consent to name someone other than the spouse as the beneficiary for a post-retirement lump sum death benefit, must a married alernate payee with a separate interest also provide spousal consent to name someone other the the AP's spouse as beneficiary?
reducing a 100% QPSA to a 50% QPSA
My research indicates that an employer may reduce a 100% QPSA to a 50% QPSA with respect to all service without violating 411(d)(6) or giving a 204(h) notice, because the QPSA is an ancillary benefit.
The reduction would apply to deaths occurring after the date of the amendment, to both active and vested terminated participants.
This is a fully subsidized mandatory QPSA (waiver not allowed) in a defined benefit plan.
This answer seems right but leaves me uncomfortable.
Do you agree or disagree with this answer or know of something I've missed?
Benefit offset due to QDRO
1 person DB plan (takeover) had the unfortunate overused 10% x YOS formula, and PVAB outstripped assets by 2:1. Divorce occurs, and QDRO dictated split of plan assets 50/50. Benefits were not split 50/50 as this would mean the alternate payee spouse gets all plan assets, so assets were split 50/50. As of a certain date, spouse was paid 50% of FMV assets. If benefit offset for plan sponsor due to QDRO is determined by the actuarial equivalent of the distribution amount, the underfunding becomes worse, because assets are cut in half, and benefits have only been reduced by 1/4. Can one reason somehow that the benefit offset should be half the accrued benefit, as this would help reduce the 412 funding? Doesn't seem possible, but thought I would solicit some advice. Should the QDRO have been worded that she (alternate payee) is receiving half the AB, but the "allocation" is only half to reflect the extent funded (as discussed in other threads on this message board relating to plan termination)? I suppose this still would not be valid for 412 purposes.
If plan termination is the only answer for this plan's problems, then would future DB plan's 415 offset be determined by actual distributions to participant and alternate payee, or accrued benefits under the plan?
disability insurance
May a municipal employer, that has provided long term disability insurance to all of its municipal employees, use a state statute (NJSA 40A:14-154) to reduce and eliminate
LTD benefits to only its municipal police officers?
Historically, the municipal employer had purchased group long term disability insurance for all of its employees. During the 1980's, an arbitrator determined that the municipal employer did not purchase the proper policy according to a police union collective bargaining agreement.
The arbitrator ordered the municipal employer to make any disabled police officer applying for LTD whole according to the CBA by making the payments directly from the municipal
budget rather than from collecting from the insurance carrier.
What parts of the IRC would be applicable to help the disabled police officers from the employer using this state
statute from reducing and/or eliminating their LTD benefits?
Any thoughts out there??
underfunded one-man db plans
A one-man db plan due to huge losses has become greatly underfunded. Is there any exception to the minimum funding requirements? Does the participant have to terminate (and if so, could they waive the underfunding liability)? Could they simply reduce their own benefit?
Esop participant becomes company owner
C-corp. sponsors an esop and esop owns 40% of shares.
C-Corp. has one 60% individual owner (and esop owns the other 40%).
The 60% individual owner would like to retire and has a potential buyer in an employee who is also a participant in the ESOP.
Once the sale goes through, i believe the employee (who will become 60% owner) can still participate in esop. My logic is that the employee was not an owner prior to or on the date the 1042 transaction and esop was set up (3 years ago).
In addition, I do not think the original owner's 1042 transaction is tainted in any way.
Do you agree???
Thanks
Abusive S-corp ESOP?
Just looking for opinions and thoughts here....Would you say that an S-corp ESOP that doesn't allow distributions to terminees until after the stock acquisition loan is fully repaid abusive? Probably not, but would your answer change if the note was a 30-year note? Would it cause further concern if the plan provided for 5-year cliff vesting with no credit for service prior to the plan? Is a 5% fixed loan rate reasonable? Would you be involved with a case like this in any way?
partial distribution - distributable event
Small employer sponsors a DB plan that covers both union and nonunion employees. Small employer is bought out, and mega company immediately wants to terminate the DB plan. That is the modus operandi for all their acquisitions. However, the collective bargaining agreement prohibits mega from terminating the plan with respect to the union employees.
So, Mega wants to terminate the nonunion portion of the plan. Is there such a thing as terminating a portion of a DB plan? Mega knows it can do a spinoff and termination, but that will involve negotiations over how assets are allocated between plans ( original and spinoff).
If is clear that Mega can cease accruals for nonunion participants, and exclude them from coverage under the plan. But can it make a distribution to the nonunion participants because it has "terminated" their "portion" of the plan thereby creating a distributable event? No one's employment is being terminated.
There are good reasons not to terminate a plan now; there are good reasons to do the spinoff. However, the employer has good reasons for wanting to execute the termination of the nonunion portion of the plan and distribute assets. Any suggestions?
FAS106 & Stop Loss Premiums
I am fairly new to the FAS106 arena, so please be kind. My client has a self insured medical plan and pays the stop loss premiums. Do I need to value both the medical claims and the stop loss premiums?
gateway and multiple formula situation
Somebody is asking me the following question about a problem takeover plan that is being redesigned.
Plan provides that participants get the greater of two formulas, one that is a target benefit formula that by itself would be exempt from the gateway, and a formula based on age that meets the smoothly increasing, broadly available exemption. All participants get the greater of the two.
Question: Is this plan subject to the 3/1 or 5% gateway?
I say yes, because even though each component would be exempt, the combined plan would not be a safe harbor so the mutliple formula exemption for safe harbor plans would not apply, and the gateway regulations seen to preclude restructing into component plans to aboid the gateway requirement.
This of course assumes that the plan could not pass the general test on a contributions basis.
Opinions?
C1 Exam Study Group
I'm getting ready to start studying for my C1 exam and I am interested in joining a study group and was wondering if anyone new if there were any study groups available to join in the Cincinnati/Northern Kentucky area
Thank You.
DC Cross-test Broadly Available Allocations
Can anyone give me the correct interpretation of the IRS language in the cross-testing regs (DC) for "broadly available allocation rates" where it states under 1.401(a)(4)-8(b)(1)(iii)......."plan is currently available during plan year to a group of employees that satisifes section 410(b) - (without regard to the average benefits percentage test of 1.410(b)-5). Does this mean you can't use the ABT to satisfy the broadly available requirement ? or merely that you ignore the average benefits percentage test but may still pass under ABT assuming you meet remaining ABT requirements like reasonable classification and safe-harbor threshold % using NHCE concentration table ?
Eligibility of Disabled Child
Questioning whether HIPAA prevents an employer from denying a new employee the option to enroll an overage dependent who is totally disabled? Would this constitute a violation of the portability aspect of HIPAA? Thanks!
asset in plan has market value of $0
A plan which was an employer-directed profit sharing plan holds an asset that at one time had a market value of $0. The plan added 401(k) and became participant-directed, and the asset was dropped from the books because it had no value. However, several years later, this asset has now increased to $75,000. How do we allocate it to participants? What should be done when a plan's asset becomes worthless? How long do you keep a worthless asset on the books?







