W-2 Reporting of Group Health Plan Coverage Revised

By on February 6, 2012 | Category: Blog | Tags: , , , , , , , , , | No Comments

Integra Insurance Services would like to ensure you are aware that the IRS issued revised guidance for form W-2 reporting of group health plan coverage so your business remains compliant.

Change to Notices

The revised interim guidance (Notice 2012-9) was issued on January 4, 2012 in response to public comments made on the original guidance under Notice 2011-28.  This new notice supersedes the former and is intended to ease reporting complexities, clarify several points and address additional issues that will enable employers to accurately report coverage value.

The IRS stated that any future guidance will be prospective and will not be applicable earlier than January 1 of the calendar year beginning at least 6 months after any additional guidance is issued.

Notice 2012-9 applies until any future guidance is issued. A number of additional Q&As have been included so please review the notice in its entirety if your particular issue has not been addressed by this briefing.

 

Effective Dates & Initial Action Steps for Employers

W-2 reporting requirements are applicable beginning this tax year. In other words, the value must be reported on the Form W-2 issued in January 2013 for the 2012 tax year.

In order to comply with the W-2 reporting requirements, employers will want to:

  • Determine the applicable employer-sponsored coverage that is provided to each employee;
  • Calculate the aggregate cost of such coverage for each employee; and
  • Report that cost on each employee’s Form W-2.

Employers will also want to track the information needed to report the cost of employer-sponsored health coverage throughout 2012, and work with their payroll provider to ensure accurate and timely reporting. It is important to note that Form W-2 reporting is for informational purposes only to provide useful and comparable consumer information to employees regarding the cost of the health care coverage and not to tax employees on the value of coverage.

 

Employers Exempt from Reporting

Most employers that provide applicable employer-sponsored coverage during a calendar year are subject to the reporting requirement, including federal, state and local government entities with the exception of employers filing fewer than 250 Forms W-2 for the preceding calendar year. The revised guidance also clarifies that tribally chartered corporations that are wholly owned by a federally recognized Indian tribal government are exempt from the reporting requirement.

Dental & Vision Arrangement Reporting  

The Notice clarifies that the cost of coverage under a dental or vision plan is not included in the aggregate reportable cost if the plan is an excepted benefit under HIPAA (Q&A-20).

Reporting Requirements when Multiple Employers/Related Employers are Involved

The Notice clarifies the application for Form W-2 reporting when an individual is an employee of multiple employers within a calendar year. Each employer providing employer-sponsored coverage must report the aggregate reportable cost of coverage it provides.

The Notice also provides that if employers concurrently employ an employee and are related employers, with a common paymaster, the common paymaster must include the aggregate reportable cost of the coverage provided to that employee by all the employers for whom it services as the common paymaster.

If the employers do not share a common paymaster, then the employers may:

  • Report the entire aggregate reportable cost on one of the Forms W-2 issued to the employee; or
  • Allocate the aggregate reportable cost among the employers using any reasonable allocation method (Q&A-7).
Reporting Requirements for Health FSA’s

The reporting requirement does not apply to health FSA coverage funded solely through employee salary reduction elections. An example has been added to clarify this point (Q&A-19).

Example: Employer’s cafeteria plan offers permitted taxable benefits (including cash), and qualified nontaxable benefits including a health FSA. The plan permits contributions only through employee salary reduction elections, and does not offer any employer flex credits. Employee makes a $2,000 salary reduction election for several qualified benefits under the plan, including a health FSA for $1,500. For purposes of Form W-2 reporting, the health FSA amount is not included when determining the aggregate reportable cost.

However, when the health FSA is offered through a cafeteria plan under which optional employer flex credits can be applied to the health FSA or an employer contributes to the Health FSA, special rules must be applied to determine whether or not any amount must be included in the aggregate reportable cost. If the amount of the employee’s salary reduction for all qualified benefits equals or exceeds the amount of the health FSA for a plan year, then the amount of the health FSA is not included in the aggregate reportable cost.

