Healthcare Flexible Savings Accounts (FSA): “Use It Or Lose It” Rule Modified

January 25 - Posted at 3:01 PM Tagged: , , , ,

On October 31, 2013, the US Treasury and the IRS issued Notice 2013-71, which modifies the “use it or lose it” rule for Healthcare Flexible Spending Accounts (FSAs).

 

A Healthcare FSA is a form of cafeteria plan benefit offered by employers to allow their employees to pay for eligible out of pocket healthcare expenses with pre-tax dollars. Healthcare FSAs are typically funded by salary reduction contributions.  Effective for plan years beginning after December 31, 2012, and employee’s contributions to a Healthcare FSA are limited to $2500 per year (indexed for inflation beginning in 2014).

 

Historically, these contributions were also subject to a “use it or lose it” rule which provided that contribution to plan that are not used before the end of the plan’s fiscal year would be forfeited. This rule was modified several years ago to permit a plan to add a “grace period” of 2 ½ months following the end of the plan’s fiscal year to allow employees an extra amount of time to use their FSA funds before losing them.

 

The new rules issued by the IRS permit another option that employers may want to consider. An employer may amend its plan document to permit a carryover of up to $500 for any unused FSA funds at the end of the plan year.  The carryover, if permitted in the plan, may be used to pay medical expenses incurred during the plan year to which it is carried over, and would be in addition to the $2500 employee contribution limit.

 

A plan adopting the new carryover option is not permitted to also provide a grace period. An employer must decide to either provide a grace period or the new carryover option, but not both. Of course, an employer may choose to provide for a carryover limit of less than $500, or not to permit the carryover or grace period at all, as these are both entirely optional. When deciding whether or not to eliminate a grace period in favor of the new carryover option, an employer may want to compare the potential administrative impact of each option.

 

As mentioned above, the new carryover rule is not available during a plan year in which the plan permits a grace period. Therefore, plans containing a grace period must first be amended to remove it if the employer wants to add a carryover provision. The amendment to remove the grace period must be adopted before the end of the plan year in which it becomes effective. For example, if an employers wants to permit employees to carryover up to $500 from the 2014 plan year to the 2015 plan year, the employer must amend the plan and provide participants with notice of the amendment before the end of the 2014 plan year.

 

Please contact our office for more information on how to implement an FSA into your workplace or amend your existing plan document.

IRS Releases Form 8941 for Claiming 2013 Small Business Health Care Tax Credit

January 24 - Posted at 3:01 PM Tagged: , , , , , ,

The IRS has released the 2013 version of Form 8941, which eligible small employers will need to use to calculate their small business health care tax credit.

 

Employers may qualify for a tax credit of up to 35% (or up to 25% for eligible tax exempt organizations) of nonelective employer contributions under a qualifying health insurance arrangement, if they have fewer than 25 employees AND pay average annual wages of less than $50,000 per employee. A qualifying health insurance plan generally requires the employer to pay a uniform percentage of the premium (not less than 50%) for each enrolled employee’s health coverage. Once calculated, the tax credit is claimed as a general business credit on Form 3800 (or for tax exempt small employers as a refundable credit on Form 990-T).

There are important changes to the tax credit that become effective beginning with 2014 taxable years that are important to note:


1. the maximum credit amount increases from 35% to 50% of employer paid premiums

2. coverage under a qualifying arrangement must be offered through a SHOP Exchange

3. the credit can be claimed for only 2 consecutive years beginning in or after 2014, and

4. due to the cost-of-living adjustment, the tax credit will be reduced if an employer’s average annual wages exceed $25,400 and will be eliminated if average annual wages exceed $50,800

 

Employers who plan on claiming the small business tax credit for 2014 will need to make sure they are familiar with these new requirements.

Higher Limits for HSA Contributions in 2014

January 23 - Posted at 3:01 PM Tagged: , , , , , ,

The IRS has announced higher limits for 2014 contributions to health savings accounts (HSAs).The increased amounts reflect cost of living adjustments.

 

For 2014, the HSA contribution limit is $3300 for an individual and $6550 for a family. The HSA catch up contribution for those age 55 or older will remain at $1000. For an medical plan to be considered a qualified HDHP that can be paired with an HSA, it must have a minimum deductible of $1250 for an individual and $2500 for a family.

 

For those under age 65 (unless totally and permanently disabled) who use HSA funds for nonqualified medical expenses, they face a 20% penalty of 20% for nonqualified expenses. Funds spent for nonqualified purposes are also subject to income tax.

