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‣ COVID and COBRA

In document 1 (Page 24-39)

Retirement and Welfare Plans

Summary of Material Modifications (SMM)

Summary Annual Report

Summary of Benefits and Coverage (SBC)

Employer CHIPRA Notice

Newborns’ Act Description of Rights

WHCRA Notice

Periodic Pension Benefit Statement

Qualified Default Investment alternative Notice

EMPLOYEE BENEFITS

ANNUAL NOTICES

Time for an Eligibility Audit

All benefit offerings – not just health/medical

Full-time/Part-time

“Actively at Work” requirements

Think limited COVID waivers:

Risks of Noncompliance - $$

EMPLOYEE BENEFITS

OPEN ENROLLMENT – 2021

Beneficiary designations

Pursuing 100% response rate

Re-Soliciting designations

Maintaining documentation appropriately – electronic vs. paper

Resolving claim disputes

EMPLOYEE BENEFITS

OPEN ENROLLMENT - 2021

DOL/IRS joint guidance – extending

participants’ rights to health care coverage under COBRA

Effective until 60 days after the end of the declared COVID-19 national emergency (projected mid-January 2021?)

BUT – no extension for 14-day deadline for plan administrators to furnish COBRA election notices

EMPLOYEE BENEFITS

COVID AND COBRA

Examples of class action litigation – Amazon, Nestle, Best Buy

Issues revolve around suitability of COBRA notices

Not “written in a manner calculated to be understood by the average plan participant”

The notice fails to provide the name, address, and telephone

number of the party responsible for administering the continuation of coverage benefits

The notice fails to explain how to enroll in COBRA coverage,

includes conflicting information about deadlines for enrolling, and/or does not include a physical election form

The notice does not provide all of the required “explanatory

information” about coverage, including that a qualified beneficiary's decision on COBRA election will affect the future rights of qualified beneficiaries to portability of group health coverage, guaranteed access to individual health coverage, and special enrollment

The notice does not explain the continuation coverage termination

date

EMPLOYEE BENEFITS

COBRA AND COVID - LITIGATION

Overview -- As an alternative to providing hard copy employee benefit plan documents and other plan disclosures, the administrator of an employee benefit plan may make required retirement plan disclosures by electronic access or delivery with respect to covered individuals and covered documents, provided that the administrator complies with the notice, access, and other requirements. The new regulatory safe harbor creates a "notice and access" structure where plans must provide a:

One-time initial notice about the new delivery structure on paper (Initial Notice of Default Electronic Delivery).

Notice of internet availability for each covered document (Notice of Internet Availability).

EMPLOYEE BENEFITS

DOL’S NEW E-DISCLOSURE REGULATIONS

Who is a covered individual?

Participant

beneficiary

other individual entitled to covered documents who provides an electronic address at which the covered individual may receive a written notice of internet availability, or an email.

Note: if the employer assigns an electronic address to an employee for employment-related purposes, the employee is treated as if he or she provided the electronic address.

EMPLOYEE BENEFITS

DOL’S NEW E-DISCLOSURE REGULATIONS

EMPLOYEE BENEFITS

DOL’S NEW E-DISCLOSURE REGULATIONS

Initial Notice of Default Electronic Delivery -- Before a plan administrator may rely on the new regulatory safe harbor, it must provide an initial, one-time initial notification of default electronic delivery to each

individual.

The hard-copy notice must provide:

That covered documents will be provided electronically

The email address or number that will be used for the individual

Any instructions for accessing the covered documents

A cautionary statement that a covered document is not required to be available on the website indefinitely.

The individual's right to request and obtain a paper version of a covered document, free of charge

The individual's right to opt out of receiving covered documents electronically and an explanation of how to exercise these rights

EMPLOYEE BENEFITS

DOL’S NEW E-DISCLOSURE REGULATIONS

Notice of internet availability -- The administrator must furnish to each covered individual a notice of internet availability for each covered document. The notice must be furnished at the time the covered document is made available and, as an annual notice no more than 14

months following the date the prior plan year’s notice was furnished.

EMPLOYEE BENEFITS

DOL’S NEW E-DISCLOSURE REGULATIONS

Content of notice of internet availability.

A prominent “title” or “subject line” statement that reads: “Disclosure About Your Retirement Plan”

A statement that reads: “Important information about your retirement plan is now available. Please review this information.”

An identification of the covered document by name

The internet website address, or a hyperlink to such address, where the covered document is available and the link must be “direct” to the

covered document.

A statement of the right and how to request and obtain a paper version of the covered document, free of charge

EMPLOYEE BENEFITS

DOL’S NEW E-DISCLOSURE REGULATIONS

Content of notice of internet availability (con’d).

A statement of the right, free of charge, to opt out of electronic delivery and receive only paper versions of covered documents, and an

explanation of how to exercise this right

A cautionary statement that the covered document is not required to be available on the website for more than one year or, if later, after it is superseded by a subsequent version of the covered document

A telephone number to contact the designated plan representative

The notice of internet availability furnished may contain a statement as to whether action by the covered individual is invited or required in response to the covered document and how to take such action, or that

EMPLOYEE BENEFITS

DOL’S NEW E-DISCLOSURE REGULATIONS

Internet Website Standards:

The covered document is available on the website no later than the due date

The covered document remains available on the website for a year or, if later, the date it is superseded by a subsequent version of the covered document

The covered document is presented on the website in a manner calculated to be understood by the average plan participant

The covered document is presented on the website in a widely-available format or formats that are suitable to be both read online and printed clearly on paper

The covered document can be searched electronically by numbers, letters, or words

The covered document is presented on the website in a widely-available

EMPLOYEE BENEFITS

DOL’S NEW E-DISCLOSURE REGULATIONS

Other issues and considerations:

Email Attachment Method Alternative

Severance from Employment

EMPLOYEE BENEFITS

DOL’S NEW E-DISCLOSURE REGULATIONS

Bridget A. Blinn-Spears

In document 1 (Page 24-39)

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