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 Tax Compliance & Planning Products    Compensation & Benefits Products

PPC's Guide to
Compensation and Benefits

GCB

Available Media:
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Your clients need help, and you should be the one they turn to.

Get the inside track on recent law changes and IRS audit initiatives that affect compensation and fringe benefits!

The rules governing the taxation of compensation and benefits can be confusing, hard to find, and are constantly changing. PPC’s Guide to Compensation and Benefits provides practical, how-to guidance on every facet of employee compensation and benefits taxation. This insightful Guide provides clear explanation, analysis, and advice that can be used to quickly evaluate fringe benefit alternatives, ensure compliance with IRS rules and regulations, and avoid costly mistakes.

The Guide includes time-saving checklists, worksheets, charts, client letters, sample plan documents, practical examples, and planning tips and cautions that help clearly illustrate the materials discussed.

PPC's Guide to Compensation and Benefits provides the tools needed to structure optimal compensation and fringe benefit plans. It will help you understand the popular types of compensation and benefits many companies are currently offering and their tax implications. It explains the rules and regulations for providing dependent care, educational assistance, adoption assistance, life insurance, long-term care insurance, health plans (including health savings accounts), and disability income plans to employees.

The Guide can be used to help your clients stay competitive by designing compensation plans that motivate key executives, including Section 409A nonqualified deferred compensation and stock option plans. It also discusses travel and entertainment expense reimbursement rules, including the proper treatment of company-provided automobiles, computers, and cell phones used for personal purposes; covers the rules for establishing, operating, amending, and terminating all types of fringe benefit and cafeteria plans; and addresses questions regarding health plan requirements including COBRA and HIPAA.

Other features of this Guide that make it a Must Have include:

  • COBRA Premium Assistance Payments.  Employees who lose their jobs have long been entitled to continue health insurance coverage through COBRA. The American Recovery and Reinvestment Act of 2009 (2009 Recovery Act) provides a 65% COBRA subsidy for nine months to individuals who are involuntarily terminated from September 1, 2008 through December 31, 2009. The subsidy applies to periods of coverage beginning after February 16, 2009. An extensive discussion of this new benefit was added to this Guide that explains who qualifies for the subsidy, how to calculate it, and how employers are reimbursed for these subsidy payments.

  • Compensation Planning Engagement Letter.  A sample engagement letter that can be used when providing compensation planning and consulting services to clients was added to the current edition.

  • Tool Allowance and Reimbursement Plans. For several years, the IRS has investigated tool reimbursement plans marketed in several industries, including automotive, heavy equipment, construction, and others. The Service recently issued a Coordinated Issue Paper concluding that the plans it has audited do not meet the accountable plan rules and, therefore, the tool reimbursements are taxable to the employees. The accountable plan rules and the IRS’s position on tool allowance plans are discussed in this Guide.

  • Travel Reimbursements and Per Diem Allowances to Leased Employees. Since more and more small companies are leasing employees, the IRS has provided guidance on whether the company or the leasing company is subject to the Section 274(n) 50% limitation on meals and entertainment expenses that are paid to these employees. A discussion of this new IRS guidance is in the most recent update.

  • One-person 401(k). One-person 401(k) plans are practical for small companies with no employees other than the owner and his or her spouse. A discussion was added to the current edition that shows the advantages of using this type of plan.

  • Rollovers as Business Start-ups (ROBS). These rollovers are designed to allow individuals to use their existing retirement accounts [e.g., 401(k) accounts] for funding new businesses. This Guide covers new IRS guidance on these plans, which are seen as potentially abusive.

  • Recent IRS Guidance on Nonqualified Deferred Compensation Plans.  IRC Sec. 409A applies to nonqualified deferred compensation (NQDC) (i.e., compensation that workers earn in one year that is not paid until a future year). The Section 409A rules are extremely complex and impact many employers. The current edition provides guidance in complying with these rules, including coverage of the final regulations that were effective January 1, 2009, discussions on new proposed regulations and other IRS guidance issued in 2009, and an explanation of how to calculate the amount includable in an employee’s income if a plan fails to comply with the Section 409A requirements.

  • Differential Wage Payments. The 2008 Heroes Earnings Assistance and Relief Tax Act (HEART) changes the treatment of differential wage payments made to employees who are on military duty for more than 30 days. The act also makes changes in how 401(k) and flexible spending account benefits can be made available to employees who are disabled while on active duty or their families if the employee dies while on military duty. Information on these changes is in the most recent update.

  • New Transportation Fringe Benefits. The Energy Improvement and Extension Act of 2008 (2008 Energy Act) added a new tax-free transportation fringe benefit for employees who commute to work on bicycles, and the 2009 Recovery Act increased the monthly exclusion limitation for transit passes and vanpool services. A discussion of these new benefits in included in the most recent edition.

  • Restrictions on Nonqualified Deferred Compensation. Information was added to this Guide regarding changes made by The Tax Extenders and AMT Relief Act of 2008 (2008 Tax Extenders Act), which added new IRC Sec. 457A that greatly restricts income deferral of some NQDC plans that use foreign entities. These rules are in addition to the already complex Section 409A rules that apply to these plans.

  • Limitations on Compensation Deductions. The Emergency Economic Stabilization Act of 2008 (2008 Economic Stabilization Act) added new IRC Sec. 162(m)(5) that provides restrictions on deducting compensation for certain entities that participate in the Troubled Assets Relief Program. The 2009 Recovery Act added further restrictions and expanded coverage of the restrictions to all types of entities (i.e., corporations, partnerships, LLCs, and sole proprietorships). These new provisions are discussed in the current edition.

  • Other New Legislation.  The current edition also covers many recently enacted laws that have provisions affecting employer-provided health care including: The 2009 Children’s Health Insurance Program Reauthorization Act (CHIP Act), which provides that health plans must make special enrollment arrangements for certain individuals whose health coverage under a state CHIP or a Medicaid plan is terminated or who become eligible for assistance under either type of plan; Michelle’s Law providing for continued health care coverage for dependent college students who take a medically necessary leave of absence from school; The Fostering Connections to Success and Increasing Adoptions Act of 2008 adding new requirements for determining if an individual qualifies as a dependent for such benefits as health care and dependent care coverage; and The 2008 Tax Extenders Act, which permanently extends the mental health parity requirements that were set to expire in 2008 and expands the definition of metal health benefits to include substance use disorder benefits.

 

This Product is Also Available in These Bundles:

 
CABR:  Compensation and Benefits Consultant
BTBR:  PPC's Business Tax Planning Library
TOC for GCB

INTRODUCTORY MATERIAL
  • ABOUT THE AUTHORS . . .
  • LIST OF SUBSTANTIVE CHANGES AND ADDITIONS

CHAPTER 1: OVERVIEW
  • 100 INTRODUCTION
    • What This Guide Is About
    • Who Should Use This Guide
    • Scope of This Guide
  • 101 HOW TO USE THIS GUIDE
    • Organization of the Guide
  • 102 EXECUTIVE COMPENSATION AND FRINGE BENEFIT COMPLIANCE INITIATIVE
    • Offshore Deferred Compensation Arrangements
    • Transfers of Compensatory Options to Related Parties
    • Renewed IRS Focus on Fringe Benefits
    • Diagnostic Approach
    • Marketing Executive Compensation Planning Services to Clients
  • APPENDIX 1A: Sample Client Letter on the IRS's Executive Compensation Initiative
  • APPENDIX 1B: Sample Client Letters on Company Transportation and Corporate Travel Benefits
    • APPENDIX 1B-1: Sample Letter on Business versus Personal Use Commuting
    • APPENDIX 1B-2: Sample Letter on Avoiding Bogus Car Valuations That Could Preclude Use of Special Valuation Rules
    • APPENDIX 1B-3: Sample Letter on Mixing Business and Pleasure on out-of-town Trips
  • APPENDIX 1C: Diagnostic Checklists--The IRS's Executive Compensation Initiative
    • APPENDIX 1C-1: Standard Items of Compensation
    • APPENDIX 1C-2: Executive Compensation Plans
    • APPENDIX 1C-3: Section 132 Fringe Benefits
    • APPENDIX 1C-4: Employer-provided Transportation
    • APPENDIX 1C-5: Expense Reimbursements
    • APPENDIX 1C-6: Employee Travel and Entertainment
    • APPENDIX 1C-7: IRS Examination Techniques for Executive Compensation Issues
  • APPENDIX 1D: Sample Client Letter on the Need for Executive Compensation Planning Services
  • APPENDIX 1E: Sample Client Engagement Letter
  • APPENDIX 1F: Citations of Sources Used in This Chapter

CHAPTER 2: BASIC PRINCIPLES OF EMPLOYEE COMPENSATION
  • 200 INTRODUCTION
  • 201 OVERVIEW OF EMPLOYEE COMPENSATION
    • Taxable Wage Limit
    • Current versus Deferred Compensation
    • Constructive Payment/Receipt
  • 202 VALUING TAXABLE NONCASH COMPENSATION
    • Establishing Fair Value
    • Valuation Methods
      • Mandatory Valuation Methods.
      • Optional Special Valuation Methods.
      • General Valuation Method.
  • 203 EMPLOYER'S DEDUCTION FOR NONCASH COMPENSATION
    • Limitation of Employer Deduction for Certain Entertainment Expenses
  • 204 OTHER COMPENSATION DEDUCTION RULES
    • Accrued Vacation Pay and Bonuses
    • Promissory Note and Bonus Agreement
    • Accrued Compensation Owed to Shareholder-employees
      • C Corporation.
      • S Corporation.
      • Personal Service Corporation.
    • Payroll Taxes Imposed on Accrued Compensation
  • 205 UNDERSTANDING WHAT QUALIFIES AS EXEMPT COMPENSATION
    • Federal Income Tax (FIT) and Federal Income Tax Withholding (FITW)
    • Social Security and Medicare (FICA) Tax
    • Federal Unemployment Tax (FUTA)
    • Using a Statute-by-statute Approach
  • 206 UNDERSTANDING SPECIAL CLASSES OF EMPLOYMENT THAT ARE EXEMPT
  • 207 APPLYING THE "ONE-HALF" RULE FOR MIXED EMPLOYMENT
  • 208 FAMILY EMPLOYMENT WITHIN A FAMILY-OWNED BUSINESS
    • Form of Business Affects Family Employment Rules
      • Employer Is a Sole Proprietorship.
      • Employer Is a Family Corporation.
      • Employer Is a Family Partnership.
  • 209 CASUAL LABOR UNDER THE COVERED EMPLOYMENT RULES
    • Withholding and Payroll Tax Thresholds for Casual Labor
    • Guidelines for Applying the Casual Labor Rules
  • 210 HOUSEHOLD SERVICES UNDER THE COVERED EMPLOYMENT RULES
    • Services Qualifying as Household Employment
    • Withholding and Payroll Tax Thresholds for Domestic Services
    • Special Rules for Domestic Services Performed by Family Members or Relatives
    • FICA Exemption for Employees under Age 18
    • Special Rules for Household Service in a College Club or Fraternity or Sorority House
    • Reporting Household Taxes
      • Filing Household Employment Taxes on Other Forms.
  • APPENDIX 2A: Quick Reference Tax Data Sheet for Payroll Taxes
  • APPENDIX 2B: Internal Revenue Code References for Common Items of Exempt Compensation
  • APPENDIX 2C: Compensation Taxation and Reporting Rules
  • APPENDIX 2D: Internal Revenue Code Reference Table: Special Classes of Exempt Employment
  • APPENDIX 2E: Treatment of Different Classes of Employment
  • APPENDIX 2F: Covered and Exempt Employment in a Family-owned Business
  • APPENDIX 2G: Citations of Sources Used in This Chapter