Example: Employer’s cafeteria plan offers permitted taxable benefits (including cash) and qualified nontaxable benefits, including a health FSA. The plan offers an employer flex credit of $1,000. Employee makes a $2,000 salary reduction election for several qualified benefits under the plan, including a health FSA for $1,500. The cost of the qualified benefits for Employee under the plan for the year is $3,000. The amount of the Employee’s salary reduction election ($2,000) for the plan year equals or exceeds the amount of the health FSA ($1,500) for the plan year. Thus, for purposes of Form W-2 reporting, none of the health FSA amount is permitted to be included for purposes of determining the aggregate reportable cost.

If the amount of the employee’s health FSA for a plan year exceeds the employee’s salary reduction for that plan year, then the amount of the employee’s health FSA minus the employee’s salary reduction election for the health FSA must be included in the aggregate reportable cost.

Example: Employer’s cafeteria plan offers permitted taxable benefits (including cash) and qualified nontaxable benefits (including a health FSA). The plan offers a flex credit in the form of a match of each employee’s salary reduction contribution. Employer makes a $700 contribution to the health FSA to match Employee’s salary reduction election. The amount of the health FSA for Employee for the plan year is $1,400. The amount of the Employee’s health FSA ($1,400) for the plan year exceeds the salary reduction election ($700) for the plan year. The employer must include $700 ($1,400 health FSA amount minus $700 salary reduction) in determining the aggregate reportable cost.

 

Calculating the Reportable Cost when Straddling Two Tax Years

Calculating the Reportable Cost when Straddling Two Tax Years
When the final payroll period of a calendar year includes December 31, but continues into the subsequent calendar year, an employer may report that coverage period in one of the following ways:

  • Treat the coverage as provided during the calendar year that includes December 31;
  • Treat the coverage as provided during the calendar year immediately subsequent to the calendar year that includes December 31;
  • Allocate the cost of coverage for the coverage period between each of the two calendar years using any reasonable allocation method, and apply the method consistently to all employees (Q&A-36).

NAWBO Silicon Valley Health & Wellness Fair

By on January 10, 2012 | Category: Blog | Tags: | No Comments

Join the National Association of Women Business Owners (NAWBO) in their 1st Annual Health & Wellness Fair.  This event should prove to be dynamic and interactive.  You’ll be able to peruse a multitude of vendors with a wide variety of products and services that will help you look and Feel Fabulous in 2012 and beyond!

The night will also include great food and libations.

Date: Tuesday, January 17

Time: 5:00 pm to 8:00 pm

Location: Age Defy Dermatology & Wellness, Inc.

3803 So. Bascom Ave., Ste. 200

Campbell, CA 95008

(408) 559-0988

 Advanced Registration Cost
Members:  $50.00

Non-Members:  $60.00

Students:  $35.00

Register HERE

Enjoy the products & services of exhibiting vendors including:

Age Defy Dermatology & Wellness Inc.

Stillheart Institute

Integra Insurance

For Information, contact   Flor Harris

EPIOS Institute of Healing Arts

For Information, contact Martine Mahoudeau

Greenlite Medicine

Eternal Health Acupuncture

DoTerra

Xocai Healthy Chocolate

 

2012 Indexed Figures

By on January 6, 2012 | Category: Blog | Tags: , , , , , , , , , | No Comments

 

The 2012 IRS Indexed Figures (for the Adoption Credit, Adoption Credit through Section 125 Cafeteria Plans, Commuter Accounts, Health Savings Account and Long-Term Care) have been released and are as follows:

Adoption credit, commuter benefits, hsa IRS limits, long term care,

Dependent and/or Child Day Care Expenses

Just a reminder. Although the day care expense limit associated with a cafeteria plan is not indexed, the credit available through a participant’s tax filing was raised in 2003. The day care expenses credit must be filed on Form 2441, which should be attached to the 1040 tax filing form.

