9. ERISA In Practice - Key Issues Flashcards

1
Q

Describe 1. The income tax and 2. Payroll tax treatment of contribs to qualified ret plans

A
  1. ER receives an immediate income tax deduction for contribs made to a qualified ret plan. EE are not subject to income tax corresponding to the ER’s plan contrib; instead, EE are subject to income tax when they take a distribution.
  2. ER and EE are not taxed at any time on ER contrib. When EE makes an elective contrib to a 401k/403b, though, those contribs are subject to payroll taxes on both the ER and EE at time of contrib.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe the payroll tax for EE who earn wages 1. Below and 2. Above the SS TWB

A
  1. EE pays 7.65% of their wages up to the Social Security Taxable Wage Base, and
  2. 1.45% on wages above it.

TWB is indexed and rises each year.

ER pays the same amount.

There is also a 0.9% payroll tax on higher levels of EE wages, but not on ER.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Explain the tax advantage of shifting ordinary W-2 wages (or future wage increases) into ER contribs to a qualified ret plan

A

Shifting ordinary W-2 wages (or future wage increases) into ER contribs to a qualified ret plan creates relief from payroll taxes for both ER & EE.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the tax advantage of a qualified ret plan, prior to ret?

A

The savings grow in a qualified ret plan 1. Will avoid all income and payroll taxes at the front end going into the plan, 2. Will avoid taxes on investment income while in the plan and 3. Will avoid the 3.8% tax on unearned income

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

For claims of fiduciary breach, ERISA contains a statutory limitations period of ## years to cut off the time in which a plaintiff may assert a claim

A

3 or 6 years, depending on circumstances.

Also note Tibble v. Edison liberalized the 6y statute under certain circumstances.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe the case: Heimeshoff v. Hartford Life, and its impact

A

In this case, USSC gave its blessing to a contractual limitations period, provided that it is reasonable in length and not subject to a controlling statute to the contrary.

Impact: in virtually all cases prior to this ruling, a court would consider a 3y period, maybe 2y period, commencing with a benefit claim denial/other definitive action of a plan admin, to be reasonable. With this decision, it’s now hard to argue that an ERISA plan should not have a contractual limitations period.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

ERISA plan doc may have a venue selection clause, that specifies where cases may be brought, and a clause that provides a plaintiff may sue the plan only in the district where the plan’s admin’d.

This is advantageous to the plan - why?

A

Administrative convenience to plan managers in dealing with suits “at home,” rather than where a retiree resides.

-A consistent set of rulings from a single body of circuit case law affords greater predictability on issues where there’s a clear circuit split, or even just subtle nuance in local case law, local judges, etc.

Consistent legal environment enables the plan that covers participants in more than one district to operate in a more consistent manner.

The plan’s info materials (SPD…) might be well-served by a consistent body of case law. Same can be said of ancillary docs that can trigger lawsuits.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A distinguishing feature of top-hat Ben disputes is that fiduciary duties are not at issue, and courts take a more contract-oriented approach.

One of the most important issues in these cases is the standard of judicial review that will be taken by the court. What are the 2 opposing standards that might be taken in these cases?

A

Will the judge 1. Review the dispute with a fresh eye (“de novo standard”), or 2. Defer to the plan admin’s decision, unless it is shown to be clearly unreasonable (an “abuse of discretion” or “arbitrary and capricious” standard)?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Does atty-client privilege for confidentiality apply to EBPs? Explain?

A

The privilege applies in the context of EB law as it does in other areas of the law.

It applies when a lawyer & client communicate with reasonable expectation of privacy. In recent years, courts have increasingly recognized that, although atty-client privilege applies as a general rule, situations can arise when an exception applies to communications involving fiduciary duties.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Severance agreements may/not be considered an EBP and subject to ERISA.

In Donovan v. Dillingham, the US Court of Appeals for the 11th explained the (4) factors necessary to establish such an ERISA plan:

A

To establish an ERISA severance plan, a reasonable person must be able to ascertain:

  1. The intended benefits
  2. The intended beneficiaries
  3. The source of financing
  4. The procedure to follow to receive bens
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The USSSC case Fort Halifax v Cohen and a stream of circuit court case that flowed from it produced a relatively simple test to determine whether a severance plan is covered by ERISA:

A

“Does the benefit package implicate an ongoing administrative scheme?”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How much administration is needed to create an ERISA-regulated severance plan?

A

Not much.

The 9th held that a severance plan that covered 10 top execs and that was triggered when a covered EE was not offered “substantially similar” employment required the admin to engage in an ongoing, particularized, admin analysis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Can oral severance agrmts become regulated by ERISA? Explain

A

Yes.

Although ERISA requires that EBP be established pursuant to a written instrument, whether an ER has complied with the ERISA req is not determinative of whether a plan has been established! Court cases have concluded that oral arrangements can become regulated by ERISA.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Is it likely that a one-time pmt to an exec at term of employment will constitute an ERISA-regulated severance plan?

A

No. A number of cases have established the req of an ongoing administrative scheme.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

If term benefits are paid out over a period of years, will these pmts become subject to ERISA?

A

No.

For example ,in Delaye v Agripac, the 9th stated that the fact that an exec’s severance pmts were to be made each month over a period of 2y did NOT require an ongoing admin scheme.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

ERISA applies to any WBP, fund, or program established or maintained by an ER, EE org, or both, that provides (7) certain types of bens via purchase of insurance or otherwise.