CHAPTER 3: STANDARD ITEMS OF COMPENSATION
  • 300 INTRODUCTION
  • 301 SALARY OR COMMISSION ADVANCES AS WAGES OR LOANS
  • 302 SPECIAL RULES FOR COMMISSIONS PAID TO SALESPERSONS
    • Taxation of Commissions--General Rule
    • Employee versus Independent Contractor
    • Renewal Commissions
    • Extended Termination Payments Made to Retiring Insurance Agents
    • FUTA Exemption for Commission-only Insurance Salespersons
  • 303 COMPENSATION PAID TO CORPORATE OFFICERS
    • What Factors Constitute Reasonableness?
      • Multi-factor Test.
      • Independent Investor Test.
      • Does the Independent Investor Standard Invalidate the Multi-factor Test?
    • Techniques for Defending against Unreasonableness
    • Excessive Repayment Agreements
    • Deductibility of Compensation Is Also Based on Compensatory Intent
    • Reasonable Compensation in Professional Service Firms
    • Unreasonably Low Compensation for S Corporation Shareholder/Employees
    • Payroll Taxes on Compensation Paid to Officers versus Directors
    • The $1 Million Deduction Limitation on Compensation to Certain Employees
      • Compensation Defined.
      • Exceptions to the $1 Million Cap on Compensation.
      • Special Rule for Employers Participating in the Troubled Assets Relief Program (TARP).
    • Elective Dividend by S Corporation to Remove Old C Corporation AE&P
    • Royalty versus Compensation
  • 304 GROSSING UP WAGES WHEN EMPLOYER PAYS EMPLOYEE TAXES
    • A Formula Approach to Grossing Up Wages
  • 305 PAYMENTS MADE AFTER AN EMPLOYEE'S DEATH
    • Accrued Compensation on Behalf of the Deceased Employee
    • Death Benefit Payments
      • Effect on the Employer.
      • Income Tax Treatment to the Employee.
      • Estate Tax Treatment.
      • Tax Treatment to the Beneficiary.
      • Employment Tax Treatment.
      • Income Tax Withholding.
      • Reporting Requirements.
    • Are Death Benefit Plans Subject to ERISA?
    • Are Death Benefit Plans Subject to Nondiscrimination Requirements?
    • Including Death Benefit Plans in a Cafeteria Plan
    • COBRA, HIPAA Portability, and Family Medical Leave Act (FMLA) Requirements
  • 306 BACK PAY AND DAMAGE AWARDS
    • Federal Income Tax (FIT) Treatment of Back Pay
    • Employment Taxation of Back Pay
      • Income Tax Withholding.
      • Social Security and Medicare Taxes (FICA).
      • Audit Techniques Guide.
    • Federal Income Tax (FIT) Treatment of Damage Awards
    • Employment Taxation of Damage Awards
    • Allocating Awards for Out-of-court Settlements
  • 307 EMPLOYEE AWARDS AND PRIZES
    • Giving Awards and Prizes to Employees
    • Tax Treatment of Employee Awards and Prizes
      • Employer's Tax Treatment.
      • Employee's Tax Treatment.
      • What Is an Employee Achievement Award?
      • Amount of Exclusion for Employee Achievement Awards.
      • Employees Eligible for Exclusion.
      • Payroll Tax Implications.
    • Are Prizes and Awards Subject to Nondiscrimination Rules?
    • Are Awards and Prizes Subject to ERISA?
  • 308 GIFTS TO EMPLOYEES AND INDEPENDENT CONTRACTORS
  • 309 LOANS WITH BELOW-MARKET INTEREST RATES
    • Loans Affected by the Below-market Rules
    • Compensation-related Loans
  • 310 COMPENSATION AND BENEFITS PAID TO EMPLOYEES ON MILITARY LEAVE
    • Tax Treatment of Military Leave Pay
    • Is Military Leave Pay Subject to Nondiscrimination Rules?
    • Are Military Leave Pay Policies Subject to ERISA?
    • How Does USERRA Affect Employee Benefit Plans?
      • Reemployment Protection.
      • Employee Benefits Protection.
      • Retirement Plan Coverage.
      • Health Plan Coverage.
      • Notice to Employees.
      • Dependent Care Assistance Exclusion.
    • Exclusion for Military Death Gratuities
  • APPENDIX 3A: Treatment of Selected Cash Compensation Items
  • APPENDIX 3B: Items of Nonpayroll Compensation
  • APPENDIX 3C: Deductibility of Shareholder/Employee Compensation
  • APPENDIX 3D: Computing Grossed-up Wages
  • APPENDIX 3E: Computing Grossed-up Wages on Supplemental Wages Exceeding $1 Million
  • APPENDIX 3F: Calculating Excludable and Taxable Employee Achievement Awards
  • APPENDIX 3G: Sample Qualified Employee Achievement Award Plan
  • APPENDIX 3H: Citations of Sources Used in This Chapter

CHAPTER 4: EXECUTIVE COMPENSATION PLANS
  • 400 INTRODUCTION
  • 401 OVERVIEW OF NONQUALIFIED DEFERRED COMPENSATION PLANS
    • Types of Nonqualified Deferred Compensation Plans
      • Deferred Compensation Using Foreign Plans.
      • Employee Leasing Companies.
    • Funding Nonqualified Deferred Compensation
    • Nonqualified Plan Reporting Requirements
  • 402 INCOME TAXATION OF NONQUALIFIED DEFERRED COMPENSATION PLANS
    • Employer's Deduction
    • How the Executive Is Taxed on Nonqualified Deferred Compensation
      • Constructive Receipt in an Unsecured Promise Plan.
      • Economic Benefit Doctrine When Using Irrevocable Trusts.
      • Rabbi Trust.
      • Secular Trust.
      • Forfeiture Risk Ensures Deferral.
      • Employees' Trusts.
      • Insurance Contracts.
    • Section 409A Requirements for NQDC Plans
      • Plans Subject to IRC Sec. 409A.
      • Plans Not Subject to IRC Sec. 409A.
      • Foreign Plans.
      • Meeting the Section 409A Requirements.
      • Substantial Risk of Forfeiture.
      • Effective Dates and Transition Relief.
    • Amounts Includable in Income under IRC Sec. 409A
      • Calculation of Amounts Includable in Income.
      • Withholding and Reporting Requirements.
    • Section 457A Requirements for Foreign NQDC Plans
  • 403 PAYROLL TAXATION OF NONQUALIFIED DEFERRED COMPENSATION PLANS
    • Federal Income Tax Withholding (FITW)
      • Supplemental Wages.
    • FICA and FUTA Taxation
      • Which Plans Are Covered by the Special Timing Rule?
      • Amounts Subject to FICA Taxes.
    • Reporting FICA Deferrals and Payments on Form W-2
    • Tax Consequences of NQDC Transferred Incident to Divorce
  • 404 UNDERSTANDING EQUITY-ORIENTED COMPENSATION PLANS
    • Does ERISA Apply?
    • Using a Formula to Establish Stock Value
  • 405 INCENTIVE STOCK OPTIONS
    • Tax Consequences to Participant and Corporation
    • Income Tax Consequences of Disqualifying Dispositions of Stock
    • Employer Information Reporting Requirements
    • Comparing the Tax Benefits of ISOs and NQSOs
  • 406 EMPLOYEE STOCK PURCHASE PLANS
    • Employment Taxation of ESPP Options
    • Income Tax Consequences upon Qualifying Dispositions
    • Income Tax Consequences upon Disqualifying Dispositions
    • Employer Information Reporting Requirements
  • 407 HANDLING NONQUALIFIED STOCK OPTIONS
    • IRS Focuses on Transfers of Compensatory Options to Related Parties
    • Other Promotions to Beware of
    • Four-step Analysis for Determining the Tax Treatment of NQSOs
      • Step 1: Consider the Tax Impact at the Grant Date.
      • Step 2: Tax Substantially Vested Stock at the Exercise Date.
      • Step 3: Defer Tax on Restricted Stock until Substantially Vested.
      • Step 4: Consider a Section 83(b) Election to Accelerate Income on Restricted Stock.
    • Tax Consequences of NQSOs Transferred Incident to Divorce
  • 408 RESTRICTED STOCK PLANS
    • Section 409A Requirements
  • 409 CONSIDERING EQUITY-ORIENTED PLANS PAID IN CASH
    • Types of Cash Payment Equity Plans
      • Stock Appreciation Rights (SARs).
      • Phantom Stock Plan.
    • Tax Treatment of Cash Payment Equity Plans
  • APPENDIX 4A: Key Features of Qualified and Nonqualified Plans
  • APPENDIX 4B: Tax Comparison of Funding Options for Nonqualified Deferred Compensation Plans
  • APPENDIX 4C: When Nonqualified Deferred Compensation Is Subject to the Special Timing Rule
  • APPENDIX 4D: Summary of Equity-oriented Compensation Arrangements
  • APPENDIX 4E: Top Hat Plan Statement
  • APPENDIX 4F: Determining Whether IRC Sec. 409A Applies to an NQDC Plan
  • APPENDIX 4G: Appropriate Treatment of NQDC Plans after the Enactment of IRC Sec. 409A
  • APPENDIX 4H: Citations of Sources Used in This Chapter

