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FAST List by Category (Updated Q1 2020)

  • March 31, 2020
  • Karen Hooper
  • Compliance
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Welcome to Compliance Friday Answers to the Service Team (FAST)!  Each Friday we publish our response to a question that the ABD Compliance Team received from a client or member of the EB Service Team.  These represent the most frequently asked (or interesting) questions we see.

We post all of our FAST responses on the ABD Blog site (theabdteam.com/insighsts/compliance). The titles below link directly to each post.  We hope you enjoy this collection of our FAST responses!

Date Title
ACA
March 18, 2020 Effect of COVID-19 Related Reduction of Hours, Furloughs, Layoff Pay and Premium Shortfalls on Health Benefits
February 21, 2020 ACA Essential Health Benefits
October 4, 2019 Potential ACA Employer Mandate Penalties for Late Offer of Coverage to New Full-Time Hire
September 13, 2019 ACA Grandfathered Plan Status
September 6, 2019 ACA Employer Mandate and Reporting Rules When Acquiring a Non-ALE
July 26, 2019 Loss of Health Plan Eligibility Caused by Move to Part-Time Work
June 28, 2019 How the ACA Applies to Contingent Workers
June 14, 2019 How ACA Affects Flex Credits
June 7, 2019 ACA Employer Mandate and Outside Staffing Firms
May 31, 2019 Common Summer Intern Approaches under the ACA
April 19, 2019 ACA Status for New Full-Time Hires in the Gap Period
April 12, 2019 Post-Age 26 Coverage for Disabled Children
March 15, 2019 ACA Change in Employment Status
March 8, 2019 ACA Age 26 Mandate
January 25, 2019 Streamlined ACA Reporting Methods
October 26, 2018 Becoming an ALE Subject to the ACA Employer Mandate
October 5, 2018 When to Appeal Covered California Employer Notices
September 21, 2018 MLR Rebates
June 1, 2018 Leave Rules under the ACA Look-Back Measurement Method
April 7, 2018 Opt-out Credits for Temps/Interns
March 30, 2018 Automatic Enrollment into Medical Plan
December 15, 2017 Part-Time to Full-Time Employees: When to Offer Coverage?
December 1, 2017 ACA Form W-2 Cost of Coverage Reporting
October 20, 2017 ACA Pay or Play Rules Applicability to Independent Contractors
September 22, 2017 New Hire Bona Fide Orientation Period Interaction with ACA Pay or Play
May 12, 2017 How the ACA Employer Mandate Pay or Play Rules Apply to Summer Interns

 

COBRA
March 18, 2020 Effect of COVID-19 Related Reduction of Hours, Furloughs, Layoff Pay and Premium Shortfalls on Health Benefits
March 13, 2020 COBRA for Infertility HRAs and other Specialty HRAs
January 31, 2020 COBRA 12-Month Determination Period
November 1, 2019 Early Termination of COBRA Upon Enrollment in Other Group Health Plan or Medicare
October 18, 2019 COBRA Small Employer Exception
September 20, 2019 Enrolling New Dependents and Changing Plan Options Under COBRA
March 29, 2019 Plan Options under COBRA
March 1, 2019 COBRA for Domestic Partners
February 8, 2019 Late COBRA Election or Payment Exceptions
December 15, 2018 Terminating Health Benefits for Employees on Disability Leave
November 9, 2018 Open Enrollment Rights for FMLA Leaves and COBRA Participants
September 28, 2018 Failure to Timely Provide COBRA Election Notice
June 22, 2018 COBRA Disability Extension
May 18, 2018 Legal Separation vs. Divorce
August 18, 2017 COBRA Initial Notice Requirements
August 4, 2017 COBRA Merger and Acquisition Rules for Stock and Asset Deals
July 28, 2017 No Special Enrollment in Group Health Plan after COBRA Subsidy Ends
July 21, 2017 Health Plan Consequences of Late Employee Divorce Notification
July 7, 2017 Best Practices for COBRA Subsidies and COBRA Reimbursement Practices
June 23, 2017 Terminated Employees not Terminated from Coverage
June 16, 2017 Removal of Spouse from Health Plan in Anticipation of Divorce
April 14, 2017 USERRA Continuation Coverage and Heart Act FSA Distributions for Reservists

 

Domestic Partners
February 28, 2020 Registered Domestic Partners and Company Defined Domestic Partners
March 1, 2019 COBRA for Domestic Partners
January 11, 2019 Mid year Enrollment of a Domestic Partner
July 13, 2018 Tax Consequences of Domestic Partner Health Coverage

 

