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Can Self Insured Health Plan cap payments for air ambulances, or is it prohibited from doing so under ACA?
Self insured plan wants to cap payments made for air ambulances to some arbitrary number, $20,000 for example. Does it matter that this is for emergency care, and is this a essential health benefit under the ACA? Any source you can point do would be appreciated. Thank you!
Controlled group, different plans/years - HCE determination
So, suppose you have CG, consisting of Corps A, B, C, and D. A & B sponsor plan #1, and they run on a calendar plan and fiscal year. C & D sponsor Plan #2, and they run on a 10/1 to 9/30 plan and fiscal year.
The numbers are such that either plan, no matter how you look at it, passes 410(b) and 401(a)(4) EASILY, as very few HCE's participate.
However, as an academic exercise for future reference, suppose you are testing Plan #1 (calendar year) and you wish to determine the HCE's for 2019. When doing the 5% owner test, are you looking at 5% owners only in 2018 and 2019, or, would an owner who was a HCE in plan #2 in the 2017-18 plan year by virtue of ownership in December of 2016 be included? Seems like it should be the former and not the latter. Same type question for compensation test - for Plan # 1, are you looking solely at compensation during calendar year 2018, and HCE status under plan #2 for the plan year ending 9/30/19 is technically irrelevant?
Maybe to try to condense the question, for plan #1, is the HCE determination made solely under the normal plan #1 timeframes (but taking into account all employees of all members of the controlled group)? I believe this is how it works...
Davis-Bacon and level funded health plan
Anyone with experience with use of level funded health plan and Davis-Bacon? Client has MEWA with a level funded health plan and would like to offer to employers subject to Davis-Bacon. Would contribution of employer premium to MEWA sponsor be considered an "irrevocable contribution to an unrelated third party" under Reg. Sec. 5.26? Since a level funded plan is a partially unfunded plan, we are trying to verify whether the contribution of the premium to the sponsor makes the plan a bona fide fringe plan, despite the fact that the plan is technically partially unfunded.
LLCs paying other LLCs
I don't know what to make of this. Client set up an LLC for himself.
He's also a partner in a larger company. That LLC issued him a K-1 for his income, and then also issued his own separate (single member) LLC a K-1 as well for a separate source of income from the larger partnership. It's that "smaller" LLC that sponsors his plans.
The first year, he had a Schedule C to reflect the payments from the smaller LLC to the individual.
Since then (the past 2-3 years), the income is not being shown as flowing through the smaller LLC - he just received it on a second K-1 issued by the larger company. So I think that's wrong to use for purposes of funding his plans.
But - is it enough for the big LLC to pay the little LLC on that K-1, or does the little LLC then need to turn around and issue a Schedule C every year? Or, is it enough that as the single member, the earnings on the K-1 (from big LLC paid to little LLC) enough to count as income for the individual himself?
We're trying to figure out if the CPA needs to re-address past years' tax statements, in terms of how the payments were reported, before we get into tracking what sort of benefit he's actually due under the DB plan.
thanks in advance....
--bri
No more suspension for h'ship withdrawals--question
We are planning on amending our plans in 2020 for the new hardship rules. That includes the no more suspension of deferrals.
What happens is some takes a h'ship now? Their suspension period would go until February. Does the suspension just go away Jan 1?
Non-Profits and New Comparability - Free Choice?
Hi to All,
We have a 401(k) plan for a non-profit entity with a new comparability formula for the profit sharing. The intention in the design was to have each participant in his own group and to vary the contribution level at will. There are no HCEs and of course no "owners".
Can the employer give 10% of pay to the 3 oldest employees and nothing to the 3 youngest employees? Can the contribution be literally whatever they feel like giving to each person?
We are so accustomed to the world of small closely held companies that it's hard to think outside the parameters of normal non-discrimination testing. Our first instincts are to say "Oh no, you can't do that!" but perhaps you can! Any thoughts?
Thank you as always.
Match wasn't capped
I have a plan with a discretionary match that is calculated and deposited each payroll. At the beginning of the year the board of directors elected to cap the match at 15% of compensation. The payroll department didn't apply the 15% cap and 3 participants received excess match - 2 of them $4000 and $6000. Is the cure for this error to forfeit the excess?
Controlled Group, multiple plans, controlled group status never reviewed
Company A owns 20 other companies at 100% ownership. All 21 (20 plus company A) entities have their own separate plans with different record keepers, TPA's and financial advisers. No one has performed combined coverage testing for the past 15 years. The plans vary from safe harbor to traditional 401k with profit sharing. All plans are small plans so on their own have not had an audit requirement. All plan year ends are calendar year.
Question: Is this an obvious VCP submission requiring them to go back and run coverage testing for X years? Or can this be self corrected?
