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Advice regarding new contracting for DHMOs as a part of a State Benefi
We are going into a bid cycle for our plans. Our concern is to get the most bang for the buck, especially in quality and services provided by dental providers to member employees. Because we are not self-funded but insured, the desire is to create performance standards for the contracting plans to be held accountable for in the quality of benefits provided under this type of plan and access to providers. The thought is what kinds of performance standards might be reasonable and useful with a DHMO and how effective the use fo financial penalties would be based on quality assessments made based on employee survey results (e.g., survey results obtained by the plan vs. those obtained by the administrator), or if it is even feasible to do so. As DHMOs tend to run on slimmer operating margins, financial penalties may or may not be a feasible alternative based on survey results from employees, as an example- so, looking for any advise, history or comments on this matter. Any comments or ideas would be appreciated.
One Participant Retirement Plan
A doctor has left a medical group and started his own practice. He would like to set up a qualified plan and rollover his distribution into the new plan. He will be the only participant in the new plan. The main reason he wants to do this is to protect these assets from future lawsuits (I don't know why he thinks he will be sued, but this seems to be a concern).
However I think I recall that a one participant plan is not covered by a part of ERISA and that these assets would be subject to attachment if a lawsuit or something would happen. So, he may be better off leaving these assets in the old medical group's plan if a lawsuit is such a concern.
Is this true?
Thank you.
ISO: Your experiences with FSA and COBRA? Suggestions, Tips, Advice wa
As a new member to this forum, I hope you are able to help me with this concern.
We have administered FSA plans for many years and have only JUST encountered the COBRA issue.
Our generic plan document does not address this, so ANY input, advice, suggestions, tips etc you have in this regard would be greatly appreciated.
Thanks in advance.
JM
family attribution
IRC 318 states: an individual is treated as owning any interest that is owned by the individual's spouse, children, grandchildren, or parents.
What is the rule for grandparents? Are grandparents considered to own an interest for this purpose and if not what is the rationale behind it?
QSLOB-Requirement of administrative scrutiny
My question relates to two members of a controlled group. Each is an incorporated entity that should each meet the QSLOB rules, except for perhaps the requirement for administrative scrutiny. Under the administrative scrutiny rules and the safe harbor relating to each of the SLOBs being in a different line of business, one entity is in Group 30 and the other is in Group 51 (relating to their SIC codes). In Revenue Procedure 91-46, where the IRS lists the different industry categories, Group 51 and Group 30 are NOT in the same category. However, Group 51 appears no where in the Rev Proc...so that concerns me. I am considering a request for an individual determination from the Commissioner that the separate line of business satisfies the requirement of administrative scrutiny but it is so expensive....anyone have something like this happen to them and how did you proceed?
Dental HMOs (DHMOs)
We are going into a bid cycle for our plans. Our concern is to get the most bang for the buck, especially in quality and services provided by dental providers to member employees. Because we are not self-funded but insured, the desire is to create performance standards for the contracting plans to be held accountable for in the quality of benefits provided under this type of plan and access to providers. The thought is what kinds of performance standards might be reasonable and useful with a DHMO and how effective the use fo financial penalties would be based on quality assessments made based on employee survey results (e.g., survey results obtained by the plan vs. those obtained by the administrator), or if it is even feasible to do so. As DHMOs tend to run on slimmer operating margins, financial penalties may or may not be a feasible alternative based on survey results from employees, as an example- so, looking for any advise, history or comments on this matter. Any comments or ideas would be appreciated.
Safe Harbor: Overtime as Compensation
I have a question about compensation for the purpose of satisfying the safe harbor rules for matching contributions.
Currently, the plan does not include overtime as a component for determining participant deferrals. The plan will be converting to a SH plan through the matching method in the near future and the SH match will be based on a definition of compensation that includes overtime. Will the plan fail to meet the SH rules if the definition of compensation for deferral purposes does not include overtime (even though overtime will be considered for determining the SH match)?
401(k) for Self Employed
What is the deadline for self employed plan participants to deposit elective deferrals?
Is this a permitted IRA investment?
Company A owns Company B
Company A has note payable for purchase of Company B
Individual Shareholder owns 100% of Company A
Company A wants to payoff note for purchase of Company B. The Individual Shareholder will have to provide Company A with the funds to payoff the note. He has enough money in his IRA to payoff the note.
We are looking for a way to use the IRA funds to payoff the note without taking a distribution. Can Individual Shareholder's IRA form a new corporation to invest in Company A?
Recharacterization done after deadline- recourse?
In 2000, client converted her traditional Roth IRA to a Roth IRA and elected to spread the income over 4 years.
In 2000, her then CPA told her to recharacterize the Roth back to the traditional IRA in order to avoid paying the taxes. (Of course, we know that it was too late then, as the deadline was 12/31/1999)
Client has now enlisted the services of another CPA , who has informed her that the transaction was not legitimate because of the date it was done – it was done in 2000.
The client wants the custodian to reverse the recharacterization and make it like it never happened. The client claims the recharacterization is invalid.
What is the custodian’s responsibility here, since the custodian carried out the client’s written instructions to process the recharacterization?
Affiliated Service Group???