The cafeteria plan day care contribution limit remains at $5,000 for a married couple filing a joint return, or for a single parent filing as “Head of Household.” For a married couple filing separate returns, the limit is $2,500 each.

The limits for the day care expenses credit are $3,000 of expenses covering one child and $6,000 for families with two or more children. If one of the parents is going to school full time or is incapable of self-care, the non-working spouse would be “deemed” as earning $250 per month for one qualifying child and $500 for two or more qualifying children. This “deemed” earned income is to be used whether a person is using the employer’s cafeteria plan or taking the day care credit.

The day care credit is reduced, dollar for dollar, by contributions to or benefits received from an employer’s cafeteria plan. A participant may participate in their employer’s cafeteria plan and also take a portion of the day care expenses through the credit if they have sufficient expenses in excess of their cafeteria plan annual election, but within the tax credit limits.

 

Earned Income Tax Credit
By participating in a cafeteria plan, the participant will be lowering their income for the Earned Income Tax Credit (EITC). Check the new limits in IRS Publication 596 “Earned Income Credit” and for more information about this tax credit.

 

Social Security and Medicare Wage Base
For 2012, the Social Security wage base will increase to $110,100 from $106,800 in 2011. The tax rate for employee withholdings is 7.65% barring any last-minute legislation. The Social Security rate of 6.2% is applied to wages up to the maximum taxable amount for the year. The employer matching FICA rate remains at 7.65% of wages up to the maximum taxable amount. The Medicare portion of 1.45% is applied to all wages.

 

Indexed Compensation Levels
The indexed compensation levels for determining who is highly compensated or a key employee are as follows.

401(k) Plans
The maximum for elective deferrals will increase to $17,000 for 2012. And for those 50 or older, the catch-up contribution rate will remain the same as it was in 2011 at $5,500 for 2012.

2012 Commuter Benefit Limits

By on January 6, 2012 | Category: Blog | Tags: , , , , , , | No Comments

Congress has not acted to extend the monthly allowable transit benefit that was increased as a part of The American Recovery and Reinvestment Act of 2009.  The Transit Benefit extension was not included in the Temporary Payroll Tax Cut Continuation Act of 2011 which extended the payroll tax cut for 2 months and was signed into law by the President.

The IRS recently released the 2012 maximum limits for qualified parking and transit benefits. As a result, the monthly maximum limit for the pre-tax transit benefit under a Section 132 transportation plan decreases from $230 to $125 per month for 2012. The limit for monthly transit benefits effective January 1, 2012 is $125. The limit for monthly parking benefits effective January 1, 2012 is $240, up $10 from the 2011 monthly maximum limit.

 

Hoffman’s Bistro and Patisserie: Restaurant Impossible!

By on January 5, 2012 | Category: Blog | Tags: , , , , | No Comments

If there’s one thing I like, it’s food.  I get my inspiration from my imagination, perusing the web and of course the Food Network.  One show that captures my interest is Restaurant Impossible.  I adore Robert Irvine’s innovation and ability to whip a restaurant into shape and to profitability.  I mean, who doesn’t like a good make over?

As with most things, the closer it is to home the more important it is.  I just learned that next week, January 11, 2012 at 10pm, Robert will be to the rescue for one of our client’s:  Hoffman’s Bistro and Patisserie in Santa Cruz, California.

Robert Irvine addressing crowd at Hoffman's Bistro and PatisserieThe episode description on the Food Network’s site reads,

“The 10-year-old venture is more than $2 million in debt, and the stress on the family-run business has resulted in a tense and uncomfortable environment for employees and customers alike. Chef Robert’s drastic plan to completely overhaul the restaurant is needed to save the business, but with only two days and $10,000, will they be able to reopen without alienating customers and tearing the family apart?”

 

So I have to wonder… can he do it?  Between Robert’s Restaurant Impossible abilities and and Hoffman’s 3.5 Yelp stars (a pretty decent score) I think it is possible.

