The
Employee Retirement
Income Security Act
of 1974 (ERISA) is a
federal law that sets
minimum standards for
most voluntarily established
pension and health plans
in private industry
to provide protection
for individuals in these
plans. ERISA
requires plans to provide
participants with plan
information including
important information
about plan features
and funding; provides
fiduciary
responsibilities
for those who manage
and control plan assets;
requires plans to establish
a grievance and appeals
process for participants
to get benefits from
their plans; and gives
participants the right
to sue for benefits
and breaches of fiduciary
duty. There
have been a number of
amendments to ERISA,
expanding the protections
available to health
benefit plan participants
and beneficiaries. One
important amendment,
the Consolidated
Omnibus Budget Reconciliation
Act (COBRA), provides
some workers and their
families with the right
to continue their health
coverage for a limited
time after certain events,
such as the loss of
a job. Another amendment
to ERISA is the Health
Insurance Portability
and Accountability Act
(HIPAA) which provides
important new protections
for working Americans
and their families who
have preexisting medical
conditions or might
otherwise suffer discrimination
in health coverage based
on factors that relate
to an individual's health.
Other important amendments
include the Newborns'
and Mothers' Health
Protection Act, the
Mental Health Parity
Act, and the Women's
Health and Cancer Rights
Act. In
general, ERISA does
not cover group health
plans established or
maintained by governmental
entities, churches for
their employees, or
plans which are maintained
solely to comply with
applicable workers compensation,
unemployment, or disability
laws. ERISA also does
not cover plans maintained
outside the United States
primarily for the benefit
of nonresident aliens
or unfunded excess benefit
plans.
What is ERISA?
The
Employee Retirement
Income Security Act
of 1974, or ERISA, protects
the assets of millions
of Americans so that
funds placed in retirement
plans during their working
lives will be there
when they retire. ERISA is a federal
law that sets minimum
standards for pension
plans in private industry.
For example, if an employer
maintains a pension
plan, ERISA specifies
when an employee must
be allowed to become
a participant, how long
they have to work before
they have a non-forfeitable
interest in their pension,
how long a participant
can be away from their
job before it might
affect their benefit,
and whether their spouse
has a right to part
of their pension in
the event of their death.
Most of the provisions
of ERISA are effective
for plan years beginning
on or after January
1, 1975. ERISA does not require
any employer to establish
a pension plan. It
only requires that those
who establish plans
must meet certain minimum
standards. The law
generally does not specify
how much money a participant
must be paid as a benefit. ERISA
does the following:
- Requires
plans to provide participants
with information about
the plan including
important information
about plan features
and funding. The plan
must furnish some
information regularly
and automatically.
Some is available
free of charge, some
is not.
- Sets minimum standards
for participation,
vesting, benefit accrual
and funding. The
law defines how long
a person may be required
to work before becoming
eligible to participate
in a plan, to accumulate
benefits, and to have
a non-forfeitable
right to those benefits.
The law also establishes
detailed funding rules
that require plan
sponsors to provide
adequate funding for
your plan.
- Requires
accountability of
plan fiduciaries.
ERISA generally defines
a fiduciary as anyone
who exercises discretionary
authority or control
over a plan's management
or assets, including
anyone who provides
investment advice
to the plan. Fiduciaries
who do not follow
the principles of
conduct may be held
responsible for restoring
losses to the plan.
- Gives participants
the right to sue for
benefits and breaches
of fiduciary duty.
- Guarantees
payment of certain
benefits if a defined
plan is terminated,
through a federally
chartered corporation,
known as the Pension
Benefit Guaranty Corporation.
What are defined benefit
and defined contribution
pension plans?
Generally speaking,
there are two types
of pension plans: defined
benefit plans and defined
contribution plans.
A defined benefit plan
promises participants
a specified monthly
benefit at retirement.