CHAPTER 5: SECTION 132 FRINGE BENEFITS
  • 500 INTRODUCTION
  • 501 WHAT IS A FRINGE BENEFIT?
  • 502 CHRONOLOGY OF FRINGE BENEFIT RULES
  • 503 VALUING TAXABLE NONCASH FRINGE BENEFITS
    • General Valuation Rule
    • Using a Special Valuation Rule to Establish FMV
  • 504 HOW TO ELECT A SPECIAL VALUATION RULE
    • Employee's Selection of a Valuation Rule
  • 505 WHEN TAXABLE NONCASH FRINGE BENEFITS ARE DEEMED PAID AS COMPENSATION
  • 506 SPECIAL ACCOUNTING RULE FOR TAXABLE NONCASH FRINGE BENEFITS PROVIDED AT YEAR-END
    • How to Elect
  • 507 EMPLOYER DEDUCTION FOR NONCASH FRINGE BENEFITS
    • Employer's Deduction for Entertainment Flights on Company Aircraft
  • 508 DISCOUNTED PROPERTY OR SERVICES AS TAXABLE FRINGE BENEFITS
    • Qualified Employee Discounts on Property or Services
    • Discounts on Products
      • Product Price.
      • Gross Profit Percentage.
    • Discounts on Services
    • Nondiscrimination and Line of Business Limitations on Discounts
    • No-additional-cost Service
    • Nondiscrimination and Line of Business Limitations on No-additional-cost Services
  • 509 APPLYING THE WORKING CONDITION FRINGE RULE
    • Hypothetical Payment for Business
    • Adequate Substantiation
      • Section 274(d) Expenses.
      • Other Employee Expenses.
    • Relationship to the Employer's Business
    • Outplacement Services as a Working Condition Fringe Benefit
    • Job-related Educational Assistance as a Working Condition Fringe Benefit
      • Qualifying Job-related Educational Costs.
      • Job-related Educational Assistance versus Qualified EAP.
    • Nondeductible Club Dues and Spousal Travel as Working Condition Fringe Benefits
    • Employer-provided Computers and Cell Phones as Working Condition Fringe Benefits
      • Computers Maintained Exclusively on Company Premises.
      • Computers Not Maintained Exclusively on Company Premises and Cell Phones.
      • Valuing Personal Use.
  • 510 CASH REIMBURSEMENTS AS A WORKING CONDITION FRINGE
    • Working Condition Fringe versus Accountable Plan Rules
  • 511 DE MINIMIS FRINGE BENEFITS
    • Cash or Gift Certificates as De Minimis Fringe Benefits
    • Nondiscrimination Rules Do Not Apply
    • Examples of De Minimis Fringe Benefits
    • Treatment of Employer's Meal Money Allowance
    • De Minimis Status of Employer-operated Eating Facilities
    • How to Value Taxable Meals Taken at an Employer-operated Eating Facility
  • 512 EXCLUSION FOR QUALIFIED MOVING EXPENSE REIMBURSEMENTS
    • Split Reporting of Moving Expense Reimbursements
    • Reporting Moving Expense Reimbursements to Employees
    • Purchase of Employee's Home by Employer or Relocation Service
    • Allowing Employees to Temporarily Stay in Company-owned Apartments
  • 513 GUIDANCE ON QUALIFIED TRANSPORTATION FRINGES
    • Valuing Transportation Benefits
    • Providing Benefits under a Reimbursement Arrangement
      • Whether Vouchers Are Readily Available.
      • Substantiation Requirements.
      • Debit or Credit Cards Used to Provide Transportation Benefits.
    • Benefit Limitations
      • Advance Transit Passes.
    • Employment Tax Treatment
    • Pre-tax Deductions for Qualified Transportation Fringe Benefits
    • Election Requirements
      • Carryover of Unused Salary Reduction.
    • Which Employees Qualify to Receive Qualified Transportation Fringe Benefits?
  • 514 MEETING THE NONDISCRIMINATION REQUIREMENTS
    • Definition of Highly Compensated Employee
    • Tax Consequences of Discriminatory Benefits
  • 515 APPLYING THE LINE OF BUSINESS LIMITATION
    • Defining a Line of Business
  • 516 FREQUENT FLIER MILES AS A TAXABLE FRINGE BENEFIT
  • 517 ON-PREMISES ATHLETIC FACILITY
  • 518 EMPLOYER-PROVIDED RETIREMENT ADVICE
  • APPENDIX 5A: Summary of Fringe Benefits Exclusion Provisions
  • APPENDIX 5B: Employee Definitions for Section 132 Fringe Benefit Purposes
  • APPENDIX 5C: Determining Whether the Employer Can Elect a Special Valuation Rule
  • APPENDIX 5D: Required Notices Involving Auto Usage
  • APPENDIX 5E: Calculating Qualified Employee Discounts
  • APPENDIX 5F: Flowchart for Determining Whether Job-related Education Qualifies As a Working Condition Fringe Benefit
  • APPENDIX 5G: Auto Standard Mileage Allowances
  • APPENDIX 5H: Distance and Location Requirements for Moving Expenses
  • APPENDIX 5I: Limits on Excludable Transportation-related Fringe Benefits
  • APPENDIX 5J: Citations of Sources Used in This Chapter

CHAPTER 6: EMPLOYER-PROVIDED TRANSPORTATION
  • 600 INTRODUCTION
  • 601 PERSONAL USE OF EMPLOYER-PROVIDED AUTOMOBILES
    • Option 1--Maintaining Adequate Records or Other Sufficient Corroborating Evidence
    • Option 2--Adopting a Safe Harbor Method of Substantiation
      • Total Value Inclusion.
    • Option 3--Meeting the Exception for a Qualified Nonpersonal Use Vehicle
    • When Commuting to Temporary Work Locations Is Business Use
      • Employee with No Established Work Location.
      • Employee with an Established Work Location.
      • When the Employee's Residence Is the Principal Place of Business.
  • 602 VALUING PERSONAL USE OF EMPLOYER-PROVIDED AUTOMOBILES
    • General Valuation Rule
    • Employer-provided Security
    • Using the Special Valuation Rules
      • Election, Notification, and Use of an Automobile Special Valuation Rule.
      • Consistency Requirement.
    • Shared Vehicle Usage
    • Employee Uses Several Company Automobiles during the Year
  • 603 USING THE AUTOMOBILE LEASE VALUATION RULE
    • Four-step Approach
  • 604 VEHICLE CENTS-PER-MILE VALUATION RULE
    • Who Can Use the Cents-per-mile Valuation Rule?
    • Limitations on the Use of the Vehicle Cents-per-mile Valuation Rule
    • Services Included in, or Excluded from, the Cents-per-mile Rate
      • Maintenance and Insurance Included.
      • Treatment of Other Services.
      • Fuel Provided by the Employer.
    • Consistency Rules
  • 605 COMMUTING VALUATION RULE
    • Employees Required to Commute in Employer-provided Vehicles
      • Chauffeur-driven Vehicles.
      • Control Employee Defined.
    • Commuting Use Because of Unsafe Conditions
      • Conditions for Use.
      • Qualified Employee Defined.
  • 606 QUALIFIED AUTOMOBILE DEMONSTRATION USE RULE
    • Full-time Automobile Salesperson Defined
    • Full and Partial Exclusion Methods for Full-time Salespersons
      • Full Exclusion Method.
      • Partial Exclusion Method.
    • When Neither the Full nor Partial Exclusion Method Applies
  • 607 EMPLOYER-PROVIDED AIRCRAFT USED FOR PERSONAL FLIGHT
    • Substantiating Business Use by Maintaining Adequate Records
    • Personal Use Determined Separately for Each Flight
    • Passenger-by-passenger Determination of Business versus Personal Flights
    • Standards for Determining Business and Personal Flights
  • 608 VALUING PERSONAL USE OF EMPLOYER-PROVIDED AIRCRAFT UNDER THE GENERAL VALUATION RULE
    • Piloted Aircraft
    • Nonpiloted Aircraft
  • 609 VALUING PERSONAL USE OF EMPLOYER-PROVIDED AIRCRAFT UNDER THE NONCOMMERCIAL FLIGHT VALUATION RULE
    • General Rules for Defining a Business or Personal Flight
    • Business and Personal Flights within the Same Trip
      • Domestic Trip Primarily for Business.
      • Primarily Personal Domestic Trip.
    • Special Seating Capacity Rule Minimizes Personal Flights
    • Calculating Personal Use Value under the Noncommercial Flight Valuation Rule
      • Employer-provided Security.
    • Limitation of Employer Deduction for Entertainment Flights on Company-owned Aircraft
      • Specified Individuals.
      • Calculating the Disallowed Entertainment Amount.
  • APPENDIX 6A: Substantiating Business Use of Company Autos
  • APPENDIX 6B: Employee's Auto Usage Statement
  • APPENDIX 6C: Written Policy Prohibiting All Personal Use of Company Autos
  • APPENDIX 6D: Written Policy Prohibiting All Personal Use except Commuting
  • APPENDIX 6E: Reporting for Employer-provided Autos
  • APPENDIX 6F: Notification to Treat Auto as Having 100% Personal Use
  • APPENDIX 6G: Requirements for a Qualified Nonpersonal Use Vehicle
  • APPENDIX 6H: When Employee Commuting to Work Locations Is Business or Personal Use
  • APPENDIX 6I: Required Notice Involving Election Not to Withhold Federal Income Tax
  • APPENDIX 6J: Notification of Calculation of Personal Use Value of Company Auto
  • APPENDIX 6K: Valuing Personal Use of Company Autos
  • APPENDIX 6L: Valuing Personal Use of Employer-provided Business Auto
  • APPENDIX 6M: Application of the Automobile Lease Valuation Rule
  • APPENDIX 6N: Annual Lease Value Table for Employer-provided Autos
  • APPENDIX 6O: Fringe Benefit Compensation Value for Employer-provided Auto
  • APPENDIX 6P: Standard Mileage Rate and FMV Ceiling--Vehicle Cents-per-mile Valuation Rule
  • APPENDIX 6Q: Compensation Limits for Definitions of Highly Compensated and Control Employees
  • APPENDIX 6R: Sample Qualified Written Policy for Full or Partial Exclusion
  • APPENDIX 6S: Valuing Personal Use of Employer-provided Aircraft
  • APPENDIX 6T: Standard Industry Fare Level (SIFL) Rates
  • APPENDIX 6U: Sample Mileage Record for Employee Business Auto Use
  • APPENDIX 6V: Citations of Sources Used in This Chapter

