Jump to content

Recommended Posts

Posted

We have three senior executives that are part-time and don't work enough hours to be eligible for the GHP. Two are actually on Medicare. We would like to somehow help pay for the health insurance or medigap coverage they have obtained elsewhere. We realize that direct reimbursement creates an employer payment plan that runs afoul of the ACA. Any ideas? It is my understanding we could increase their taxable wages to help them pay for these individual insurance policies and/or medigap coverage, but that we can't require that the funds be used for that purpose. However, we would want to determine the amount of the increase by doing some research on how much this alternative insurance is costing and base the compensation adjustment on our findings. Would that pass muster?

Posted

Flybyjohn, don't you think there is a risk of having an employer payment plan if you determine the extra taxable wages by whether they were used to pay premiums?

Luke Bailey

Senior Counsel

Clark Hill PLC

214-651-4572 (O) | LBailey@clarkhill.com

2600 Dallas Parkway Suite 600

Frisco, TX 75034

Posted

Yes if the employer is requiring proof that the extra wages are being used to pay premiums but not if the employer is simply determining the amount of the extra wages on the basis of what the executive is "probably" paying in premiums.

Posted

Yep. The old "facts and circumstances," Flyboyjohn.

Luke Bailey

Senior Counsel

Clark Hill PLC

214-651-4572 (O) | LBailey@clarkhill.com

2600 Dallas Parkway Suite 600

Frisco, TX 75034

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
×
×
  • Create New...

Important Information

Terms of Use