The plan may state this
promised benefit as
an exact dollar amount,
such as $100 per month
at retirement. Or,
more commonly, it may
calculate a benefit
through a plan formula
that considers such
factors as salary and
service - for example,
1 percent of average
salary for the last
5 years of employment
for every year of service
with an employer. A defined contribution
plan, on the other hand,
does not promise a specific
amount of benefits at
retirement. In these
plans, the participant
or the employer (or
both) contribute to
the participant's individual
account under the plan,
sometimes at a set rate,
such as 5 percent of
their earnings annually.
These contributions
generally are invested
on the participant's
behalf. The participant
will ultimately receive
the balance in their
account, which is based
on contributions plus
or minus investment
gains or losses. The
value of the account
will fluctuate due to
changes in the value
of investments. Examples
of defined contribution
plans include 401(k)
plans, 403(b) plans,
employee stock ownership
plans, and profit-sharing
plans. The general
rules of ERISA apply
to each of these types
of plans, but some special
rules also apply. A money purchase pension
plan is a plan that
requires fixed annual
contributions from an
employer to a participant's
individual account.
Because a money purchase
pension plan requires
these regular contributions,
the plan is subject
to certain funding and
other rules.
What are simplified
employee pension plans
(SEPs)?
An employer may sponsor
a simplified employee
pension plan or SEP.
SEPs are relatively
uncomplicated retirement
savings vehicles. A
SEP allows employers
to make contributions
on a tax-favored basis
to individual retirement
accounts (IRAs) owned
by the employees. SEPs
are subject to minimal
reporting and disclosure
requirements. Under a SEP, the employee
must set up an IRA to
accept the employer's
contributions. As a
general rule, the employer
can contribute up to
25 percent of the employee's
pay into a SEP each
year, up to a maximum
of $40,000. Starting January 1,
1997, employers may
no longer set up Salary
Reduction SEPs. However,
the Small Business Job
Protection Act of 1996
(Public Law 104-188)
permitted employers
to establish SIMPLE
IRA plans beginning
in 1997. A SIMPLE IRA
plan allows salary reduction
contributions up to
$6,000 in 2001 ($7,000
in 2002). If an employer had
a salary reduction SEP
in effect on December
31, 1996, the employer
may continue to allow
salary reduction contributions
to the plan. Employees
are generally permitted
to contribute up to
15 percent of pay, or
$10,500 for 2001 ($11,000
for 2002). SEP participants
may also be required
to earn at least $450
(this number is indexed
for inflation) (for
2001) to make salary
reduction contributions.
What are 401(k) plans?
Your employer may
establish a defined
contribution plan that
is a cash or deferred
arrangement, usually
called a 401(k) plan.
A participant can elect
to defer receiving a
portion of their salary
which is instead contributed
on their behalf, before
taxes, to the 401(k)
plan. Sometimes the
employer may match their
contributions. There
are special rules governing
the operation of a 401(k)
plan. For example,
there is a dollar limit
on the amount a participant
may elect to defer each
year. The dollar limit
in 2001 is $10,500 ($11,000
in 2002). The amount
may be adjusted annually
by the Treasury Department
to reflect changes in
the cost of living.
Other limits may apply
to the amount that may
be contributed on a
participant's behalf.
For example, if the
participant is highly
compensated, they may
be limited depending
on the extent to which
rank and file employees
participate in the plan.
An employer must advise
participant's of any
limits that may apply
to them. Although a 401(k) plan
is a retirement plan,
participants may be
permitted access to
funds in the plan before
retirement. For example,
if a participant is
an active employee,
the plan may allow them
to borrow from the plan.
Also, the plan may permit
a withdrawal on account
of hardship, generally
from the funds the participant
contributed. The sponsor
may want to encourage
participation in the
plan, but it cannot
make participants' elective
deferrals a condition
for the receipt of other
benefits, except for
matching contributions. The
adoption of 401(k) plans
by a state or local
government or a tax-exempt
organization is limited
by law.
What are profit sharing
plans or stock bonus
plans?
