When was the last time you reviewed
your small business's health plan to ensure it was in compliance with IRS reporting
requirements? Health and other welfare
benefit plans must file a Form 5500 annually unless they are specifically
exempt by the IRS.
The following summary of basic reporting requirements may
be the tool you need in order to give your health and welfare benefit plan(s) an annual
“check up”:
(A) Did
your welfare benefit plan have fewer than 100 participants as of the beginning
of the plan year? (DO NOT COUNT covered
dependents but DO COUNT former employees who are still covered by the
plan.)
If you answered ‘NO’ to (A), your plan must file a Form 5500.
If you answered ‘YES’ to (A), see (B) below.
(B) Is your plan ANY of the following: unfunded, fully insured, or a combination of both? See below for more information on these terms.
- "Unfunded" – The
employer pays all of the benefits of the plan; there are no employee
contributions and/or the employer does not use a trust to hold assets of the
plan.
- "Fully Insured" – Benefits
of the plan are paid entirely from insurance contracts/policies. Premiums are paid directly to the insurance
company by the employer using employer’s assets, employee contributions, or a
combination of both.
- "A combination" – An
IRS example of combination funding would be a single plan that provides both
unfunded medical benefits and fully-insured life insurance.
If you answered ‘NO’ to (B), you must file a Form 5500 for your welfare benefit plan(s) and it may require an audit.
Welfare benefit plans that use a voluntary employees’
beneficiary association (VEBA), must file a Form
5500.
The Form 5500 is due 7 months after a plan’s year end
(e.g., a 12/31 year end would need to
file by 7/31). The Form 5500 is an
information return, so there is generally no tax due. However, the IRS does assess penalties for
failure to file or late filings.
Your CPA is an excellent resource if you need to file a
Form 5500 for your plan or have questions about the filing requirements.
Most importantly, remember to give your health plan a
“check up” annually.
Daria Cruzen, CPA,
MBA
Manager—Audit Department