CHAPTER 7: EMPLOYEE-OWNED AUTOMOBILES
  • 700 INTRODUCTION
  • 701 REIMBURSEMENTS FOR ACTUAL EXPENSES
  • 702 WHAT IS AN AUTOMOBILE MILEAGE ALLOWANCE?
    • Mileage Allowance under a Flat Rate or Stated Schedule
    • Mileage Allowance Must Comply with "Modified" Accountable Plan Rules
  • 703 SELECTING A "DEEMED SUBSTANTIATION" METHOD UNDER A MILEAGE ALLOWANCE PLAN
    • Business Standard Mileage Rate as a Deemed Substantiation Method
    • Fixed and Variable Rate (FAVR) Allowance as a Deemed Substantiation Method
    • Employee FAVR Reporting Requirements
    • Employer FAVR Recordkeeping and Reporting Requirements
  • 704 TAX TREATMENT OF MILEAGE ALLOWANCES
    • Reimbursement Not Exceeding the Business Standard Mileage Rate
    • Withholding and Reporting on Mileage Allowances Exceeding the Business Standard Mileage Rate
      • Reimbursement Exceeds the Business Standard Mileage Rate.
      • Mileage Advance Exceeds the Business Standard Mileage Rate.
    • Mileage Advance Related to Miles Not Substantiated
      • Failure to Substantiate Business Miles within a Reasonable Period.
    • Mileage Allowance Advance or Reimbursement under a Nonaccountable Plan
  • 705 SAFE HARBOR METHODS FOR MEETING THE REASONABLE PERIOD REQUIREMENTS
    • Methods of Establishing a Reasonable Period
      • Fixed Date Safe Harbor Method.
      • Periodic Statement Safe Harbor Method.
  • APPENDIX 7A: Accountable Plan Rules for Auto Expense Reimbursements
  • APPENDIX 7B: Citations of Sources Used in This Chapter

CHAPTER 8: EMPLOYEE EXPENSE REIMBURSEMENT PLANS
  • 800 INTRODUCTION
  • 801 OVERVIEW OF EMPLOYEE EXPENSE REIMBURSEMENT RULES
  • 802 MEETING THE ACCOUNTABLE PLAN REQUIREMENTS
    • Business Connection
      • Deductible Business Expenses.
      • Nondeductible (Bona Fide) Business Expenses.
      • Nonbusiness Expenses.
    • Adequate Substantiation
      • Electronic Documentation.
    • Return of Excess Advances
    • Abusive Expense Reimbursement Plans
  • 803 TAX TREATMENT OF EMPLOYEE EXPENSE REIMBURSEMENTS
    • Payments under an Accountable Plan
    • Payments under a Nonaccountable Plan
    • Limitation of Employer Deduction for Certain Entertainment Expenses
  • 804 HOW THE "AUTOMATIC" PLAN-SPLITTING PROVISIONS OPERATE WITHIN AN OVERALL ACCOUNTABLE PLAN
    • Failure to Return Excess Advances or Substantiate Expenses
    • Return of Unsubstantiated Advances after a Reasonable Period
      • Repayment in the Year of Receipt.
      • Repayment after the Year of Receipt.
      • Employee's Treatment of Repayments.
    • Nondeductible Business Expense Reimbursements
    • Reimbursements of Employee Commuting Expenses
      • Deductible Commuting Expenses.
      • Personal Commuting Expenses.
    • Reimbursement of Telecommuter Costs
    • Administration of the Accountable Plan
  • 805 MAINTAINING SPLIT PLANS FOR AN EMPLOYEE
    • Adopting Split Plans to Pay Nonbusiness Expenses
    • How to Set Up Separate Accountable and Nonaccountable Plans for an Employee
  • 806 DISGUISED SALARY OR SALARY REDUCTION ARRANGEMENT CREATES A NONACCOUNTABLE PLAN
    • Salary Reduction Arrangements
    • Salary Reduction/Expense Reimbursement Arrangement with Forfeiture Clause
    • Equipment Rental Payments
      • Rental Payments outside the Employment Relationship.
      • Rental Payments in an Employment Relationship.
    • Tool Reimbursements
    • Courier Employee-drivers' Expense Reimbursements
  • 807 SAFE HARBOR METHODS OF MEETING THE REASONABLE PERIOD REQUIREMENTS
    • Methods for Establishing a Reasonable Period
      • "Fixed Date Method" Safe Harbor.
      • "Periodic Statement Method" Safe Harbor.
  • 808 HOW EMPLOYEES REPORT REIMBURSED AND UNREIMBURSED BUSINESS EXPENSES
    • General Guidelines for Employee Reporting
    • Employee Does Not Seek Reimbursement
    • Employer Erroneously Treats Reimbursements as Made under a Nonaccountable Plan
  • 809 HANDLING EXPENSE REIMBURSEMENTS OF INDEPENDENT CONTRACTORS AND LEASED EMPLOYEES
    • Independent Contractors
    • Leased Employees
  • APPENDIX 8A: Seven Key Tasks for Establishing an Employee Expense Reimbursement Plan
  • APPENDIX 8B: Establishing an Employee Expense Reimbursement Plan
  • APPENDIX 8C: Elements to Substantiate Travel and Entertainment Expenses for Section 274(d)
  • APPENDIX 8D: Withholding and Reporting Employee Expense Reimbursements
  • APPENDIX 8E: Expense Reimbursement Policy for Accountable Plans
  • APPENDIX 8F: Quarterly Statement for Use under Periodic Statement Safe Harbor Method
  • APPENDIX 8G: How an Employee Should Treat Employer Reimbursements or Allowances
  • APPENDIX 8H: Citations of Sources Used in This Chapter

CHAPTER 9: EMPLOYEE TRAVEL AND ENTERTAINMENT AS COMPENSATION
  • 900 INTRODUCTION
  • 901 HOW THE ACCOUNTABLE PLAN RULES CREATE EMPLOYEE COMPENSATION
  • 902 50% LIMITATION ON MEAL AND ENTERTAINMENT DEDUCTIONS
    • Disallowance Depends on Type of Reimbursement Plan
    • Reimbursements for Meals in Employer-owned Restaurants
    • Employer Treatment of Amounts Excluded from Employee Income
    • Reimbursements to Independent Contractors
    • Reimbursements to Leased Employees
  • 903 EMPLOYEE'S LACK OF TRAVEL STATUS MAY CREATE COMPENSATION
    • Failure to Travel Away from Home Overnight Creates Compensation
    • Lack of a Tax Home Creates Compensation for Travel Expenses
    • Temporary versus Indefinite Work Assignments
    • Weekend Return Visits from Temporary Work Location
    • Taking Advantage of "Excursion" Airfare Is Tax Free
  • 904 TAX CONSEQUENCES OF COMBINED BUSINESS AND PERSONAL TRAVEL
    • Domestic Business Travel Mixed with Nonbusiness Activities
    • Foreign Travel May Be Subject to Special Allocation Rules
    • Attending Conventions outside North America
      • Conventions on Cruise Ships.
  • 905 ENTERTAINMENT (INCLUDING MEALS) AS COMPENSATION
    • Location or Setting Determines Primary Purpose for Entertainment Costs
    • How to Keep "Goodwill" Entertainment from Becoming Compensation
    • How to Treat a Spouse's Entertainment Costs
    • Frequent Employee Business Lunches May Become Compensation
  • 906 HANDLING NONDEDUCTIBLE CLUB DUES AND SPOUSAL TRAVEL COSTS
    • Club Dues
      • Employer Payment of Nondeductible Club Dues.
    • Spousal Travel
    • Employer's Direct Payment versus Expense Reimbursement
  • 907 WITHHOLDING AND PAYMENT OF EMPLOYMENT TAXES ON TRAVEL AND ENTERTAINMENT TREATED AS COMPENSATION
  • 908 SUBSTANTIATING TRAVEL AND ENTERTAINMENT EXPENSES
  • 909 MEALS OR LODGING EXCLUDED UNDER IRC SEC. 119
    • Business Premises Requirement
  • 910 DETERMINING IF MEALS ARE FURNISHED FOR THE EMPLOYER'S CONVENIENCE
    • Meal Furnished with a Charge
    • Substantial Noncompensatory Business Reason
      • "More Than Half" Requirement.
    • Interaction between IRC Secs. 119 and 132(e)
    • Employer's Deduction for Section 119 Meals
      • Meals Treated as Employee Compensation.
      • Meals Treated as De Minimis Fringe Benefits.
  • 911 DETERMINING WHETHER LODGING IS FURNISHED FOR THE CONVENIENCE OF THE EMPLOYER AND REQUIRED AS A CONDITION OF EMPLOYMENT
    • Lodging Furnished with a Mandatory Charge
    • Lodging Furnished for the Convenience of the Employer
    • Lodging Required as a Condition of Employment
    • Two-step Approach to Testing Employer-furnished Lodging
  • 912 SURVEY OF MEAL AND LODGING EXCLUSIONS IN THE INTERNAL REVENUE CODE
  • APPENDIX 9A: Deductible Travel Expenses
  • APPENDIX 9B: When Meal and Entertainment Expenses Are Deductible
  • APPENDIX 9C: When the 50% Limit Applies to Meal and Entertainment Expenses
  • APPENDIX 9D: Determining Whether an Employee's Foreign Travel Has a Business Connection
  • APPENDIX 9E: Reporting Section 119 Meals and Lodging
  • APPENDIX 9F: Citations of Sources Used in This Chapter