A profit sharing or
stock bonus plan is
a defined contribution
plan under which the
plan may provide, or
the employer may determine,
annually, how much will
be contributed to the
plan (out of profits
or otherwise). The
plan contains a formula
for allocating to each
participant a portion
of each annual contribution.
A profit sharing plan
or stock bonus plan
may include a 401(k)
plan.
What are employee
stock ownership plans
(ESOPs)?
Employee stock ownership
plans (ESOPs) are a
form of defined contribution
plan in which the investments
are primarily in employer
stock. Congress authorized
the creation of ESOPs
as one method of encouraging
employee participation
in corporate ownership.
When should participants
expect to receive distributions
from their pension plans
after terminating employment?
Generally,
the law requires plans
to pay retirement benefits
no later than the time
a participant reaches
normal retirement age.
But, many plans, including
401(k) plans, provide
for earlier payments
under certain circumstances.
For example, a plan's
rules may provide that
participants in a 401(k)
plan would receive payment
of his or her benefits
after terminating employment.
The plan's SPD or Summary
Plan Description should
set forth the plans
rules for obtaining
the distribution as
well as the timing of
distribution after termination
of employment.
How long does a participant
have to wait to become
a member of a pension
plan and to become vested
in their benefits?
Generally, a plan may
require a person to
reach age 21 to be eligible
to participate in the
plan and to have a year
of service. Vesting
means the employee has
earned a non-forfeitable
right to benefits funded
by employer contributions.
Employees always have
a non-forfeitable right
to their own contributions. Beginning in 2002,
there are two basic
vesting schedules.
Under the three-year
schedule, workers are
100% vested after three
years of service under
the plan. The six-year
graduated schedule allows
workers to become 20%
vested after two years
and to vest at a rate
of 20% each year thereafter
until they are 100%
vested after six years
of service. Plans may
have faster vesting
schedules.
What protections do
the fiduciary rules
of ERISA provide?
ERISA protects plans
from mismanagement and
misuse of assets through
its fiduciary provisions.
ERISA defines a fiduciary
as anyone who exercises
discretionary control
or authority over plan
management or plan assets,
anyone with discretionary
authority or responsibility
for the administration
of a plan, or anyone
who provides investment
advice to a plan for
compensation or has
any authority or responsibility
to do so. Plan fiduciaries
include, for example,
plan trustees, plan
administrators, and
members of a plan's
investment committee. The primary responsibility
of fiduciaries is to
run the plan solely
in the interest of participants
and beneficiaries and
for the exclusive purpose
of providing benefits
and paying plan expenses.
Fiduciaries must act
prudently and must diversify
the plan's investments
in order to minimize
the risk of large losses.
In addition, they must
follow the terms of
plan documents to the
extent that the plan
terms are consistent
with ERISA. They also
must avoid conflicts
on behalf of the plan
that benefit parties
related to the plan,
such as other fiduciaries,
service providers, or
the plan sponsor. Fiduciaries who do
not follow these principles
of conduct may be personally
liable to restore any
losses to the plan,
or to restore any profits
made through improper
use of plan assets.
Courts may take whatever
action is appropriate
against fiduciaries
who breach their duties
under ERISA including
their removal.
When must employers
deposit withheld employee
contributions into a
401(k) plan or other
pension plan?
Employers must transmit
employee contributions
to pension plans as
soon as they can reasonably
be segregated from the
employers general assets,
but not later than the
15th business day of
the month immediately
after the month in which
the contributions either
were withheld or received
by the employer.
Can a pension be attached
for family support?
In general, pension
benefits cannot be taken
away from a participant
by people to whom they
owe money. The law
makes a limited exception,
however, when family
support is at stake.
Thus, a state court
can award part or all
of a participant's pension
benefit to their spouse,
former spouse, child
or other dependent by
issuing a qualified
domestic relations order,
which must be honored
by the plan. The person
named in such an order
is called an alternate
payee. The court's
order can be in the
form of a state court
judgment, decree or
order, or court approval
of a property settlement
agreement.
