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In-network provider sued Patent for Balance Bill self-funded Erisa
I am at a loss on this, in-network provider successfully sued patient for balance bill in state court despite denial of benifits with non-liabilty and both appeals being adminstratively denied for improper billing with non-liabilty of enrolle. Lawsuit was for breach of oral contract but the written ERISA contract had a hold harmless, and included language to prevent any form of out of network contract unless the provider informed the patient in writing services would not be covered under the plan (they did not). The judge ruled as if patient had insurance and would not correct to state it was Self-Funded ERISA, would this be a cause?
Does plan sponsor need EIN to create a 401k Plan?
I am talking with an attorney who has a practice with no employees, just him. He has dba business name and he puts all revenue through the dba which he reports as a sole prop on his tax return. But he does not have an EIN and seem reluctant to create one. He wants to start a 401k for himself. Can he do that without an EIN?
Thank you for any comments.
Ind. rate grp flexibility
cross-tested plan with individual rate groups requires 1000 hours and last day for contribution. With the individual rate group classification, is it fine to allocate employer contribution (above and beyond top heavy and gateway minimums) to someone who did not make 1000 hrs but still employed on last day? This is a situation of a generous business owner who does not want to leave a part-timer out of the PS contribution.
CB credit for ex-employees?
My scenario: 2 business partners start a cash balance plan for themselves a few years ago (no employees). Partner 2 is given a 35,000 contribution credit each year, well below his 415 limit.
One year, Partner 2 decides to deposit 50,000 instead of 35,000, figuring (a) it's deductible within the cushion amount, and (b) we could always amend the formulas later when the plan terminates so that his benefit is exactly what's in the portfolio.
And then sure enough, corporate divorce between the partners at the end of 2019. Partner 2 has contributed a total of 120,000 for himself, but his actual cash balance benefit is only about 114,000, which is what he got paid a few weeks ago.
So at first glance, too bad for him, especially if Partner 1 (now basically a sole proprietor, I suppose) has no intention of paying us to amend formulas for the other guy.
But now, amid the "divorce proceedings", it sounds as though Partner 1 wishes he could have just paid the guy more from the plan.
My question is, what's the typical methodology to increase a CB formula for someone who's an EX employee? Assuming Partner 2 has no service for 2020, what would be the typical way to write up an increase for him? He won't hit any kind of "hours of service" requirement to accrue more.
I'm using ASC's checklist-formatted CB plan document, if that matters. Can I at this point increase his benefit either for 2020 (where there may be no service) or any of the prior years (where at least there was), such as to bring his benefits due up to an "appropriate" amount based on the 120,000 he put in?
(Not fully up to speed on what sort of retroactive benefit increases we can orchestrate in a CB plan.)
Thanks....
--bri
402(g) Limit - Roth - After Year End
I have a question regarding processing a distribution for a participant who exceeded the 402(g) limit.
Let's say he's $1,000 over the limit and he only has Roth contributions. The distribution has a gain of $200 and it is processed after the end of the year.
My understanding is that you need 2 form 1099-Rs - one with code BP (for $1,000) and one with code B8 (for $200, which is the earnings amount). I have 2 questions:
1) Is that the correct approach?
2) If it is, what would you report as the Roth Basis on each of the 1099-R forms?
Thanks!
Tax Credit & EACA
I have a client with an existing 401(k) plan that wants to add EACA for 2021 to take advantage of the pension plan startup tax credit. My understanding is that they can add EACA for 2021, effective March 03, 2021, even though it won't be for a full year and that EACA will only apply to newly eligible employees. My question is does 2021 count for the available tax credit since it is NOT a full year?
Thank you.
TH only need Gateway?
I have a participant who was eligible for the 401(k) piece of the 401(k) plan in 2020. She had deferrals, got a match and a Top Heavy contribution equal to 3% of comp minus the match. Comes out to about 2% of TH. She is not eligible for the Profit Sharing component until 2021.
It's a cross-tested plan. Gateway is 5% as an owner is getting a 22% contribution. My software is saying the plan passes gateway even though the participant above is at 2% ER contribution.
Brain cramp right now. Is that right? TH only doesn't need a gateway? She shows up on the rate group test.
Missed match for HCE
For some reason, payroll company stopped the matching contribution for everyone mid-2019.
We only do the PS and just enter the match for (a)4 testing.
Owner HCE was maxed out to $62,000.
They are going to make up the match for everyone else.
Should they bother with the owner? Otherwise, he will have a 415 excess and get some of his deferrals refunded.
(He's the only one with a 415 issue in either 2019 or '20)
Valuation Date for 401(k) Plan
This is a plan document question and also relates to 404(c). The plan allows participants to self-direct investments in individual brokerage accounts. This is NOT an investment platform, but the total asset balance in each participant's account can be obtained each day online or with a phone call as the funds are publicly traded. I believe this makes it a daily valued plan (must be indicated in plan doc) and it can be 404(c) compliant if meeting other requirements. A plan that is not daily valued cannot be 404(c) compliant. Question - The money type balances are only determined on annual basis by yours truly (TPA). Does this change it from being a daily val plan to an annual valuation plan that cannot be 404(c) compliant? I see nothing about source/money type balances in the regs, but want to be sure we are drafted documents to reflect a correct valuation date (daily vs. annual).
Thank you in advance for your feedback!