 

While the PPACA allows parents to add their adult children up to age 26 onto their medical plans, the IRS has not changed its definition of a dependent for HSAs. This means that an employee whose 24 year old child is covered on his HSA qualified high deductible health plan is not eligible to use HSA funds to pay for that child’s medical bills. If HSA account holders can’t claim a child as a dependent on their tax returns, then they can not spend HSA dollars on services provided to that child. According to the IRS definition, a dependent is a qualifying child (daughter, son, stepchild, sibling or stepsibling, or any descendent of these) who:

 

  • has the same principal place of residency as the covered employee for more than ½ of the taxable year
  • has not provided more than ½ of his or her own support during the taxable year
  • is not yet 19 (or, if a student, not yet 24) at the end of the tax year or is permanently disabled

 

Please contact our office with questions on high deductible health plans (HDHPs) as well as Health Saving Accounts (HSAs).

W2 Reporting for 2013

January 21 - Posted at 3:01 PM Tagged: , , ,

All 2013 W2’s that will be distributed in January 2014 are required to report the aggregate cost of insurance coverage. Currently, if you filed lessthan 250 W2’s in 2012 you are exempt from this W2 reporting requirement this year.

 

The value of health care coverage will be reported in Box 12 of the W2 with code “DD” to identify the amount. You are required to report the total cost of both employer and employee contributions for major medical and any other nontaxable “group health plan” coverage for which COBRA is offered, except if dental or vision coverage is offered on a stand alone basis.

 

Please contact our office for a copy of the full chart from the IRS outlining the types of coverage that employers must report on the W2.

Reminder: OSHA 300A Logs Must Be Posted by Feb 1st

January 20 - Posted at 3:01 PM Tagged: , , ,

All OSHA 300A logs must be posted by February 1st in a visible location for employees to read. The logs need to remain posted through April 30th.

 

Please note the 300 logs must be completed for your records only as well. Be sure to not post the 300 log as it contains employee details. The 300A log is a summary of all workplace injuries and does not contain employee specific details. The 300A log is the only log that should be posted for employee viewing.

 

Please contact our office if you need a copy of either the OSHA 300 or 300A logs.

January 2014 Monthly Topic- 5 Stickiest Wage & Hour Issues

January 17 - Posted at 5:36 PM Tagged: , , , , , , ,

The topic this month focuses on identifying five of the stickiest Wage & Hour issues that employers face under the Fair Labor Standards Act (FLSA).

 

FLSA class actions are up approximately 70% since 2000 and more than half of all the FLSA lawsuites being filed in Federal courts nationwide are being filed in Florida.

 

Some of these issues covered include:

 

  • Correctly Classifying Nonexempt vs Exempt employees
  • Permissible vs Impermissible Deductions from employee pay
  • Correctly compensating employees for ALL hours worked
  • Calculating overtime for nonexempt employees
  • How to properly implement any pay changes

 

Please contact our office directly if you have any Wage & Hour or FLSA questions and how it could be impacting your business.

Changes to FF-SHOP Enrollment for Groups

December 28 - Posted at 3:01 PM Tagged: , , , , ,

For a small business in a state with a Federally Funded SHOP marketplace, changes have recently been release to ensure employers can take advantage of SHOP coverage and tax credits as soon as possible in 2014.

 

Small employers in 2014 will now be able to enroll their employees in SHOP coverage with the assistance of an agent, broker, or insurance company that offers a certified SHOP plan and who has agreed to conduct enrollment according to HHS standards.

 

This process called “direct enrollment” is similar to how most small employers currently get insurance today. A group will not be required to apply for SHOP eligibility before enrolling, or use Healthcare.gov, unless they would like to see information on plan options, including what insurance companies offer SHOP Qualified Health Plans in their area.

 

It is anticipated that small employers will have online access to an online SHOP Marketplace by November 2014. Also, effective on or after January 1, 2015, small employers will be able to offer their employees a choice of plans on the SHOP Marketplace from multiple insurers while continuing to remit a single monthly payment.

 

Please contact our office if your group is interested in reviewing the FF-SHOP plans available to your company.

Waiting Period Changes in 2014

December 27 - Posted at 3:01 PM Tagged: , , , ,

As 2014 nears, small employers should begin to prepare for  more and more of the Affordable Care Act (ACA) requirements they will need to comply with.

 

One of the important changes that will affect groups on their first renewal date in 2014 is the change of waiting periods on their insurance contracts. Effective in 2014, no benefit eligibility waiting period can exceed 90 days. This means that the large majority of employers will need to revise their current insurance contracts at their 2014 renewal to ensure they are in compliance. Most insurance carriers will not automatically update the group’s waiting period so it is in compliance without guidance from the employer, so be sure to review any carrier requirements during your renewal process.

 

The longest waiting period that a group can implement for insurance benefits is either one where benefits will begin on the 91st day of full time employment or the 1st of the month following 60 days of employment. Each employer needs to evaluate the pros and cons of each type of waiting period as it will affect no only how the insurance carriers bill you for the premiums due, but also how the employee is added and removed from the policy at their termination.

 

Employers should also review their Section 125 Cafeteria Plan to ensure it all reflect the most accurate benefit information as well as the updated waiting period.