What requirements
must be met for a domestic
relations order to be
qualified?
When a plan receives
a domestic relations
order purporting to
divide pension benefits,
it must first determine
whether the order is
a qualified domestic
relations order (QDRO).
The order must relate
to child support, alimony,
or marital property
rights and be made under
state domestic relations
law. To be qualified,
the order should clearly
specify your name and
last known mailing address
and the name and last
address of each alternate
payee. It also must
state the name of your
plan; the amount or
percentage - or the
method of determining
the amount or percentage
- of the benefit to
be paid to the alternate
payee; and the number
of payments or time
period to which the
order applies. The
order cannot provide
a type or form of benefit
not otherwise provided
under the plan and cannot
require the plan to
provide an actuarially
increased benefit.
And if an earlier QDRO
applies to your benefit,
the earlier QDRO takes
precedence over a later
one. In certain situations,
a QDRO may provide that
payment is to be made
to an alternate payee
before the participant
is entitled to receive
their benefit. For
example, if the participant
is still employed, a
QDRO could require payment
to an alternate payee
to begin on or after
their earliest retirement
age, whether or not
the plan would allow
you to receive benefits
at that time.
Can a plan be terminated?
Although pension plans
must be established
with the intention of
being continued indefinitely,
employers may terminate
plans. If a plan terminates
or becomes insolvent,
ERISA provides participants
some protection. In
a tax-qualified plan,
a participant's accrued
benefit must become
100 percent vested immediately
upon plan termination,
to the extent then funded.
If a partial termination
occurs in such a plan,
for example, if an employer
closes a particular
plant or division that
results in the termination
of employment of a substantial
portion of plan participants,
immediate 100 percent
vesting, to the extent
funded, also is required
for affected employees.
What is the role of
the U.S. Department
of Labor in regulating
pension plans?
The U.S.
Department of Labor
enforces Title I of
ERISA, which, in part,
establishes participants'
rights and fiduciaries'
duties. However, certain
plans are not covered
by the protections of
Title I. They are:
- Federal,
state, or local government
plans, including plans
of certain international
organizations.
- Certain
church or church association
plans.
- Plans maintained
solely to comply with
state workers' compensation,
unemployment compensation
or disability insurance
laws.
- Plans maintained
outside the United
States primarily for
non-resident aliens.
- Unfunded excess
benefit plans - plans
maintained solely
to provide benefits
or contributions in
excess of those allowable
for tax-qualified
plans.
The U.S. Department
of Labor's Employee
Benefits Security Administration
is the agency charged
with enforcing the rules
governing the conduct
of plan managers, investment
of plan assets, reporting
and disclosure of plan
information, enforcement
of the fiduciary provisions
of the law, and workers'
benefit rights. For
more information, call
EBSA's
Toll-Free Employee &
Employer Hotline number
at: 1.866.444.EBSA (3272).
What other federal
agencies regulate plans?
The Treasury Department's
Internal Revenue Service
is responsible for ensuring
compliance with the
Internal Revenue Code,
which establishes the
rules for operating
a tax-qualified pension
plan, including pension
plan funding and vesting
requirements. A pension
plan that is tax-qualified
can offer special tax
benefits both to the
employer sponsoring
the plan and to the
participants who receive
pension benefits. The
IRS maintains a taxpayer
assistance line for
employee plans at 202.283.9516
(1:30-3:30 p.m. EST,
Monday-Thursday).
The
Pension Benefit Guaranty
Corporation, PBGC,
a non-profit, federally-created
corporation, guarantees
payment of certain pension
benefits under defined
benefit plans that are
terminated with insufficient
money to pay benefits.
The PBGC may be contacted
at:
Pension
Benefit Guaranty Corporation 1200 K Street
NW Washington,
DC 20005-4026
Tel 202.326.4000
Toll free
800.400.7242
Source: http://www.dol.gov/ebsa/FAQs/faq_compliance_pension.html,
http://www.dol.gov/dol/topic/health-plans/erisa.htm
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