If you are a Santa Cruz local or in the area – be sure to visit Hoffman’s Bistro and see for yourself.  And of course, tune into the Food Network next week to see the transformation!

1102 Pacific Ave
Santa Cruz, CA 95060

(831) 420-0135

photo source: Lanie L

Different Types of Deductibles

By on November 30, 2011 | Category: Blog | Tags: , , , , , , , | No Comments

Health insurance is much like a foreign language in that it really is a completely different lexicon to most.  If you do not understand how to translate, the miscommunication could easily cause a panic when it comes time to use your insurance.   In an attempt to break it down for you, I have decided to review deductible definitions.

A deductible is the amount of out-of-pocket expenses that must be paid for by the insured for health services before becoming payable by the insurance carrier. The In-Network (PPO) deductibles will be lower than the Out-of-Network (Non-PPO) deductible. Deductibles apply each calendar year and are reset every January 1st. There are two commonly used types of deductibles in health plans: embedded and non-embedded.

First, let us review the embedded deductible.  If you are on a family (two or more members covered) medical plan with an embedded deductible, your plan contains two components – an individual deductible and a family deductible.  Having two components to the deductible allows each member of your family the opportunity to get his/her medical bills covered prior to the entire dollar amount of the family deductible being met.  The individual deductible is embedded in the family deductible.

For example, if you, your spouse and son are on a family plan with a $3,000 family embedded deductible, including an individual deductible of $1,000, and your son incurs $1,000 in medical bills, his deductible is met and your insurance will help pay any subsequent medical bills for your son that year even though the family deductible of $3,000 has not yet been met.

On the other hand, if your insurance policy contains a non-embedded family deductible, (often referred to as an aggregate deductible) an individual deductible is not embedded in the family deductible.  In this situation, before your insurance helps you pay for any of your family’s medical bills, the entire amount of the deductible must be met.  It can be met by one family member or by a combination of family members.  There are no benefits until expenses equaling the deductible amount have been incurred.  The best example of an aggregate deductible plan is a Health Savings Account (H.S.A).

If you aren’t sure whether or not the plan you are enrolled in has an embedded or non-embedded deductible – call your insurance carrier! Don’t be afraid to use the 800 number on the back of your ID card.  It’s better to know than to guess.

 

 

 

 

Post-Halloween, Pre-Thanksgiving:

By on November 7, 2011 | Category: Blog | Tags: , , , , | No Comments

This might seem untimely as Halloween has already passed but Thanksgiving is right around the corner. And if your office is anything like mine, there are definitely remnants of Halloween lingering about the kitchen.

The folks over at Greenlite Medicine have a blog up with a few healthy tips for surviving the tricks of Halloween treats.  One of my favorite points is, “Stay on track; remember that Halloween is the kick off season for weight gain. Don’t be tricked into eating that treat and gaining weight…”  I think this is especially poignant regardless of the holiday.  With Thanksgiving coming up in just a few short weeks and a slew of “food holidays” on the horizon, focus is key.  “Remember: a treat isn’t really a treat if you have to backpedal too much with your dieting efforts!”focus

 

Fire Prevention Week

By on October 10, 2011 | Category: Blog | Tags: , , | No Comments

The history of National Fire Prevention Week has its roots in the Great Chicago Fire, that occurred on October 9, 1871. The final tally was staggering: More than 250 people dead, 100,000 homeless, 17,400 structures destroyed, and $168 million in damage. The first Fire Prevention Week, born out of the desire to save lives and prevent tragedy, was created in 1925 by President Coolidge. During Fire Prevention Week, October 9-15, 2011 attention focuses on promoting fire safety and prevention.

fire-safety-topics most frequently identified with home fire deaths:

SMOKE ALARMSsmoke alarm detector

A working smoke alarm can alert you to danger and make the difference between life and death. Install and maintain a smoke alarm on every level of your home. Be sure to replace the battery every year. It is a simple way to keep you and your family better protected 24-7.

Test your smoke alarms monthly.

