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Published byCameron Glenn Modified over 9 years ago
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VEBA Service Group a Division of Gallagher Benefit Services, Inc.
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Presented by: Brian Riehs ▪ February 4, 2014
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Plan participation confirmation Contribution instructions Plan documents Plan design change Premium Tax Credit Administrative reminders General plan reminders Common funding methods See you at WASBO!
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Plan participation confirmation Contribution instructions Plan documents Premium Tax Credit
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New Employer Adoption Agreement Plan Participation Confirmation form Contributions will not be processed without first receiving either one of the above
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“001” for Standard HRA “002” for Post-separation HRA New Contribution Template Old template no longer accepted
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Standard HRA Plan (Full Benefits) Standard HRA Plan (Pre- Medicare Limited-Scope) Post-separation HRA Plan (Full Benefits) Post-separation HRA Plan (Pre- Medicare Limited-Scope)
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Standard HRA Plan For employees who are eligible to enroll in your qualified group health plan and Are enrolled in or covered by your plan; or Attest that they are enrolled in or covered by another qualified group health plan Reimburses all qualified health care expenses (in-service and post-separation)
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Post-separation HRA Plan For all eligible employees, including those who do not qualify for Standard HRA Plan contributions Reimburses all qualified health care expenses (post-separation only) Claims eligibility suspended for re- hires during such re-employment period
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Pre-Medicare Limited-Scope (law requires separate plan document) Available option for Standard and Post-separation HRA participants who purchase coverage through an exchange and want to become eligible for the Premium Tax Credit Irrevocable election until Medicare eligibility Reimburses certain dental, vision, and long-term care expenses and premiums only
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If a participant (or a family member) purchases coverage through a marketplace exchange and wants to qualify for the Premium Tax Credit first need to use up, limit, or waive their HRA (VEBA) benefits Premiums for exchange coverage may be reimbursed; premiums subsidized by the Premium Tax Credit cannot be reimbursed More information www.irs.gov/uac/The-Premium-Tax-Credit www.irs.gov/uac/The-Premium-Tax-Credit Facts About Premium Tax Credit handout available online Participants received information in January 2014 Participant News
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No Form W-2 reporting Use new contribution template Use updated Memorandum of Understanding and Employer Policy language samples Submit Plan Design Change Form to report new participating groups, funding method changes/additions, etc. Fully complete EMPLOYER shaded box when submitting Enrollment Forms
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Don’t submit negative contributions; request a Mistake of Fact Notification form to correct contribution overpayments Don’t discriminate; change percent-of-pay contributions to a uniform, flat-dollar amount Operate under the 1990 “all or none” IRS private letter ruling; it is more conservative than the 1993 “excess sick leave forfeiture” ruling Avoid small groups for VEBA purposes; voting groups should have a least five members
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New investment options effective October 2013 PCORI fee (currently $2/year per participant) is required by federal health care reform; it is not an administrative fee Legally-married, same-sex spouses now covered Young adult children covered through end of calendar year in which they turn age 26
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HSA contribution eligibility requires limited-purpose HRA (VEBA) coverage If still working and on Medicare, VEBA pays first (unless limited-purpose VEBA coverage is elected) Participants who purchase medical coverage through a marketplace exchange and want to qualify for the Premium Tax Credit may need to first use up, limit, or waive their VEBA benefits
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Mandatory employee contributions Sick leave cash out (retirement and annual) Vacation, personal, other leave cash outs Part or all of future pay raise or COLA Contribution after electing lower-cost medical plan
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April 23-25 Attend our presentations, including VEBA Basics on April 24 @ 1:20 p.m. Stop by our booth!
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