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Insurance & Risk Solutions
5005 Loomis Road, Greenfield, WI 53220
Phone: (414) 421-3800	 Fax: (414) 421-6145
visit us at StarrGroup.com
Because of healthcare reform,
more attention is being paid to
the Employee Retirement Income
Security Act of 1974 (ERISA).
The Department of Labor (DOL)
governs ERISA and performs audits,
and estimates that 75-90% of
businesses are out of compliance.
Small employers (fewer than 250
lives) are at higher risk of being out
of compliance because they may not
have HR specialists who are aware of
these requirements.
ALL EMPLOYERS MUST provide an
ERISA Summary Plan Description
(SPD) upon enrollment of any of
the benefits listed below, first day
of coverage, special enrollment and
upon request.
With the exception of government
agencies and churches, ERISA
language is required for ALL
EMPLOYERS down to two lives.
ALL EMPLOYERS that offer health or
welfare plans are required to comply
with ERISA. Benefits that fall under
the Health and Welfare category
can include: health, dental, vision,
retirement accounts, vacation/PTO,
employee assistance programs,
scholarships, daycare, prepaid legal,
death benefits, disability, wellness
plans, HRAs, FSAs, group life, holiday
pay, unemployment, serverance,
prescription plans, apprenticeships
and training.
There is no statute of limitations
for Form 5550. Some ERISA wrap
providers may include 5500 filings
as part of the wrap service, but
all ERISA document providers
indemnify the client. Whoever files
the documents holds the financial
liability.
Wrap Documents: ERISA & DOL
Our vision is to lead
in the creation and delivery of
Risk Reducing Services
and Insurance Programs for our
clients, improving their
Total Risk Wellness.
Wrap Documents: ERISA & DOL
ALL employers who offer benefits
MUST have a “wrap” document
75% of employers
are receiving
compliance
requests now, and
100% by 2018.
7 days to respond
in full or face full-
blown financial
and benefit audit
performed by DOL/
IRS
Civil and criminal
penalties can range
from $10,000 to
several hundred
thousand dollars.
75%
7
$$$
Consult with an ERISA Wrap provider, ERISA attorney,
or the DOL for any changes or clarifications.
Some items the DOL asks for include but are not limited to:
•Summary Plan Descriptons •Certificate of Creditable Coverage
•WHCRA enrollment notices and annual notices •COBRA Notices
•Fidelity Bonds •Financial Records •Special enrollment rights notices
•Medicaid or CHIP notices
•Administrative meeting minutes pertaining to the Plan
•Student Aid Reports •Michelle’s Law •Newborn’s Act

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wrap_erisa

  • 1. ® Insurance & Risk Solutions 5005 Loomis Road, Greenfield, WI 53220 Phone: (414) 421-3800 Fax: (414) 421-6145 visit us at StarrGroup.com Because of healthcare reform, more attention is being paid to the Employee Retirement Income Security Act of 1974 (ERISA). The Department of Labor (DOL) governs ERISA and performs audits, and estimates that 75-90% of businesses are out of compliance. Small employers (fewer than 250 lives) are at higher risk of being out of compliance because they may not have HR specialists who are aware of these requirements. ALL EMPLOYERS MUST provide an ERISA Summary Plan Description (SPD) upon enrollment of any of the benefits listed below, first day of coverage, special enrollment and upon request. With the exception of government agencies and churches, ERISA language is required for ALL EMPLOYERS down to two lives. ALL EMPLOYERS that offer health or welfare plans are required to comply with ERISA. Benefits that fall under the Health and Welfare category can include: health, dental, vision, retirement accounts, vacation/PTO, employee assistance programs, scholarships, daycare, prepaid legal, death benefits, disability, wellness plans, HRAs, FSAs, group life, holiday pay, unemployment, serverance, prescription plans, apprenticeships and training. There is no statute of limitations for Form 5550. Some ERISA wrap providers may include 5500 filings as part of the wrap service, but all ERISA document providers indemnify the client. Whoever files the documents holds the financial liability. Wrap Documents: ERISA & DOL Our vision is to lead in the creation and delivery of Risk Reducing Services and Insurance Programs for our clients, improving their Total Risk Wellness. Wrap Documents: ERISA & DOL ALL employers who offer benefits MUST have a “wrap” document 75% of employers are receiving compliance requests now, and 100% by 2018. 7 days to respond in full or face full- blown financial and benefit audit performed by DOL/ IRS Civil and criminal penalties can range from $10,000 to several hundred thousand dollars. 75% 7 $$$ Consult with an ERISA Wrap provider, ERISA attorney, or the DOL for any changes or clarifications. Some items the DOL asks for include but are not limited to: •Summary Plan Descriptons •Certificate of Creditable Coverage •WHCRA enrollment notices and annual notices •COBRA Notices •Fidelity Bonds •Financial Records •Special enrollment rights notices •Medicaid or CHIP notices •Administrative meeting minutes pertaining to the Plan •Student Aid Reports •Michelle’s Law •Newborn’s Act