Most hardware, home supply or general merchandise stores sell smoke alarms and their batteries. Some local fire departments offer smoke alarms at little or no cost.

ESCAPE PLANS

home fire escape family practiceIf a fire breaks out in your home, do you know how you will get out? Create an escape plan and make sure everyone in your home practices it. Plan two routes of escape from every room, and designate a meeting place outside of the home. Remember: get out and stay out.

Draw a basic diagram of your home, marking all the windows and doors, and plan two routes out of each room. Download the Fire escape grid here.

If you have older children, have them practice crawling, touching doors or going to the window, according to your escape plan.

child fire safetyCHILD FIRE SAFETY

Children under age 5 are twice as likely as the rest of us to die in a home fire. Children depend on their parents and other caregivers to protect them.

Keep matches and lighters out of their reach.

Maintain a working smoke alarm on every level of your home.

Practice a fire escape plan.

Pick a meeting spot outside of the home.

Teach toddlers to tell you when they find a match or lighter.

Remember that even child-resistant lighters are not childproof, and store them safely.

Never use matches or lighters as amusement. Children may imitate you.

stop, drop and roll

OLDER ADULT FIRE SAFETY (BOTH COOKING AND HEATING)

Most fires in the home start in the kitchen. For older adults, fires that begin while they are cooking are the third leading cause of fire death.

Remember not to leave cooking food unattended.

Do not wear loose clothing when cooking.

Keep towels and potholders away from the range.

Never use the range of oven to heat your home.

When buying a space heater, look for the auto-off feature should the heater fall over.

Keep space heaters at least three feet away from other objects.

Your fireplace should have a screen large enough to catch flying sparks and rolling logs.

CARELESS SMOKING

cigarette smokeIn the USFA Civilian Fire Fatalities in Residential Buildings Report, it notes that smoking was the leading cause of fatal residential building fires.

Males accounted for 57 percent of civilian fire fatalities in residential buildings; women accounted for 43 percent of the fatalities.

Approximately 43 percent of civilian fatalities in residential building fires are between the ages of 40 and 69.

Thirteen percent of civilian fire fatalities in residential buildings were less than 10 years old.

If you smoke, put your cigarette out completely when you are done with it. Careless smoking is the number one cause of preventable home fire deaths.

Whether you smoke cigarettes, cigars or pipes, remember: do not leave them burning unattended, do not smoke in bed and always use deep ashtrays.

Now, take the Fire Safety Quiz and see how well you do.

Healthy Eating Plate

By on September 15, 2011 | Category: Blog | Tags: , , , , | No Comments

MyPlateI read an interesting article today from another blog, which touches on an article I wrote back in June about your lifestyle being just as important as any diet out there.  What I failed to mention was the US Department of Agriculture’s ousting of the food pyramid  we came to know in adolescence and its replacement: MyPlate.

Now, Harvard professors have upped the ante, creating their own version of this diagram entitled the Healthy Eating Plate.

P.J. Skerrett, editor of the Harvard Heart Letter and senior editor for InteliHealth, writes that a group of his “colleagues at Harvard Health Publications worked with nutrition experts at the Harvard School of Public Health to create a better version.”  This version offers more accurate recommendations for following a healthy diet and is not influenced by the food industry or agriculture policy.

Here is what the Healthy Eating Plate recommends:

  • Make half your meal vegetables and fruits. Go for variety. And keep in mind that potatoes and french fries don’t count.
  • Choose whole grains whenever you can. Limit refined grains, like white rice and white bread, because the body rapidly turns them into blood sugar.
  • Pick the healthiest sources of protein, such as fish, poultry, beans, and nuts; cut back on red meat; avoid bacon, cold cuts, and other processed meats.
  • Healthy oils (like olive and canola oil) are good for you. Don’t be afraid to use them for cooking, on salad, and at the table.
  • Drink water, tea, or coffee. Milk and dairy are not must-have foods—limit them to 1-2 servings/day. Go easy on juice. Avoid sugary drinks.
  • And stay active!