401(k) adoption, election - year confusion
I am self-employed and decided to open a 401(k) very last minute in Dec. I signed and submitted the adoption docs to fidelity on 12/31/2020 with an election of 10,000 for 2020. I meant to make that election for 2021.
Fidelity opened my 401(k) mid-jan. Does that mean my 401(k) is active 2021 onwards and NOT for 2020? Do I still have to contribute 10k for 2020 or can that little bit of election on the adoption agreement be forgotten/ignored?
HSA and FSA??
I cannot figure out if my situation is similar those already asked?
I have a High Deducible Health Plan with and HSA which I contribute to as a single.
My wife works for a municipality and has access to a FSA with her Health Plan.
We are on separate plans, separate "companies", my wife has my daughter on her plan.
Can I contribute to my HSA as an individual and my wife contribute to her FSA?
Thanks,
Ed
Employer Withheld Too Much 401k - correction required?
For 2020, a Participant elected $1,625.00 401k plus 541.66 catch-up withheld per pay.
December 29, 2020, Participant completed another election form electing $19,500 annual 401k plus $6,500 annual catch-up withheld (proportionately from each pay). The employer provides 24 payrolls per year, therefore the 2021 per pay withholding should change to $812.50 + $270.83 respectively. Unfortunately, it was not changed and for both of January 2021's payrolls the previous election stood.
Both of January 2021's 401k deferrals have been remitted over to the plan (same day as pay dates) making this not only a payroll issue but a plan correction issue.
How best is this corrected? Should the employee be provided a special paycheck equal to the over contributions with taxes withheld (recognizing FICA will be overpaid)? And then to correct the Plan, should the contributions to the Participant's account be removed and placed in a forfeiture account?
The employer realized the error and spoke with the Participant who is okay with what happened, does not want a correction, and simply wants to skip 401k deferrals for the month of Feb and restart again in March (plan does permit this frequency for changes) - is this acceptable?
Thank you.
ADP Testing - Determining HCEs and NHCEs
Hi. I am getting confused on what year's compensation to use in determining HCEs and NHCEs.
We are doing the testing for the 2020 Plan Year. We use the Prior Year method.
To determine 2020 HCEs, do we look to see who made over $125k in 2019? And ignore 2020 comp altogether?
Paid out terminated employee due SH contribution
This problem has probably been answered. Today I learned that a plan participant terminated during the year and the financial advisor rolled out the balance to an IRA. Little did they realize that the participant is due a SH contribution in addition to a NEC employer contribution. Do they need to re-establish an investment account and roll the funds over or can the contributions be directly paid to the rollover IRA?
Malware Alert bogus emails
Just a heads up. Within the last two hours I received emails from two different TPA firms with a link to a Share file document. I do not deal with either of the TPA firms so not sure of the source of the emails: Bush Retirement Plan Services and BDS Consulting Group
Has anyone else received odd emails.
PLAN TERMINATION WITH LIFE INSURANCE
I have a one person plan (401k/PS) terminating 20201231 with life insurance. He has assets at 2 other investment houses. He cashed in his life insurance policy ($42,000) and now wants to roll it into the IRA along with the assets from the other investment houses. I don't think you can do that, correct? What are his options now as far as the life insurance cash? He doesn't want a tax liability. Fidelity (one of his investment houses) told him to send them a check and mark it 60 day rollover along with a 1099R ...
Irrevocable Waiver
I have an interesting situation that I don't know how to fix so I'm hoping someone out here has come across something. A new 401(k) plan was adopted 1/1/2020 - not safe harbor with discretionary match and profit sharing. Volume submitter plan document allows for irrevocable waivers and the plan sponsor wanted it because many employees wanted no part of the plan due to religious beliefs. We received the irrevocable waivers in December of 2019. We have now received the 2020 census data - every NHCE signed an irrevocable waiver and the only eligible plan participants are the owners. There were 7 NHCE who exceeded the statutory eligibility requirements so they are showing up as eligible, not benefiting, for 410(b).
These employees want no contributions from the employer for religious beliefs which is why they signed irrevocable waivers in the first place. Any ideas out there about how this should be handled?
Beneficiary - divorce and death
I have a participant that recently went through a divorce and the QDRO was processed, paying the former spouse.
The participant passed away last week. He was provided but never returned his new beneficiary form. The form on file is the old one listing the now former 'spouse'.
Does the divorce and QDRO deem the designation form null and void?
I appreciate any input.
Thanks!
401(k) limit between 2 Plans
I have a question about 401(k) contribution limit when a someone participates in 2 plans. I understand that you can contribute up to the limit for both plans assuming the companies are no related (there is no affiliate relationship). Does that simply mean that the 2 companies are not in a control group/affiliated service group relationship?
Here's the situation:
A participant own 100% business of Company A and 25% of Company B. Company A and B are not part of Control Group/Affiliated Service Group. Can he max out contributions with both plans (of course, assuming that he does not go over the 402(g) limit).
Thanks!
Compensation Limit- Contributions Post Tax
Hi,
The payroll system for this client capped the compensation at the annual of $285,000 for 2020. Instead of contributions stopping because the compensation limit was met, the contributions are still be deducted but as after-tax. Wouldn't the client had to have something in the document allowing for after-tax contributions in order for this to happen?
Thankls!