CHAPTER 10: PER DIEM TRAVEL ALLOWANCE PLANS
  • 1000 INTRODUCTION
  • 1001 WHAT IS A PER DIEM TRAVEL ALLOWANCE?
    • Per Diem Allowance under a Flat Rate or Stated Schedule
    • Identifying Expenses for Which a Per Diem Allowance Can Be Paid
  • 1002 PER DIEM ALLOWANCE MUST COMPLY WITH "MODIFIED" ACCOUNTABLE PLAN RULES
    • Business Connection
    • Adequate Substantiation
    • Return of Advances
  • 1003 SELECTING A "DEEMED SUBSTANTIATION" METHOD
    • Special Rules for Transportation Industry
      • Special Rates.
      • Periodic Rule.
      • Transportation Industry Defined.
    • How to Apply the Deemed Substantiation Methods
    • Per Diem Substantiation Method
    • High/Low Substantiation Method
    • Meals-only Substantiation Method
    • Deemed Substantiation Methods for OCONUS Travel
  • 1004 SPECIAL RULES FOR APPLYING THE DEEMED SUBSTANTIATION METHODS
    • Prorating the M&IE Component of the Federal Rate for Part-day Travel
    • Federal Rate Need Not Be Reduced for Meals Provided in Kind
    • Related Employees May Not Use the Per Diem Allowance or High/Low Substantiation Methods
  • 1005 TAX TREATMENT OF PER DIEM ALLOWANCES
    • Per Diem Allowances Paid under an Accountable Plan
      • Per Diem Allowance Not Exceeding the Federal Rate.
      • Per Diem Allowance Exceeds the Federal Rate.
      • Failure to Substantiate Expenses within a Reasonable Period.
      • Advance Relating to Days of Travel Not Substantiated.
    • Per Diem Allowance Paid under a Nonaccountable Plan
    • No Double Reimbursement of Employee's Travel Expenses
    • Application of the 50% Disallowance Rule for Meal Expenses
      • Per Diem Allowance for Independent Contractors.
      • Per Diem Allowances for Leased Employees.
      • Per Diem Allowance Equals Federal Rate.
      • Per Diem Allowance Less Than the Federal Rate.
      • M&IE Only.
  • 1006 DEDUCTING PER DIEM ALLOWANCES ON AN EMPLOYEE'S PERSONAL TAX RETURN
  • APPENDIX 10A: Establishing a Per Diem Travel Allowance Plan
  • APPENDIX 10B: Application of 50% Limit to Employer's Per Diem Travel Allowance
  • APPENDIX 10C: Federal Per Diem Rates for CONUS for Travel on or after October 1, 2008
  • APPENDIX 10D: High/Low Substantiation Method Rates for Per Diems Paid Beginning October 1, 2008
  • APPENDIX 10E: Withholding and Reporting Per Diem Allowances
  • APPENDIX 10F: Citations of Sources Used in This Chapter

CHAPTER 11: REGULATORY ISSUES FOR WELFARE AND FRINGE BENEFIT PLANS
  • 1100 INTRODUCTION
  • 1101 WHAT IS A WELFARE BENEFIT PLAN?
    • Practices and Plans That Are Not Welfare Benefit Plans
      • Payroll Practice Exception.
      • Other Exceptions.
      • Group Insurance Programs.
      • Health Savings Accounts.
    • Welfare Benefit Plans versus Fringe Benefit Plans
  • 1102 WHEN IS A WELFARE BENEFIT PLAN SUBJECT TO ERISA?
    • Plans Exempt from ERISA Coverage
      • Top-hat Welfare Benefit Plans.
  • 1103 WHAT ARE THE CONSEQUENCES OF BEING SUBJECT TO ERISA?
  • 1104 WRITTEN PLAN REQUIREMENT
    • What Happens If There Is No Plan Document?
    • Non-ERISA Plans
  • 1105 TRUST REQUIREMENT
    • Unfunded Self-insured Plans
    • Insurance Contracts
    • Plans to Which Employees Contribute
      • General Rule.
      • Exceptions to the General Rule.
      • Self-insured Plans.
  • 1106 COMPLYING WITH FIDUCIARY REQUIREMENTS
    • Who Is a Fiduciary?
      • Fiduciary Status Based on the Functional Definition.
      • Persons Performing Administrative Functions for the Plan.
      • Plan Administrators.
      • Plan Sponsors.
      • Plan Trustees.
      • Accountants, Attorneys, and Other Professionals.
      • Investment Advisers, Money Managers, and Broker-dealers.
      • Qualified Investment Managers.
      • Insurance Companies and Agents.
      • Third-party Administrators (TPAs).
      • Directors, Officers, and Employees.
    • What Are the Duties of a Fiduciary?
  • 1107 UNDERSTANDING FIDUCIARY LIABILITY
    • Liability for Breach of Fiduciary Duties
      • Personal Liability.
      • Co-fiduciary Liability.
      • Penalties for Breach of Fiduciary Duty.
      • Voluntary Fiduciary Correction Program.
    • Limiting Fiduciary Liability
      • Allocating Fiduciary Responsibilities among Named Fiduciaries and Delegating Responsibilities to Persons Who Are Not Named Fiduciaries.
      • Qualified Investment Manager.
      • Investment Policy Statements.
      • Liability Insurance.
  • 1108 AVOIDING PROHIBITED TRANSACTIONS
    • What Is a Prohibited Transaction?
      • Who Is a Party-in-interest?
    • Which Transactions Are Exempt from Prohibited Transaction Rules?
      • Statutory Exemptions.
      • Administrative Exemptions.
    • Prohibited Transaction Penalty
      • Calculating the Amount of the Penalty.
      • Nonfiduciary Parties-in-interest.
  • 1109 COMPLYING WITH THE BONDING REQUIREMENTS
    • Exceptions to the Bonding Requirements
    • Acceptable Bonds
    • Amount of Bond Required
    • Failing to Meet the Bonding Requirements
  • 1110 CLAIM PROCEDURES
    • Obligation of Reasonable Claims Procedures for Welfare Benefit Plans
      • Additional Rules for Group Health Plans.
      • Additional Rules for Disability Plans.
    • Timing of Benefit Determinations for Welfare Benefit Plans
      • Special Rules for Group Health Plans.
      • Special Rules for Disability Plans.
      • Calculating the Time Periods.
      • Extensions of Time.
    • Notification of Adverse Benefit Determinations for Welfare Benefit Plans
      • Additional Rules for Group Health Plans.
      • Special Rules for Disability Plans.
    • Appeal of Adverse Benefit Determinations for Welfare Benefit Plans
      • Additional Rules for Group Health Plans.
      • Additional Rules for Disability Plans.
    • Timing of Appeal Decisions for Welfare Benefit Plans
      • Special Rules for Group Health Plans.
      • Special Rules for Disability Plans.
    • Notification of Adverse Appeal Decisions
    • Special Rules
      • Apprenticeship Training Plans.
      • Collectively Bargained Plans.
      • Insurer Provided or Administered Plans.
      • Top-hat Plans.
  • 1111 ESTABLISHING A WELFARE OR FRINGE BENEFIT PLAN
    • Initiating the Adoption of a New Plan
    • Writing the Plan Document
      • ERISA Plans.
      • Other Welfare and Fringe Benefit Plans.
    • Notifying Participants
    • Advance Rulings on Plan Adoptions
  • 1112 AMENDING THE PLAN
    • The Plan Documents Must Provide Amendment Procedures
      • What If the Plan Document Does Not Contain Amendment Procedures?
      • Plan Procedures Must Be Followed.
    • Amendments Must Be in Writing
    • Retroactive Amendments
    • Initiating an Amendment
    • Notifying Participants
    • What Happens If the Amendment Requirements Are Not Met?
    • Advance Rulings on Plan Amendments
  • 1113 TERMINATING THE PLAN
    • Initiating Termination Proceedings
    • Notifying Participants of the Plan's Termination
    • When Is a Plan Terminated?
    • Distribution of Assets
    • Reporting Requirements for Terminations
    • Advance Rulings on Plan Termination
  • 1114 FORM 5500 REPORTING REQUIREMENTS
    • DOL Filing Exclusions
    • Group Insurance Arrangements (GIAs) Exempt from ERISA Title I
      • Form 5500 Filing for Nonexempt Participating Plans.
    • Cafeteria Plans
      • How Many Forms 5500 Should Be Filed for Cafeteria Plan Component Benefits?
    • Medical Plans
      • Archer Medical Savings Accounts.
      • Health Savings Accounts.
      • Health Reimbursement Arrangements (HRAs).
    • When to File Form 5500
    • Penalty for Failure to File Annual Report
      • DOL Delinquent Filer Voluntary Compliance (DFVC) Program.
  • 1115 PARTICIPANT DISCLOSURE REQUIREMENTS
    • Summary Annual Report
      • When to Furnish Plan Participants with SARs.
      • SAR Format.
      • Foreign Languages.
      • Furnishing of Additional Documents.
      • Plans Exempt from Furnishing a SAR.
    • Summary Plan Description
      • DOL Filing on Request.
      • When to Furnish Plan Participants with SPDs.
      • Plans Exempt from Furnishing SPDs to Plan Participants.
      • SPD Format.
      • Foreign Languages.
    • Summary of Material Modifications
      • DOL Filing on Request.
      • When to Furnish Plan Participants with SMMs.
      • Plans Exempt from Furnishing SMMs to Plan Participants.
      • SMM Format.
    • Method of Providing SPDs and SMMs
    • Electronic Delivery of SARs, SPDs, and SMMs
  • 1116 ACCOUNTANT'S AUDIT AND REPORT REQUIREMENTS
  • 1117 OVERVIEW OF FUNDING ISSUES
  • 1118 FULLY INSURED PLANS
    • Advantages of Fully Insuring Benefits
    • Disadvantages of Fully Insuring Benefits
  • 1119 SELF-INSURED PLANS
    • Advantages to Self-insuring Benefits
    • Disadvantages to Self-insuring Benefits
    • Using Insurance to Limit Risks
    • Administrative Services Only (ASO) Arrangements
  • 1120 USING A WELFARE BENEFIT TRUST TO FUND BENEFITS
    • Why Use a Trust to Fund a Welfare Benefit Plan?
    • Taxation of Contributions and Benefit Payments
      • Deducting Employer Contributions.
      • Taxability of Benefit Payments.
      • Deducting Employee Contributions.
    • Taxation of Welfare Benefit Trusts
  • 1121 UNDERSTANDING THE SPECIAL RULES FOR WELFARE BENEFIT FUNDS
    • What Is a Welfare Benefit Fund?
    • Ten-or-more-employer Plan Exemption
    • Evaluating Welfare Benefit Plans
    • Deducting Contributions to Welfare Benefit Funds
      • Qualified Direct Costs.
      • Qualified Asset Account Additions.
      • Qualified Asset Account Limit.
      • After-tax Income.
      • Overall Example.
    • Unrelated Income Tax
    • Excise Tax on Disqualified Benefits
  • 1122 VOLUNTARY EMPLOYEE BENEFICIARY ASSOCIATIONS (VEBAS)
    • Qualifying for Tax-exempt Status
  • APPENDIX 11A: Listing of Fringe and Welfare Benefit Plans
  • APPENDIX 11B: Plan Document Requirements Checklist
  • APPENDIX 11C: Flowchart for Determining a Plan's Trust Requirements
  • APPENDIX 11D: Fiduciary Requirements Checklist
  • APPENDIX 11E: Prohibited Transaction Checklist
  • APPENDIX 11F: EBSA Bonding Checklist
  • APPENDIX 11G: Checklist for Reviewing the Plan's Claims Procedures
  • APPENDIX 11H: Plan Amendment Checklist
  • APPENDIX 11I: Plan Termination Checklist
  • APPENDIX 11J: Annual Filing Requirements for Welfare Benefit Plans
  • APPENDIX 11K: Blank SAR for Welfare Plans
  • APPENDIX 11L: Summary Plan Description (SPD) Checklist
  • APPENDIX 11M: SPD Model Statement of ERISA Rights
  • APPENDIX 11N: Citations of Sources Used in This Chapter

