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How claims should be paid during the 30 day grace period allowed month
I understand how claims and confirmation of coverage is handled during the 60 election period and the 45 days allowed for initial payment and we have that in place. My question deals with the 30 day grace period available each month for the premium to be paid and still be rec'd in a "timely manner".
What is the widely accepted method of handling claims during that period? To suspend all claims payment as of the first day of the 30 grace period until payment is received? To pay claims during the 30 day grace period, just as you would pay claims for any other "similarly situated employee" in that group during that 30 day grace period?
One of our concerns centers around our RX drug card...we provide an eligibility report weekly to the drug card company, if we suspend claims, their card would be canceled, as soon as the premium is paid we would have to reinstate the drug card and they would receive an updated report and automatically issue a new card. This could go on every month, depending if they access their grace period.
I am looking for options that other COBRA administrators would be using to handle this problem. As I understand the regulations, we need to provide "coverage" during the grace period...my question is "coverage" , is that verifying coverage or paying claims during that time period.
Any help would be greatly appreciated!!
[This message has been edited by Carol (edited 02-18-2000).]
[This message has been edited by Carol (edited 02-18-2000).]
IRS Levy on 401-k Plan
We have a DC plan with Safe Harbor Hardship Withdrawal language only. We have received an IRS levy on an active employee's account. Our company legal group is saying we must honor the IRS levy; the legal group with the recordkeeper is saying we cannot honor the levy. Has anyone ever had this problem? Help!!!
VEBA-Form 1024
I have a situation with a VEBA in which a Form 1024 was filed within teh applicable time period (i.e, 15 months rule) and a dtermination leter was recieved recognizing teh VEBA's tax-exepmt staus. Now, teh VEBA is going to be amended (in conjunction with the plan it funds). Should we file a new 1024 to ensure that the tax-exepmt status of the VEBA remains intact after the changes?
What is testing age when a plan defines NRD as the later of an age and
I find the language in the regulations to be unclear. For a cross tested DC plan, at what age are contributions converted to benefits when a plan, for example defines NRD as later of 62 and 5 years of participation. Assume a new participant becoming eligible at age 61. Is testing age 62 or 66? What about year 3 when the participant is age 63 but has a NRD of 66?
I know this is the wrong Board, but would the answer be different for a DB which gives post NRA actuarial equivalent increases?
Joint and Survivor/Spousal Consent
If the plan had a QJSA as the normal form of benefit simply because the plan was drafted in that manner (in other words the plan otherwise meets the QJSA exception for defined contribution plans (see IRC 401(a)(11)), then changing the QJSA to simply an optional form of benefit should be okay.
There is no guidance in terms of regulations blessing this change but the issue has come up multiple times at the ABA Joint Committee on Employee Benefits (most recently at the May 1999 meeting). (I don't have their website handy but you should be able to find it and access the Q&As from that meeting.)
If changed to an optional form of benefit, the spousal consent requirement then becomes effective once the participant actually elects an annuity. See Treas. Reg. 1.401(a)-20 Q&A 3 and 4 and, with respect to loans, see Treas. Reg. 1.401(a)-20 Q&A 24.
Note, the plan's outside counsel may be more conservative about the issue of changing from "normal" to "optional." If there is hesitation, the change could be disclosed as an intended change on the IRS submission to be effective once the plan received a favorable letter from the IRS.
Survey on Employee Benefits in Small Private Establishments
BLS does the small private establishments survey in even-numbered years, and medium/large establishments in odd-numbered years. The 1998 survey isn't on-line yet.
http://www.bls.gov/ebshome.htm
Employee Benefits in Small Private Industry Establishments, 1996 http://www.bls.gov/special.requests/ocwc/o...bs/ebnr0004.pdf
Unit vs. Cash
I am trying to decide how to set up our first plan that has more than one investment option. Since our other plans all have one investment option - we have always used the cash basis. This plan has many funds to utilize and we receive individual statements from the investment group showing the share price/value of each transaction for each participant. There is no reports however for the plan as a whole - so we want to utilize Quantech to keep these accounts. Quantech support has said that we can do it either by cash accounts or unit accounts. They say the unit method is more tedious and we would be duplicating the work for no reason. However, under the cash method it seems to me that you have to always back into the earnings posting.
Do most on Quantech utilize the cash method? If so, how do you calcuate the earnings if it is not reported to you by the investment company? When is it appropriate to use the unit method - daily valuations only?