ERISA
February 7, 2020 Severance Benefits May be Subject to ERISA
May 3, 2019 ERISA Preemption of State Insurance Mandates
April 26, 2019 Employers Should Not Reimburse Medical Expenses Outside of the Plan
December 7, 2018 Health Plan Eligibility for Legal Guardianship Children
November 2, 2018 Form 5500 Small Plan Exemption
May 18, 2018 Legal Separation vs. Divorce
January 26, 2018 ERISA Preemption of State Court Orders
January 12, 2018 Distribution Timing Rules For SPDs and SMMs
November 3, 2017 Record Retention Best Practices for Employee Benefit Records
October 27, 2017 Spousal Surcharges and Incentives for Spouses Not to Participate
October 13, 2017 ERISA Electronic Disclosure Rules
April 7, 2017 Why Parents Not Eligible for Group Health Coverage

 

Fringe Benefits
April 10, 2020 Group-Term Life §79 Imputed Income
December 13, 2019 Medical and Non-Medical Lactation Expenses
October 11, 2019 Group-Term Life Insurance §79 Nondiscrimination Rules
September 27, 2019 Taxation of Wellness Program Gift Cards
August 30, 2019 Taxation of Gym Reimbursement Arrangements
July 19, 2019 Employer Commuter Benefit Subsidies
July 20, 2018 Monthly Commuter Benefit Election Changes
May 4, 2018 Tuition Reimbursement Programs
March 23, 2018 Final Paycheck Issues
March 10, 2018 Uber and Lyft Qualification for Commuter Benefits
February 2, 2018 Bay Area Commuter Benefits Program
November 10, 2017 Tax-Free Bicycle Commuting Expense Reimbursement (Eliminated by TCJA)
April 28, 2017 Required Forfeiture of Commuter Benefits after Termination from Employment

 

HIPAA
March 22, 2019 When is a HIPAA BAA Required
October 12, 2018 HIPAA Notice of Privacy Practices
September 14, 2018 Documenting Prior Coverage after HIPAA Certs
July 6, 2018 HIPAA Privacy and Private Workspaces
January 19, 2018 HIPAA Special Enrollment Events

 

HRAs
August 23, 2019 §105(H) Nondiscrimination Rules for Specialty HRAs
August 9, 2019 Common Infertility HRA Expenses
August 25, 2017 Infertility HRA Considerations

 

HSAs
March 27, 2020 HSA Distributions for Premium Expenses
March 6, 2020 Employee HSA Rollovers and Transfers
January 10, 2020 HSA Catch-Up Contributions
December 6, 2019 When is an HSA Established
November 22, 2019 What Happens to an HSA Upon Death
November 15, 2019 How Medicare Affects HSA Eligibility
November 8, 2019 Special HSA Contribution Limit for Spouses
June 22, 2019 California and New Jersey HSA State Income Tax
May 24, 2019 Health FSA Carryover and Grace Period Affect HSA Eligibility
February 15, 2019 HSA Contribution Election Changes
August 31, 2018 HSAs for Veterans
August 24, 2018 Excess HSA Contributions
August 17, 2018 Employee HSA Front Loading
August 10, 2018 Employer HSA Contributions During Protected Leave
August 3, 2018 Employee Fails to Establish HSA
June 15, 2018 HSA Limit for Partial-Year Family Coverage
April 13, 2018 Prior – Year HSA Contribution by Tax Deadline
March 16, 2018 HSA Eligibility and New State Male Contraception Mandates
January 5, 2018 HSA Nondiscrimination Rules (Section 125 or Comparability)
September 15, 2017 HSA Contribution Timing Requirements
March 24, 2017 How HSA Eligibility is Affected by an Employee’s or Spouse’s Health FSA
March 17, 2017 The HSA Last Month (Full Contribution) Rule for Mid-Year HDHP Enrollment

 

Leaves & PTO  
March 18, 2020 Effect of COVID-19 Related Reduction of Hours, Furloughs, Layoff Pay and Premium Shortfalls on Health Benefits
December 15, 2018 Terminating Health Benefits for Employees on Disability Leave
November 9, 2018 Open Enrollment Rights for FMLA Leaves and COBRA Participants
October 19, 2018 Late Health Plan Payments while on FMLA Leave
May 26, 2017 Health Benefits During Protected and Non-Protected Leaves of Absence
April 21, 2017 Unlimited PTO Policy Interaction with Disability Benefits

 