CHAPTER 12: CAFETERIA PLANS
  • 1200 INTRODUCTION
  • 1201 WHAT IS A CAFETERIA PLAN?
    • Constructive Receipt Rule
    • Cafeteria Plan Requirements
    • Currently Available Benefits
  • 1202 THE PLAN MUST BE IN WRITING
  • 1203 EMPLOYEES ELIGIBLE TO PARTICIPATE
    • Leased Employees
    • Spouses and Dependents of Participants
    • Domestic Partners of Employees
    • Special Rules for Self-employed Individuals
  • 1204 PARTICIPANTS MUST ELECT AMONG BENEFITS OFFERED
    • Benefit Elections Must Generally Be Irrevocable
    • When Benefit Elections Can Be Revoked
      • Events Allowing Election Changes during the Plan Year.
    • HIPAA Special Enrollment Rights
    • Change-in-status Rules
      • Change-in-status Events.
      • Consistency Rules.
    • Judgments, Decrees, or Orders
    • Entitlement to Medicare or Medicaid
    • Cost or Coverage Changes
      • Automatic Changes for Insignificant Cost Changes.
      • Significant Cost Changes.
      • Significant Coverage Curtailment.
      • Addition or Improvement of a Benefit Package Option.
      • Change in Coverage under Another Employer Plan.
      • Loss of Coverage under Certain Group Health Plans.
    • Commencement or Termination of FMLA Leave
    • 401(k) Election Changes
    • COBRA Events
  • 1205 BENEFITS ALLOWED TO BE OFFERED
    • Permitted Benefits in a Cafeteria Plan
      • Cash Equivalent Benefits.
      • Dependent Group-term Life Insurance.
      • Paid Time Off (PTO).
      • Qualified Nontaxable Benefits.
      • Contributions to 401(k) Plans.
      • Qualified (Taxable) Benefits.
    • Prohibited Benefits in a Cafeteria Plan
  • 1206 PROHIBITION AGAINST PROVIDING DEFERRED COMPENSATION
  • 1207 PREMIUM ONLY PLANS
  • 1208 FLEXIBLE SPENDING ARRANGEMENTS
    • Use-it-or-lose-it Rule
      • Exception to the Use-it-or-lose-it Rule.
    • Medical Expense Flexible Spending Arrangements (Health FSAs)
      • Qualified Reservist Distributions.
      • Requirements for Health FSAs.
      • Uniform Coverage Must Be Provided throughout the Coverage Period.
      • Coverage Period Must Be 12 Months.
      • Only Expenses for Medical Care as Defined in IRC Sec. 213(d) Can Be Reimbursed.
      • Only Substantiated Claims May Be Reimbursed.
      • Reimbursement of Debit or Credit Card Expenses.
      • Only Medical Expenses Incurred during the Coverage Period May Be Reimbursed.
      • FMLA Leave and Health FSA Coverage.
      • Experience Gains Must Be Allocated on a Reasonable and Uniform Basis.
      • COBRA Coverage.
    • Dependent Care Flexible Spending Arrangement (Dependent Care FSA)
      • Use-it-or-lose-it Rule.
    • Providing an Adoption Assistance Program Flexible Spending Account (Adoption Assistance FSA)
      • Use-it-or-lose-it Rule.
  • 1209 REPORTING AND DISCLOSURE REQUIREMENTS
    • Form 5500
    • Summary Annual Report (SAR)
    • Summary Plan Descriptions (SPDs) and Summaries of Material Modifications (SMMs)
    • Payroll Reporting
      • Forms 941 and 944 Reporting.
      • Form W-2 Reporting.
      • Form 940 Reporting.
  • 1210 NONDISCRIMINATION REQUIREMENTS
    • Categories of Nondiscrimination Tests
    • Systematic Nondiscrimination Testing
    • Identifying Highly Compensated Participants and Key Employees
      • Identifying Highly Compensated Individuals and Participants (HCIs and HCPs).
      • Identifying Key Employees.
      • Definition of Compensation.
    • Performing the Eligibility Test
      • Nondiscriminatory Classification Test.
      • Excludable Employees.
      • Rules of Thumb.
      • Safe Harbor Test for Premium Only Plans (POPs).
    • Performing the Contributions and Benefits Test
      • Safe Harbor Rule for Health Benefits.
    • Performing the Concentration Test
    • Consequences of Failing Nondiscrimination Testing
      • When Taxable Amounts Are Included in Income.
  • 1211 TAX TREATMENT OF CONTRIBUTIONS AND BENEFIT PAYMENTS
    • Deducting Employer Contributions
    • Saving Taxes with a Cafeteria Plan
    • Payroll Tax Treatment of Benefits Purchased under a Cafeteria Plan
      • Flex Credits (Employer Contributions).
      • Cash Payments.
    • Payroll Tax Treatment of Employee Contributions
    • Withholding and Reporting on Taxable Benefits
    • State and Local Taxes
  • 1212 PLAN ADMINISTRATION
  • 1213 ADDITIONAL REQUIREMENTS FOR PLANS THAT PROVIDE MEDICAL BENEFITS
  • 1214 DEALING WITH IRS AUDITS
  • APPENDIX 12A: Cafeteria Plan Compliance Checklist
  • APPENDIX 12B: Sample Election to Participate
  • APPENDIX 12C: Sample Election Not to Participate
  • APPENDIX 12D: Sample Revocation of Benefit Election
  • APPENDIX 12E: Sample Health Coverage Change in Status Election
  • APPENDIX 12F: Summary of Tax Treatment of Cafeteria Plan Benefits
  • APPENDIX 12G: Sample Premium Only Plan (POP)
  • APPENDIX 12H: Safe Harbor and Unsafe Harbor Percentages
  • APPENDIX 12I: Sample Client Letter Regarding Cafeteria Plan Compliance Services
  • APPENDIX 12J: Sample Client Letter Regarding Benefits of Cafeteria Plans
  • APPENDIX 12K: Documents Requested by IRS during Audit of Cafeteria Plan
  • APPENDIX 12L: Citations of Sources Used in This Chapter

CHAPTER 13: DEPENDENT CARE ASSISTANCE PROGRAMS
  • 1300 INTRODUCTION
  • 1301 DEPENDENT CARE ASSISTANCE PROGRAMS
    • Benefits of a Qualified DCAP
    • Meeting the Qualified DCAP Requirements
    • How Is a DCAP Funded?
      • Including a DCAP in a Cafeteria Plan.
      • Providing a Dependent Care Flexible Spending Account (FSA).
      • Use-it-or-lose-it Rule.
      • Providing Dependent Care Assistance through an Employer Reimbursement Program.
      • Providing a Dependent Care Facility.
  • 1302 REPORTING AND DISCLOSURE REQUIREMENTS
    • Disclosure from the Employer to the Employee
    • Reporting from the Employer to the Government
      • IRS Reporting Requirements.
      • DOL Reporting Requirements.
  • 1303 NONDISCRIMINATION REQUIREMENTS
    • Testing for Nondiscrimination
  • 1304 TAX TREATMENT OF CONTRIBUTIONS AND BENEFIT PAYMENTS
    • Employer's Tax Treatment
    • Employer-provided Child Care Credit
      • 25% Credit.
      • 10% Credit.
      • No Double Benefit.
      • Aggregation Rules.
      • Recapture.
    • Payroll Tax Implications
      • DCAP Provided through an Employer-sponsored Facility.
      • Safe Harbor FMV Determination.
    • Employee's Tax Treatment
      • Earned Income Limitation for Income Exclusion or Dependent Care Tax Credit.
      • Effect on Dependent Care Credit.
    • Special Rules for Self-employed Persons
      • Cafeteria Plans and Self-employed Persons.
    • Qualified Military Benefit
  • 1305 EMPLOYEE REPORTING REQUIREMENTS
    • Reporting Form
    • Reporting Identifying Information
  • 1306 PLAN ADMINISTRATION
    • Duties of a Plan Administrator
    • ERISA Requirements for DCAPs
  • 1307 BENEFIT PAYMENTS
    • Methods of Payments
      • Employee Reimbursement.
      • Reimbursement Directly to Service Provider.
    • Maximum Benefit Payments Excludable from Income
      • Marital Status.
    • Expenses Qualifying for Payment under a DCAP
    • Qualifying Person
      • Special Rule for Children of Divorced or Separated Parents.
      • Employment-related Expense Test.
      • Household Services That Qualify as Dependent Care.
      • Dependent Care Assistance outside the Employee's Home.
      • Qualified Dependent Care Center.
      • Dependent Care Provided by Relatives.
    • Employer-level Reporting and Withholding on Benefit Payments
  • APPENDIX 13A: Dependent Care Assistance Programs Compliance Checklist
  • APPENDIX 13B: Sample Dependent Care Assistance Flexible Spending Account Plan
  • APPENDIX 13C: Sample Notice to Employees
  • APPENDIX 13D: Sample Dependent Care Expense Reimbursement Form
  • APPENDIX 13E: Citations of Sources Used in This Chapter