This plan is being used as a "Test pilot" to see if we have the staff to go to a participant directed product - so I am not as interested in what is the best way for this plan, but what is best in general.
What plans fall under the newest Cafeteria Plan change in status rules
What plans follow the newest cafeteria regulations (11/97)? What about dependent care expense account and group term life insurance?
Internet administration?
Has anyone switched from any of the DOS Section 125 administration programs to the Windows/internet versions? How is it working? Have the fees you have to pay for support and internet access been justified? What is your favorite program? Thank you. Susan Luskin
Who can make contributions?
I have been contributing $2000 a year since it was available. I file jointly with my wife, but she no longer works. I was told since she does not work, she (or we)cannot contribute another $2000 into her Roth aco****. SHe does have one from wehn I rolled over her IRA account from when she was working a few years ago.
Can we contribute another $2000 for her, even if she is not working, yet files jointly with me (I do qualigy).
Laser Eye Surgery
Is Laser Eye Surgery (LASIK) an allowable medical expense to turn in for reimbursement under a 125 Plan? If so, does it matter if the surgery is done inside or outside the United Sates (we have a lot of people go to Canada in our area)? Thank you.
Stock Distribution and Beneficiary Basis from 401k plan.
If a participant leave a 401k plan and had employer stock in it, rolls over the cash portion and takes a distribution of the stock shares what basis does he use for the stock (he is not selling shares- just holding) and when he eventually dies what basis does the beneficiary use? Is there a step-up basis and can you briefly exlpain? I would appreciate any insight.
Transit Pass Proposed Regs. - Confusion about Pre-Tax Contributions an
I'm a little confused about example (1) in Q&A -14 of Proposed regs on transit passes. In the example, the employee reduces his or her compensation for up to the statutory limit each month and receives a pass for that month. The IRS says this example is an example of a valid compensation reduction election. Thus, if an employee reduces compensation during March and receives a pass for March during March, that is acceptable. A more realistic example, and one that would be more palatable to employers and employees is to have the employee make payroll deductions in February and receive the pass at the end of February so that the employee could purchase tickets for March. Neither the proposed regulations nor the examples state that such an approach would be acceptable. Any thoughts on this?
Incapacity of IRA Owner
"Senior" IRA owner is receiving RMDs and becomes mentally incapacitated (no legal guardian appointed). IRA beneficiary is child of first marriage. Spouse #2 wants to accelerate IRA withdrawals "to support spouse IRA owner." IRA agreement does not address situation. Spouse #2 has a general power of attorney (which does not specifially mention the IRA). Are there any federal precedents, rules, experiences on this or is it simply a state law question?
Thanks for any help.
No deferrals taken from bonuses for 5 years - which correction program
An employer did not take 401(k) deferrals out of bonuses for at least 5 years. The plan document did not exclude bonuses from the definition of compensation. For the most part, the bonuses are small amounts, but pretty much everyone got one each year. Any thoughts as to whether this could be corrected under APRSC or which IRS correction program would be most appropriate?
Stock Purchase Plan
We are looking to put in a stock purchase plan ...Looking for some vendor recommendations?
Deductible contributons for terminating DB plan under 404(g)
An underfunded DB plan is being terminated with the plan sponsor agreeing to pay whatever contribution is necessary to fully fund (standard termination). Irrespective of the usual normal cost and 10-year amortization rules, can the contribution be fully deductible immediately to the extent needed to fund PBGC guaranteed benefits? This seems to be what 404(g) implies.
Incorrect Match Refund Timing
Employer incorrectly calculted match and too much was contributed to both HCE and NHCE. Is ACP test run with incorrect amounts included or after corrections are made? Or do you leave it for HCE but take it away from NHCE before running ACP test?
What rights do I have as an employee concerning health coverage?
Itook a teaching position and our deal was that we would both pay half concerning our health coverage. My half has been taken directly out of my check. Unfortunately my employer did not send any of the money in and our policy was cancelled due to non-payment of fees. In this time, I thought I had coverage and have accrued dr. bills that the school says they are not liable to pay. What can i do? I need HELP!!!
What is the correction when a plan sponsor, for 7 months, does not wit
A participant submitted a deferral election form, which the plan sponsor also signed, in July of 1999. The participant just noticed that deferrals were not being withheld from the paycheck and informed the plan sponsor. The plan is a calendar year plan. What is the correction?









