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Definition of plan participant


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Guest S Craig
Posted

A group health plan has 70 employees covered on the plan, but 130 covered units.

All information says that a 5500 needs to be filed if there are 100 "participants" or more on the plan.

The DOL (via a phone call) indicates that a "participant" is an employee. The insurance carrier indicates that a participant is a covered member, which makes sense from the insurers standpoint.

Does this group health plan need to file the 5500? Is a plan participant the employee only?

Thanks very much!

Guest SHaddon
Posted

According to the Plan 5500 instructions...

"For welfare plans, the number of participants should be determined by reference to 29 CFR 2510.3-3(d). Dependents are considered neither participants nor beneficiaries."

The instructions then go on to state who is a participant which includes active employees, retired employees, etc.

So no filing required as plan only has 70 participants.

Hope this helps

Guest S Craig
Posted

Terrific! Thanks so much!

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