CHAPTER 14: EDUCATIONAL ASSISTANCE PROGRAMS
  • 1400 INTRODUCTION
  • 1401 EDUCATIONAL ASSISTANCE PROGRAMS
    • Qualified EAP Requirements
      • What to Include in the Plan Document.
      • Notice to Employees.
    • Funding a Qualified EAP
    • Qualified EAPs and Cafeteria Plans
  • 1402 REPORTING AND DISCLOSURE REQUIREMENTS
    • Form 5500
    • Annual Audit Requirement
    • Summary Plan Description and Summary of Material Modifications
    • Summary Annual Reports
  • 1403 NONDISCRIMINATION REQUIREMENTS
    • Eligibility Test
    • The 5% Concentration Test
    • Consequences of Failing Nondiscrimination Requirements
  • 1404 TAX TREATMENT OF CONTRIBUTIONS AND BENEFIT PAYMENTS
    • Employer's Tax Treatment
    • Payroll Tax Implications
      • Educational Assistance Exceeding the $5,250 Exclusion Limit.
    • Employee's Tax Treatment
      • Relationship of Income Exclusion with Other Laws.
    • Special Rules for Self-employed Persons
      • Special Rules for Partners.
      • Special Rules for S Corporation Shareholders.
  • 1405 PLAN ADMINISTRATION
    • The Plan Administrator
      • Choosing a Plan Administrator.
    • Duties of a Plan Administrator
      • Fiduciary Responsibilities.
    • ERISA Requirements
  • 1406 BENEFIT PAYMENTS
    • Methods for Paying Benefits
      • Employee Reimbursement.
      • Payments Directly to Service Provider.
    • Substantiation of Educational Expenses
    • Maximum Benefit Payments
    • Expenses Qualifying for Reimbursement under an EAP
  • 1407 OTHER TYPES OF EDUCATIONAL ASSISTANCE PROGRAMS
    • Qualified Tuition Reductions
      • Tuition Reductions for Graduate Teaching and Research Assistants.
      • Failure of Nondiscrimination Rules.
      • Payroll Tax Implications.
      • Application of ERISA.
    • Job-related Educational Expenses
      • Payroll Tax Implications.
    • Qualified Scholarships
      • Payroll Tax Implications.
  • APPENDIX 14A: Educational Assistance Program Compliance Checklist
  • APPENDIX 14B: Checklist to Determine If an Educational Assistance Program Is Qualified
  • APPENDIX 14C: Sample Educational Assistance Program Document
  • APPENDIX 14D: Sample Summary Plan Description Educational Assistance Program
  • APPENDIX 14E: Employee's Income/Exclusion for Employer-provided Educational Assistance
  • APPENDIX 14F: Employee's Income/Exclusion for Employer-provided Educational Assistance
  • APPENDIX 14G: Sample Notice to Employees Availability of Educational Assistance Program
  • APPENDIX 14H: Checklist for Employer-related Scholarship Programs
  • APPENDIX 14I: Sample Educational Assistance Program Employee Reimbursement Form
  • APPENDIX 14J: Comparison of Code Sections Covering Education Assistance
  • APPENDIX 14K: Citations of Sources Used in This Chapter

CHAPTER 15: ADOPTION ASSISTANCE PROGRAMS
  • 1500 INTRODUCTION
  • 1501 ADOPTION ASSISTANCE PROGRAMS
    • Qualified Adoption Assistance Program
    • Funding an Adoption Assistance Program
    • Including an Adoption Assistance Program in a Cafeteria Plan
      • Providing an Adoption Assistance Program Flexible Spending Account (FSA).
      • Use-it-or-lose-it Rule.
  • 1502 BENEFIT PAYMENTS
    • Maximum Exclusion Amount
      • Adoption of an Eligible Child.
      • Adoption of a Child with Special Needs.
      • Eligible Child.
      • Child with Special Needs.
    • Filing Status of an Employee
    • Exclusion Is Subject to Phase-out Based on AGI
    • Year of Exclusion
    • Adoption Credit
    • Coordination of Credit and Exclusion
    • Types of Expenses That Can Be Covered
      • Qualified Adoption Expenses.
  • 1503 REPORTING AND DISCLOSURE REQUIREMENTS
    • Notification Requirements
    • Form W-2 Reporting Requirements
  • 1504 NONDISCRIMINATION REQUIREMENTS
    • Eligibility Test
    • The 5% Concentration Test
    • Consequences of Failing Nondiscrimination Requirements
  • 1505 TAX TREATMENT OF CONTRIBUTIONS AND BENEFIT PAYMENTS
    • Employer Tax Treatment
    • Payroll Tax Implications
    • Employee Tax Treatment
      • Adoption Expenses Paid under an AAP.
      • Adoption Expenses Not Paid under an AAP.
      • Obtaining Tax Identification Numbers for Adopted Children.
  • 1506 PLAN ADMINISTRATION
  • APPENDIX 15A: Adoption Assistance Program Compliance Checklist
  • APPENDIX 15B: Sample Adoption Benefit Claim Form
  • APPENDIX 15C: Sample Notice to Employees Availability of Adoption Assistance Program
  • APPENDIX 15D: Adoption Assistance Exclusion and AGI Phase-out Amounts
  • APPENDIX 15E: Citations of Sources Used in This Chapter

CHAPTER 16: HEALTH PLANS
  • 1600 INTRODUCTION
  • 1601 WHAT IS A GROUP MEDICAL PLAN?
    • Meeting the Plan Requirement for Income Tax Purposes
    • Persons Who May Be Covered by a Plan
      • Dependent Defined.
      • Domestic Partners of Employees.
    • FICA and FUTA Require a Plan or System of the Employer
    • Funding a Medical Plan
    • Including a Medical Plan in a Cafeteria Plan
    • Types of Group Medical Plans
      • Traditional Plans.
      • Managed Care.
      • Premium Only Plans (POPs) or Premium Conversion Plans.
      • Pharmacy or Prescription Drug Plans.
      • Dental Plans.
      • Vision Plans.
      • Employee Assistance Plans.
      • Archer Medical Savings Account (Archer MSA) Plans.
      • Health Savings Accounts (HSAs).
      • Health Reimbursement Arrangements (HRAs).
  • 1602 ARCHER MEDICAL SAVINGS ACCOUNT PLANS
    • Small Employers
    • What Are the High-deductible Health Plan Limits under an Archer MSA?
      • Only High-deductible Health Plan Allowed.
      • High-deductible Plans Provided by Cafeteria Plans.
    • What Is an Archer Medical Savings Account (Archer MSA)?
    • Making Contributions to Archer MSAs
      • Limits on Contributions to Archer MSAs.
      • Amount Deductible or Excludable from Income.
      • When Contributions Must Be Made.
      • Excess Archer MSA Contributions.
    • Nondiscrimination (Comparability) Rules
    • Tax Treatment of Archer MSA Contributions
      • Payroll Taxes.
      • Reporting Archer MSA Contributions.
    • COBRA Coverage
    • Tax Treatment of Distributions from Archer MSAs
      • Distributions Are Not Required.
    • Medicare Advantage MSAs
  • 1603 HEALTH SAVINGS ACCOUNTS (HSAS)
    • What Is a Health Savings Account (HSA)?
    • Who Is Eligible to Establish an HSA?
    • Making Contributions to HSAs
      • Rollover Contributions.
      • Special Rules for Married Individuals.
      • Catch-up Contributions.
    • Eligibility Is Determined on a Monthly Basis
      • Last-month Rule.
    • Ineligibility to Make Contributions
    • Nondiscrimination Rules
      • Automatically Failing the Comparability Test.
    • Tax Treatment of HSA Contributions
      • Individual Contributions.
      • Employer Contributions.
      • Payroll Taxes.
      • Partnerships and S Corporations.
    • Depositing HSA Contributions
    • Correcting Excess Contributions
    • Reporting HSA Contributions
    • COBRA and ERISA Coverage
    • Tax Treatment of Distributions from HSAs
      • Using Debit Cards.
    • How to Set up an HSA
    • Rollovers to HSAs from Archer MSAs
    • Interaction of HSAs with HRAs and Health FSAs
  • 1604 HEALTH REIMBURSEMENT ARRANGEMENTS (HRAS)
    • Tax Treatment of HRAs
      • Using Debit Cards.
    • Interaction of HRAs and Section 125 Health FSAs
  • 1605 REPORTING AND DISCLOSURE REQUIREMENTS
    • Form 5500
    • Audit Requirement
    • Summary Annual Report (SAR)
    • Summary Plan Descriptions (SPDs) and Summaries of Material Modifications (SMMs)
      • Required Contents.
      • When to Provide to Participants.
      • Electronic Delivery.
    • Notice of Group Health Plan Mastectomy Benefits
  • 1606 NONDISCRIMINATION REQUIREMENTS
    • What Is a Self-insured Medical Reimbursement Plan?
    • Testing a Self-insured Plan for Nondiscrimination
    • Consequences of Failing Nondiscrimination Testing
      • Discriminatory as to Eligibility.
      • Discriminatory as to Benefits Provided.
      • Discriminatory as to Both Eligibility and Benefits Provided.
      • Effect of Employee Contributions.
      • When Excess Is Included in Income.
      • Income and Payroll Tax Withholding.
    • Maintaining a Supplemental Medical Expense Reimbursement Plan for Key Executives
    • Health Benefits for Shareholder-employees as Constructive Dividends
  • 1607 TAX TREATMENT OF CONTRIBUTIONS AND BENEFIT PAYMENTS
    • Employer's Tax Treatment
    • Special Rules for Self-employed Persons
      • Who Is Self-employed?
      • Self-employed Insurance Deduction.
      • Self-insured Medical Plans.
      • What Counts as Earned Income?
      • Employing an Owner's Spouse.
      • Self-employment Savings from Employment of Sole Proprietor's Spouse.
    • Employee's Tax Treatment
    • Payroll Tax Implications
      • Premium Payments.
      • Reimbursements.
      • Payments and Reimbursements Outside of an Employer's Plan.
  • 1608 PLAN ADMINISTRATION
    • Who Is the Plan Administrator?
      • Choosing a Plan Administrator.
      • Fiduciary Responsibilities.
    • ERISA Requirements
    • Medicare Prescription Drug Program
      • Disclosure Notice.
      • Retiree Drug Subsidy.
  • 1609 INFORMATION ON CLAIM PROCEDURES AND WHAT BENEFITS MUST BE PROVIDED
    • Claim Procedures
    • What Benefits Must Be Provided?
      • Maternity Benefits.
      • Mental Health and Substance Use Disorder Benefits.
      • Pediatric Vaccinations.
      • Mastectomy Coverage.
    • Who Must Be Covered?
  • 1610 QUALIFIED MEDICAL CHILD SUPPORT ORDERS
    • What Is a Medical Child Support Order (MCSO)?
    • What Is a Qualified Medical Child Support Order (QMCSO)?
    • Plan Procedures for Implementing a QMCSO
    • Who Is an Alternate Recipient?
    • National Medical Support Notice (NMSN)
  • 1611 COBRA AND USERRA REQUIREMENTS
    • What Businesses Are Covered by COBRA?
    • Who Is a Qualified Beneficiary?
    • Qualifying Events
    • What Notices Are Required?
    • The Election Period
    • Required Benefits
    • Coverage Duration and Termination
    • Premiums
    • COBRA Premium Assistance Payments
      • Assistance Eligible Individuals (AEIs).
      • Involuntary Termination.
      • Type of Health Coverage Available.
      • Length of Eligibility for Premium Assistance.
      • Calculating the Premium Assistance Payment.
      • Effect of the Premium Subsidy on the AEI.
      • Required Notices.
      • Comparable State Continuation Coverage.
      • Required Recordkeeping.
    • COBRA Continuation Coverage for Health Flexible Spending Arrangements
    • COBRA Continuation Coverage for Health Reimbursement Arrangements (HRAs)
    • IRS Penalties for Failing to Provide COBRA Continuation Coverage
    • State Continuation Laws
    • USERRA Continuation Laws
  • 1612 HIPAA PORTABILITY REQUIREMENTS
    • Plans Subject to HIPAA Portability Requirements
    • Limits on Excluding Health Coverage for Pre-existing Conditions
      • Notice Requirements.
      • Crediting Prior Coverage.
    • Special Enrollment Periods
    • Nondiscrimination Rules
      • Prohibited Discrimination.
      • Nonconfinement and Actively-at-work Provisions.
      • Wellness Program.
    • Certificates of Coverage
      • Certification-eligible Individuals.
      • When Certificates Must Be Issued.
    • Penalties for Failure to Comply
    • HIPAA Privacy Regulations
      • Patient Rights.
      • Use and Release of Medical Records.
      • Safeguarding Health Information.
      • HHS Security Regulations.
      • Penalties.
      • Exceptions to Consent Requirement.
      • State Privacy Laws.
  • 1613 FAMILY MEDICAL LEAVE ACT REQUIREMENTS
    • Effect on Group Health Benefits
      • Continuance of Coverage.
      • Who Must Pay the Premium?
      • When Does the Employer's Obligation End?
      • Recouping Employer-paid Premiums If Employee Does Not Return from Leave.
  • APPENDIX 16A: Group Medical Plan Compliance Checklist
  • APPENDIX 16B: Sample Summary Plan Description for a Group Medical Plan
  • APPENDIX 16C: Comparison of Health Accounts
  • APPENDIX 16D: Sample Medical Reimbursement Plan Document for Sole Proprietor
  • APPENDIX 16E: Model General Notice of COBRA Continuation
  • APPENDIX 16F: Model Notice for Electing COBRA Continuation Coverage
  • APPENDIX 16G: Self-employed Health Insurance Deduction Worksheet
  • APPENDIX 16H: 2009 HSA Monthly Contribution Worksheet
  • APPENDIX 16I: COBRA Notice Requirements
  • APPENDIX 16J: COBRA Continuation Periods
  • APPENDIX 16K: Citations of Sources Used in This Chapter