Simple, right?  Right.

So what is the difference between MyPlate and Harvard’s Health Eating Plate, you ask?  Well, other than adding verbiage to the elementary pictures, MyPlate recommends dairy or milk at each meal even though there is not much evidence noting it is actually beneficial.  There is more evidence that consuming dairy can be harmful and little confirmation that high dairy intake protects against osteoporosis.  Health Eating Plate includes the importance of consuming healthy oils (like olive and canola oil) stating they are good for you.  Healthy Eating Plate holds its basis on nutritional science, uninfluenced by commercial pressure.

To that end, I am reminded of an excerpt from the New York Times best seller Skinny Bitch (pardon my French!) about losing weight on a health vegan diet. No, I am not a vegan, but I found it interesting and thought to share the excerpt.

When a woman gives birth, her body produces milk and she nurses her child. Breast milk can grow an 8-pound newborn into a 24-pound toddler. Sounds pretty fattening, huh? It is. By design, it is intended to allow for the biggest growth spurt of a person’s entire life. Breast milk alone can accommodate for a 300 percent weight gain in a 12 month period. When her child is anywhere from 12 to 24 months old, a mother stops breast feeding. Her milk dries up. The child will never drink breast milk ever again.

Cows, like all mammals, are much the same. Their bodies produce milk only when they give birth. Contrary to popular belief, they do not need to be milked – ever. Their udders, like women’s breasts, exist even when there is no milk in them. There is one major difference, however. Cows’ milk, by design, grows a 90-pound calf into a 2,000-pound cow over the course of 2 years. It allows calves to double their birth weight in forty-seven days and leaves their four stomachs feeling full. Sounds even more fattening than human milk, right? It is. It should be. Cows are bigger than humans. And the inner workings of their bodies are completely different than ours, which they should be. They are cows. We are humans. Duh.

 

Appealing, no? So it’s like any good mother told you as a child – eat your fruits and veggies and have well-balanced meals.  Just don’t eat like it’s going out of style.

 

 

 

UHC Prescriptions: Refill & Save

By on September 12, 2011 | Category: Blog | Tags: , , , , , | No Comments

Refill and Save ProgramUnited Healthcare

United Healthcare’s Refill and Save program allows members to receive a $20 discount on their copay when they refill their prescription within a specified amount of time.

For a typical 30 day supply picked up at the pharmacy, the member would have the 30 day limit on refill, then an additional 30 days to refill their prescription (total of 60 days from date first Rx is picked up) to receive a $20 discount on their second copay.

pink pill in mouth

Please note that only certain medications are covered under this program.

•    Asthma: combination respiratory inhalers (Advair and Dulera)
•    Depression: serotonin-norepinephrine reuptake inhibitors (Cymbalta and Pristiq)

 

 

 

 

1. When do I need to refill my prescription to stay eligible for the $20 savings?

To qualify for the $20 savings, you must refill your prescription within 30 days of the day it was scheduled to run out. So if your prescription was written for 30 days, you’d have that 30 days plus a 30-day grace period (for a total of 60 days) to refill your prescription in order to qualify for the $20 discount.

2. If the grace period runs out before I refill my prescription, can I still get the $20 savings?

No, if it has been more than 30 days since your prescription was scheduled to run out, you will not receive the $20 savings on your next refill. However, you will receive the $20 savings on all following refills, as long as you refill within the 30-day grace period from when your prescription was scheduled to run out.

3. How does the discount work if I refill my prescriptions by mail?

You will receive the $50 savings when you refill your 90-day prescription by mail. Including the 30-day grace period, your refill deadline to qualify for savings is extended to approximately 120 days from your last refill.

4. What if I get a 90-day refill at a retail pharmacy?

You will receive the $20 savings when you refill your 90-day prescription at your retail pharmacy. Including the 30-day grace period, your refill deadline to qualify for savings is extended to approximately 120 days from your last refill.

 

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