I have two dentists who maintain sole-proprietorships within the same office and share the same office employees but split their costs (salaries and benefits) amongst them equally, as if they were "partners." I would like to say that they are affiliated with each other, seeing that they split all office expenses, rent, employees, etc. but because they are taxed as soleprops, is there anything that I am missing that would join these two practices together? In my gut I feel that they both provide services with one another and are acting as a partnership but I would like to have something to go by before I speak to them about it. Also, they have three NHCE's who "split time" for each DMD. In the aggregate they have over 1000 hrs but individually they have a little over 700. This is where I am coming up with the problem, because it sounds a lot like a law practice where each lawyer establishes its own soleprop and "share" the services of one admin asst who works less than 1000 between them. Any insight would be very much appreciated or just point in the right direction for an answer.
thanks
Can participants still be given option to defer RBD after end of GUST
After the end of the GUST remedial amendment period (or after the 2001 RMD proposed regulations become effective), can partcipants still be given the option to defer distributions until termination of employment? Or was this option only allowed for plan documents that had not been amended to make the SBJPA change to Required Beginning Date?
Asked a different way: Under the 2001 proposed regs, can a plan document specify that the Required Beginning Date will be ag3 70 1/2 for all employees, but that participants will be given the option to defer their Required Beginning Date to as late as termination of employment?
disclosure of information
Thank you to those who responded to my query regarding beneficiary status. I am currently trying to get the alleged Pension Administrator of my ex- husband's company to confirm in writing the details he has e-mailed me. I am not too sure that it isn't my ex-husband in disguise-he's the company's director of Human Resources. What rights do I have to disclosure.? I was not named on the 401k plan although I was married to my husband at the time. Is there an official body that can require the company to divulge the information?
Anyone know of a good PA lawyer?
Thank you for any advice
Transition to ERISA Plan Status - What is Initial Effective Date?
A private nonprofit has had a non-ERISA 403(B) arrangement for its employees for some considerable time.
Employer now wants to add matching contributions and is establishing an ERISA plan in order to do so. Is the initial effective date for the plan: (A) the date the new plan is established or (B) the date the non-ERISA 403(B) arrangement first came into existence?
Does it make any difference that the employer "memorialized" the terms of the non-ERISA plan, in writing, sometime in 2000? The written summary of terms does not contain all info. required under ERISA.
Affiliated Service Group ?
A and B are each 100% shareholder employees in their respective S-corps. A has regular full-time employees,B does not. A and B are also 50/50 members of an LLC. All are engaged in computer/software consulting and service. A's employees spend approximately 25% of their time working on projects for the LLC's customers, for which A bills the LLC. A sponsors a profit sharing plan covering himself and his employees. B derives 50-75% of his income from the LLC,paid to his corporation.A,B, and LLC do not form a controlled group. Is there an affiliated service group somewhere in the pile? Can B sponsor a plan in his corporation that will only benefit him?
Privately Held Company Stock in 401(k) Matching Account - 404(c) issue
Situation: A privately held company makes its match in company stock and gives its employees the right to sell the stock and to move the proceeds into any one of a variety of other choices (which presumably qualify under 404©). The company does not allow the employees to reinvest the funds in the company stock account, however. Does the plan qualify under ERISA 404©? I need any assistance. Thanks.
QDRO question
Say a participant chooses a 50% j&s pension, since he is remarried.
Say his gross pension = 1,000 and his ex spouse is to receive $ 500.
Would this result in the participant receiving a 50% j&s based solely on his $ 500 pension, as if there was no other pension and would his ex wife still be entitled to her $ 500, however she chooses to receive pension?
Any thoughts?
How Is Service For A Leased Employee Counted When The Organization Lea
Hello,
I have a rather interesting situation: I have an
employee who is being leased to Employer C by Leasing Organization A (FYI: Employer C's 401(k)
plan has a 6-month service requirement).
The employee has met, or will very shortly meet, the 6-month service requirement for plan participation. However, Leasing Organization A is in the process of ending their business relationship with Employer C.
Employer C has now established a business relationship (for employee leasing purposes) with Leasing Organization B. As a result, the employee in question must now sign a new contract with Leasing Organization B. The employee is now being told that her prior service with Employer C under Leasing Organization A's contract will be disregarded for 401(k) participation eligibility purposes (i.e., she will have to wait another 6 months before being able to participate in Employer C's plan).
I believe that the change in leasing organizations is not relevant as far as the employee's eligibility to begin active participation in Employer C's 401(k) plan shortly, since she has met the service requirement.
Any helpful feedback on this issue would be greatly appreciated.
More 404(k) madness
Assume that an employer stock fund held by a 401(k) will be designated as an ESOP.
The Plan currently provides that participants may elect to take distribution in the form of a lump sum or annual installment payments up to 15 installments.
Question: Does the Plan need to change its distribution requirements in order to meet the requirements of Section 409(o)?
Thanks in advance!
How will payroll services handle Age 50 Catch-up contributions?
Does anyone have any idea how payroll companies will be handling the age 50 catch-up contributions? Will payroll companies be collecting participants' dates of birth? Will payroll companies that currently stop deferrals at the 402(g) limit now stop deferrals for plans that use catch-up at the 402(g) plus age 50 catch-up limit? How will payroll companies identify age 50 catch-up contributions that become age 50 catch-up due to the ADP limit?