 

Please contact our office for further guidance on the ACA requirements that will affect your business and how you can ensure you are compliant.

Florida Minimum Wage to Increase on January 1, 2014

December 26 - Posted at 6:01 PM Tagged: , , ,

Florida’s minimum wage is currently $7.79 per hour. Beginning January 1, 2014, Florida’s minimum wage will increase to $7.93 per hour, which is a 1.7% (or $0.14) increase from last year.

 

Employers of “tipped employees” who meet eligibility requirements for the tip credit under the Fair Labor Standards Act (FLSA) may count tips actually received as wages under the FLSA. The employer, however, must pay “tipped employees” a direct wage. Effective January 1, 2014, the new minimum wage for tipped employees should become $4.91 per hour plus tips.

 

 

Florida law requires a new minimum wage calculation each year on September 30, based on the Consumer Price Index. If that calculation is higher than the federal rate (which is currently $7.25 per hour), the state’s rate would take effect the following January.

 

Please contact our office if you need a copy of the 2014 Florida Minimum Wage Poster. This will need to be posted in a visible place for all employees by January 1, 2014.

Health Care Reform: What Do Employers Need to Do Now?

October 21 - Posted at 2:01 PM Tagged: , , , , , , , , ,

Employers struggling with how to meet the Affordable Care Act (ACA) regulations received some relief in July 2013 when the U.S. Treasury announced a one-year delay on implementation of the “pay or play” mandate. This mandate would have required most employers with the at least 50 full-time equivalent employees to provide affordable, minimum value health insurance coverage to their full-time employees by January 1, 2014, or pay a penalty.

 

However, the delay on implementation of the “pay or play” mandate did not delay the individual mandate, which will require most individuals to purchase health insurance coverage in 2014, or pay a tax penalty. The Treasury has also indicated that the delay in the employer mandate will not affect an employee’s access to the premium tax credits available to individuals who purchase coverage through the Exchange beginning January 1, 2014.

 

There are many other ACA provisions that will require compliance by January 1, 2014, including:

 

  • Minimum value compliance for employer-sponsored group health plans still needs to be determined for the 2014 plan year. This information is reported both in written notices about the new health insurance exchanges, (which most employers should have distributed by October 1, 2013), and in summaries of benefits and coverage (aka SBCs)
  • New fees and assessments, such as the PCORI and transitional reinsurance fees and health insurer tax.
  • Summaries of benefits and coverage (SBCs) must be updated, prepared and distributed for 2014 during open enrollment to everyone eligible for benefits, as well as new hires and anyone experiencing a qualifying event during the plan year
  • Elimination of annual dollar limits on essential health benefits under group health plans, beginning January 1, 2014.
  • No more pre-existing condition exclusions for adults as well as children for plan years beginning in 2014.
  • Grandfathered health plans can no longer exclude adult children under age 26 who have access to other employment-based coverage, effective January 1, 2014.
  • Benefit coverage waiting periods can’t be longer than 90 days effective for plan years beginning in 2014.
  • Coverage of clinical trials is required for non-grandfathered group health plans, along with prohibition on discrimination based on participation in a clinical trial.
  • New wellness incentive rules for plan years beginning in 2014.
  • Maximum out-of-pocket limitation will prohibit, for both insured and self-insured non-grandfathered plans, out-of-pocket limits that that exceed $6,350 (self) and $12,700 (family) coverage, for plan years beginning in 2014.

 

So, What Should Employers Be Doing Now?

Employers should first make sure their plans comply, or will comply in 2014, with all ACA provisions that have not been delayed. Next, employers should plan for eventual application of the pay or play mandate to their workforce. This should include:

  • For a smaller employer, confirming whether or not it will meet the threshold to be subject to the “pay or play” mandate in 2015, particularly if the organization could be considered under common control with other entities that share some common ownership.
  • Confirming how the employer will comply with the mandate—whether it will pay or play and how to implement its compliance strategy in 2015.
  • If 2014 coverage expansions were planned to achieve compliance, deciding whether to proceed, delay until 2015 or consider another compliance strategy.
  • Identifying which employees are full-time, seasonal or variable hour employees.
  • Considering whether and how to utilize the safe harbor “look-back measurement method” of determining full-time status of some or all ongoing employees or new variable hour and seasonal employees (which would include selecting appropriate measurement, administrative and stability periods).

 

The one-year delay also gives employers more time to see whether changes in the law may relieve them from expanding coverage to workers who average more than 30 hours per week or perform only seasonal labor. As of mid -September, at least four bills had been introduced to change the full-time employee standard to 40 hours. At this point, the chances of passage are unclear, so this will be an important issue to watch.

 

While the delay in the pay or play mandate gives employers additional time, the clock is ticking for many other ACA compliance efforts, and employers should be prepared and seek guidance now.

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