List these bens.

A
  1. Plans that provide medical/surgical/hospital care
  2. Bens in the event of sickness/accident/death/unemployment
  3. Vacation bens
  4. Apprenticeship or other training programs
  5. Day-care centers
  6. Scholarship funds
  7. Prepaid legal services
17
Q

List 7 types of plans exempt from ERISA

A
  1. Gov’t plans sponsored by fed/state/local gov’t
  2. Certain church plans
  3. Plans subject to state law, e.g. WC, disability, unemployment.
  4. Foreign plans established primarily for nonresident aliens
  5. Unfunded excess Ben plans
  6. Unfunded payroll practices providing bens such as vacay, sick, or other types of PTO
  7. Vol ins products, if certain criteria are met
18
Q

Explain the general relationship bt ERISA and state laws

A

ERISA provides for an express preemption provision: “the provisions of this title IV shall supersede any and all State laws insofar as they may now or hereafter relate to any EBP,” meaning that a state law cannot regulate an EBP that is subject to ERISA.

Within this broad exemption, however, ERISA specifically allows states to regulate the business of insurance.

19
Q

Identify two areas of legal conflict re: the jurisdiction of ERISA that could prove to be particularly challenging for multijurisdictional ERs.

A
  1. The interplay w ERISA & state-imposed all-payer claim data laws. In 2016, the USSC in Gobeille v Liberty Mutual, upheld the ERISA preemption over state law.
  2. The interplay w ERISA & leave laws. In some cases, a state fam leave law is more generous to individuals than fed law, and is allowed to prevail over the fed standard. This jurisdictional issue continues to be questioned.
20
Q

What is the purpose of ERISA Ss. 502(c)(1)(B). ?

A

Authorizes a court’s ability to impose stiff civil penalties against plan administrators (personally) who fail or refuse to timely produce certain plan docs upon request. This statutory power has been invoked often.

21
Q

What is the penalty for violation of ERISA Ss.502(c)(1)(B) ?

A

$149/d (2017)

This is distinct from the well-known provision under which participants/bens may bring civil action to 1. Recover benefits due to them under plan terms, 2. Enforce their rights under plan terms, or 3. Clarify their rights to future bens under a plan.

This is distinct, also, from those civil penalties that the secretary of labor is empowered to assess & recover under other parts of Ss.502c - for example, the $1k/day (in 2021: $2,259 after indexing!) imposed on plan admin who fails/refuses to file statutory annual reports.

22
Q

ERISA makes it clear that a person will be identified as the plan administrator, so that a specific person will be held legally responsible for each plan’s administration. How is this issue handled by ERISA?

A

Not to be confused with the broader ERISA term “fiduciary,” ERISA defines “administrator” to mean:

  1. The person specifically so designated by the terms of the instrument under which the BP is operated
  2. If an admin is not so designated, then the plan sponsor; or
  3. In the case of a plan for which an admin is not designated & sponsor cannot be identified, then such other person as the US Secretary of Labor may prescribe by regulation
23
Q

The right to recover the civil penalty under Ss. 502(c)(1) is limited to which individuals?

A

Participants & beneficiaries

24
Q

What is the purpose of ERISA Ss. 502(c)(1)?

A

The purpose of this civil penalty is not to compensate participants/bens for injuries, but to induce plan admins to comply with ERISA statutory disclosure mandate and to punish admins for noncompliance.

25
Q

Who can seek a penalty under ERISA Ss.502(c)(1)?

A

Participants & bens.

Not any other person, such as fiduciary or secretary of labor, can bring this action.

26
Q

ERISA Ss. 502(c)(1) can authorize a court to impose civil penalties against plan admins who fail/refuse to timely produce “certain plan docs” upon request. Which (4) docs?

A
  1. A copy of the latest, updated SPD
  2. The latest annual report
  3. Any terminal report, bargaining agreement, trust agreement or contract; or
  4. Other instruments under which the plan was established or operated
27
Q

What are the (3) reqs to pursue the civil penalty under ERISA Ss. 502(c)(1)?

A
  1. Plaintiff must make a written (not oral) request.
  2. Request must be made to the plan admin (not fiduciary, not parties in interest)
  3. Request must give clear notice of documents sought. (Doesn’t have to be by name)
28
Q

Discuss the key factors that guide the courts’ discretion in imposing a penalty under ERISA Ss. 502(c)(1)

A

While not binding, the 2 most important factors guiding the courts’ exercise of its discretion to impose Ss.502 penalties are:
1. Nature of the admin’s conduct in responding to the plaintiff’s request, e.g. bad faith
2. Whether the plaintiff suffered prejudice from the admin’s failure/refusal

One court summarized the factors by saying that, in exercising its discretion under Ss.502(c)(1), the court is to consider any bad faith or intentional misconduct by the admin, the length of the delay, the number of requests made, the extent and importance of the docs withheld, and any prejudice to the participant.

29
Q

List the (6) standard defenses potentially available to the defendant plan admins in Ss. 502(c)(1) penalty cases:

A
  1. Claim is barred by statute of limitations
  2. Plaintiff lacks standing to request the docs
  3. Plaintiff sent the request to the wrong person
  4. Plaintiff requested docs not subject to Ss. 502(c)(1) penalty
  5. Plaintiff failed to make a sufficiently specific request (no “clear notice”)
  6. The admin’s failure/refusal resulted from matters reasonably beyond the admin’s control