Medicare
November 15, 2019 How Medicare Affects HSA Eligibility
November 1, 2019 Early Termination of COBRA Upon Enrollment in Other Group Health Plan or Medicare
October 25, 2019 Medicare Secondary Payer Employer Size Requirements
September 1, 2017 Medicare Considerations for Retiring Employees
August 11, 2017 MSP Prohibition of Incentives for Active Employees to Enroll in Medicare

 

MEWAs
April 5, 2019 Independent Contractors and Employee Benefits
June 9, 2017 Proceed with Caution Before Considering Board Member Health Plan Eligibility

 

Qualified Support Orders  
May 5, 2017 Qualified Medical Child Support Order (QMCSO) Enrollment Rules and Timing

 

Section 125 Health FSAs
December 13, 2019 Medical and Non-Medical Lactation Expenses
June 14, 2019 How ACA Affects Flex Credits
May 24, 2019 Health FSA Carryover and Grace Period Affect HSA Eligibility
February 22, 2019 FSA for Special Education
February 1, 2019 Health FSA Eligibility Footprint Rule
January 18, 2019 Health FSA and Dependent Care FSA for Parents
December 21, 2018 Overspent Health FSA Upon Termination of Employment and Life Event
November 16, 2018 Health FSA $500 Carryover Conditioned on New Plan Year Election
June 29, 2018 Limited Purpose Health FSA Preventive Expenses
March 23, 2018 Final Paycheck Issues
February 23, 2018 No FSA Contributions from Bonus Payments
February 16, 2018 S Corporation Owners
September 8, 2017 Health FSA $2,600 Limit ($2,650 in 2018) for Mid-Year Hires and Short Plan Years
March 31, 2017 Merger and Acquisition Options for the Seller’s Health FSA
March 10, 2017 What Happens to an Employee’s Health FSA Upon Termination from Employment

 

Section 125 Dependent Care FSAs
January 17, 2020 Dependent Care FSA Where Spouse Works from Home or is Self-Employed
August 2, 2019 Dependent Care FSA for Parents Who are Divorced, Separated or Living Apart
May 17, 2019 Dependent Care FSA During Maternity Leave
May 10, 2019 Dependent Care FSA during Summer Break
February 22, 2019 FSA for Special Education
January 18, 2019 Health FSA and DCAP for Parents
June 8, 2018 Missing the Dependent Care FSA Run-Out Period
March 3, 2018 Dependent Care Spend Down Provision
February 9, 2018 Only HCEs Participating in the Dependent Care FSA
December 22, 2017 Dependent Care FSA for Part-time Work
November 17, 2017 Failing the Dependent Care FSA 55% Average Benefits Test
September 29, 2017 Dependent Care FSA Contributions in Excess of $5,000
June 2, 2017 The Section 125 “Doctrine of Mistake” for Mistaken Cafeteria Plan Elections

 

Section 125
April 3, 2020 Short Plan Year Considerations
February 14, 2020 Cafeteria Plan Nondiscrimination Tests
January 24, 2020 Exchange-Related Permited Election Change Events
November 30, 2018 Allowing Election Changes After Open Enrollment
September 7, 2018 Financial Hardship Election Change Requests
May 11, 2018 Section 125 Cafeteria Plan Document Effective Date
April 27, 2018 Changing the 30-Day New Hire Election Period
April 20, 2018 Benefit Administration Issue Causes Miss to Open Enrollment Deadline
March 23, 2018 Final Paycheck Issues
January 19, 2018 HIPAA Special Enrollment Events
December 29, 2017 Nondiscrimination Rules for Different Health Plan Contribution Structures
December 8, 2017 Mid-Year Changes to the Employee-Share of the Premium
October 6, 2017 Substantiation of Mid-Year Permitted Election Changes
June 30, 2017 Post- OE but Pre-Plan Year Election Changes
June 16, 2017 Removal of Spouse from Health Plan in Anticipation of Divorce
May 19, 2017 Three Primary Concerns When Considering a Mid-Year Enrollment Exception
April 14, 2017 USERRA Continuation Coverage and Heart Act FSA Distributions for Reservists
March 3, 2017 Section 125 Election Change Rules When Spouse Relocates In or Out of Country

 

State and Local Laws

August 16, 2019 SF HCSO and Employees Who Waive the Health Plan
July 12, 2019 SF HCSO City Option Contributions
May 25, 2018 Hawaii Health Plan Requirements for Employers

 

 

 

Karen Hooper

Karen Hooper

Karen Hooper, CEBS, CMS, Fellow is a Compliance Director, Senior Account Executive and Vice President working closely with the Lead Benefit Counsel in the ABD team’s Employee Benefits Division. She works closely with internal staff and clients regarding compliance issues, providing information, education and training.
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