Thank you
Forfeitures before ACP or after ACP
If the employer over matched on deferrals because they got the formula wrong are the excess matching contributions fortified before ACP test is run or are they included in the ACP test? I read somewhere they are possibly excluded from the ACP testing and included in the general test. Yeesh. Any clarification would be appreciated, I feel like I'm making this more difficult than it actually is.
IRS approval of DC documents
Anyone have a pipeline to the IRS on the likely date for approval of DC docs and the opening of the next restatement cycle? Is smart money still on 2021, or is there any likelihood of 2020? Would obviously make a big difference in our planning...
Esop Audit question
Group:
I may not state this properly so bear with me.
Entity A, Inc. sells 100% of stock to an ESOP with name of 'A, Inc. ESOP AND PROFIT SHARING PLAN' in 2011.
ESOP files for EIN and uses such for all 5500 filings.
Entity A is audited for tax year 2012 and 2013. Which resulted in a no change determination letter.
Fast forward, Entity A ESOP is now under audit for same years (2012 and 2013) and all years through 2017.
I'm coming in late to the proverbial game as 2848/attorney and client has already signed audit extensions prior to my involvement.
Q: Are there any cited cases/internal revenue manual cites/other supporting sources, that stand for the proposition that the ESOP was effectively audited for 2012/2013 with these facts?
I note there seems to be very little case law about whether or not these facts can support a collateral estoppel or res judicata argument. And it's usually not favorable to taxpayers.
Thoughts and comments are appreciated.
Thank you
Joe Dadich, CPA, Esq.
Can POA change beneficiary in bank accounts?
My uncle designated me as sole beneficiary of one of his bank accounts. His step daughter has POA (don't know what type). We live in California and the accounts are in a CA bank. Q: Can the step daughter change the beneficiary or close the accounts and take over the proceeds? My uncle is in a nursing home and starting to show signs of mild dementia but is still mostly aware and present.
domestic partner distribution options
This is an old thread on the topic - does anyone have any more current insight?
A plan sponsor is trying to get a contract with San Francisco - and would be subject to their equal benefits requirements.
Considering that a domestic partner cannot rollover money to their own IRA the way a spouse would be able to, I don't know how the plan sponsor can affirm that the distribution options are the same. They are not under current Federal tax law. As far as I can tell preemption applies, but is there something else I'm missing? And certainly step-children are not treated the same as regular children in retirement plans. Also the RMD upon participant death options are usually different depending on the type of beneficiary.
Here is an except from the contract info page from the city / county:

Floor offset plan
Hi,
AN Employee terminated with an ACRUED Benefit of $844. His DC account balance is 44,000. He is 45 years old. The 844 is due at age 62 (NRA). Since the AB of 844
is due at age 62, is it proper to discount the 844 (AB) TO HIS CURRENT AGE OF 45 (will use plan equivalence for this). This gives an accrued benefit of 263 at his current age of 45. Next, to convert the dc account to annuity based on the APR at his current age of 45, ie 235 monthly. And then finally to use the dc annuity of 235 to reduce the AB of 265? Thank you very much
RMD on voluntary contribution account
How would one go about calculating an RMD on a participant's voluntary account, since basis in the account has already been taxed?
401(a)(26) design failure-how to fix it
We set up a traditional DB plan--not cash balance-- for a restaurant with 50 employees. We excluded bartenders and service people while covering the chefs, kitchen and dish washers and the vice-presiident of the business. Though the plan satisfies 70% coverage RPT and initially met the 40% participation rule, this year the minimum participant count is too low--39.2%. I am unclear how to fix this at minimum cost to client. Can I just cover 1-2 members of one of the excluded groups. Has anyone had this sort of problem and how was it fixed. Appreciate any thoughts on the subject.
Amend Mid-Year to Reduce Safe Harbor 401(k) Match Contributions
Plan currently provides SH 401(k) match contribution (100% up to 6%) on a payroll basis. Can the plan be amended mid-year to reduce the match to 100% up to 4% prospectively for the rest of the year?
SECURE ACT
Under the proposed SECURE Act, RMDs will be limited to a 10-year pay-out for noneligible beneficiaries. A life expectancy pay-out will still be available for eligible beneficiaries (spouse, minor children, disabled individuals, chronically ill individuals and those not more than 10 years older than the IRA Owner). I am having trouble determining whether the current RMD rule that provides that if a non-individual beneficiary is named (estate, charity or non-look through trust), and if the IRA Owner dies before his/her required beginning date, then post-death RMD payments must be distributed within 5 years. Under the SECURE Act, would this 5 year pay-out rule be increased to 10 years if a non-individual is the beneficiary? Thanks.
Hardship and Safe Harbor
Can a hardship distribution be take from safe harbor source?
Term Certain Annuity and RMD
If a participant in a Defined Benefit Pension Plan chooses to take a 5 year (60 month) term certain annuity, can those payments be directly rollover over to an IRA? What if the participant is over 70 1/2?