CHAPTER 17: DISABILITY INCOME PLANS
  • 1700 INTRODUCTION
  • 1701 WHAT IS A DISABILITY INCOME PLAN?
    • Funding a Disability Income Plan
    • Including a Disability Income Plan in a Cafeteria Plan
    • Including Disability Insurance in a 401(k) Plan
    • Types of Disability Income Plans
  • 1702 REPORTING AND DISCLOSURE REQUIREMENTS
    • Form 5500
    • Audit Requirement
    • Summary Annual Report
    • Summary Plan Descriptions (SPDs) and Summaries of Material Modifications (SMMs)
  • 1703 NONDISCRIMINATION REQUIREMENTS
    • Nondiscrimination Requirements of the IRC
    • Other Nondiscrimination Requirements
      • Age Discrimination in Employment Act of 1967 (ADEA).
      • Pregnancy Discrimination Act of 1978 (PDA).
  • 1704 TAX TREATMENT OF CONTRIBUTIONS AND BENEFIT PAYMENTS
    • Employer's Tax Treatment
    • Special Rules for Self-employed Persons
      • Sole Proprietors.
      • Partners and More-than-2% S Corporation Shareholders.
    • Employee's Tax Treatment
      • Premium Payments and Other Contributions to the Plan.
      • Receipt of Disability Income Benefits.
      • Calculating Taxable Benefits.
      • Both Employee and Employer Contributions Are Made to the Plan.
      • Plan Funded with Individual Policies.
      • Plan Funded with Group Policy.
      • Self-insured Plans.
      • Self-employed Individuals.
      • Workers' Compensation Benefits.
      • Dismemberment Benefits.
      • Medical Expense Reimbursements.
      • Tax Credit for the Permanently and Totally Disabled.
    • Payroll Tax Implications
      • Federal Income Tax Withholding.
      • FICA and FUTA Taxes.
      • Who Is Responsible for Paying the Payroll Taxes?
      • Providing Information to Third-party Payers.
      • Reporting Disability Payments.
  • 1705 PLAN ADMINISTRATION
    • Who Is the Plan Administrator?
      • Choosing a Plan Administrator.
    • What Are the Duties of a Plan Administrator?
      • Fiduciary Responsibilities.
    • ERISA Requirements
  • 1706 ADDITIONAL REQUIREMENTS
    • COBRA Requirements
    • HIPAA Portability Requirements
    • Family Medical Leave Act Requirements
  • APPENDIX 17A: Disability Income Plan Compliance Checklist
  • APPENDIX 17B: Sample Summary Plan Description for a Disability Income Plan
  • APPENDIX 17C: Sample Summary of Material Modifications for a Disability Income Plan
  • APPENDIX 17D: Sample Paid Sick Leave Policy
  • APPENDIX 17E: Worksheet to Calculate Taxable Disability Income Payments
  • APPENDIX 17F: Citations of Sources Used in This Chapter

CHAPTER 18: GROUP LONG-TERM CARE INSURANCE PLANS
  • 1800 INTRODUCTION
  • 1801 DEFINING A GROUP LONG-TERM CARE INSURANCE PLAN
    • Funding a Group Long-term Care Insurance Plan
    • Including a Group Long-term Care Insurance Plan in a Cafeteria Plan
    • Types of Group Long-term Care Insurance Plans
    • Receiving Preferential Tax Treatment for an LTC Plan
      • Qualified Long-term Care Insurance Contract.
      • Qualified Long-term Care Services.
      • Chronically Ill Individual.
      • Activities of Daily Living (ADLs).
      • Licensed Health Care Practitioner.
    • Changes Made by the Pension Protection Act of 2006 (PPA)
  • 1802 REPORTING AND DISCLOSURE REQUIREMENTS
    • Form 5500
    • When to File Form 5500
    • Audit Requirement
    • Summary Annual Report (SAR)
    • Summary Plan Descriptions (SPDs) and Summaries of Material Modifications (SMMs)
  • 1803 NONDISCRIMINATION REQUIREMENTS
    • Providing LTC Insurance under a Group Plan
    • Providing LTC Insurance to Closely Held C Corporation Shareholder-employees
    • Providing LTC Insurance to S Corporation Shareholder/Employees
  • 1804 TAX TREATMENT OF PREMIUM AND BENEFIT PAYMENTS
    • Employer's Tax Treatment
    • Special Rules for Self-employed Persons
      • Who Is Self-employed?
      • Limiting the Special Nonbusiness Deduction.
      • Employing an Owner's Spouse.
    • Employee's Tax Treatment
      • Employer-paid Long-term Care Insurance Premiums.
      • Employee-paid Long-term Care Insurance Premiums.
      • Health Care Reimbursements of Employee-paid Long-term Care Premiums.
      • Long-term Care Insurance Reimbursements.
      • Unreimbursed Long-term Care Costs.
      • Limit on Exclusion If Policy Pays Per Diem Benefits.
    • Payroll Tax Implications
      • Long-term Care Insurance Premiums.
      • Long-term Care Benefit Payments.
  • 1805 PLAN ADMINISTRATION
    • Who Is the Plan Administrator?
      • Choosing a Plan Administrator.
    • What Are the Duties of a Plan Administrator?
      • Fiduciary Responsibilities.
    • ERISA Requirements
  • 1806 SELECTING AN LTC POLICY
    • Practical Considerations
      • Rating the Insurance Company's Financial Strength.
      • Level of Care.
      • Events That Trigger Benefits.
      • Costs.
      • Benefit Payments.
      • Consumer Protection.
  • 1807 ADDITIONAL REQUIREMENTS
    • COBRA Requirements
    • HIPAA Portability Requirements
    • Family Medical Leave Act Requirements
  • APPENDIX 18A: Group Long-term Care Insurance Plan Compliance Checklist
  • APPENDIX 18B: Long-term Care Insurance Policy Provisions Checklist
  • APPENDIX 18C: Citations of Sources Used in This Chapter

CHAPTER 19: GROUP-TERM LIFE INSURANCE PLANS
  • 1900 INTRODUCTION
  • 1901 GROUP-TERM LIFE INSURANCE PLAN
    • Funding a Group-term Life Insurance Plan
    • Group-term Life Insurance Plan Included in a Cafeteria Plan
    • Types of Group-term Life Insurance Plans
    • Requirements for Special Tax Treatment
      • Policies Providing Permanent Benefits.
  • 1902 REPORTING AND DISCLOSURE REQUIREMENTS
    • Form 5500
    • Audit Requirement
    • Summary Annual Report (SAR)
    • Summary Plan Descriptions (SPDs) and Summaries of Material Modifications (SMMs)
    • Notice of the Reduction or Termination of Benefits
  • 1903 NONDISCRIMINATION REQUIREMENTS
    • Systematic Approach to Nondiscrimination Testing
    • Special Rules for Conducting Nondiscrimination Tests
      • Aggregating Policies.
      • Different Layers of Coverage Based on Multiples of Compensation Must Be Tested Separately.
      • Employee Purchases of Additional Insurance.
      • Separate Nondiscrimination Testing Required for Active and Former Employees.
    • Consequences of Failing Nondiscrimination Testing
  • 1904 TAX TREATMENT OF CONTRIBUTIONS AND BENEFIT PAYMENTS
    • Employer's Tax Treatment
    • Special Rules for Self-employed Persons
      • Sole Proprietors.
      • Partners, LLC Members, and More-than-2% S Corporation Shareholders.
    • Employee's Tax Treatment of Premium Payments
      • Qualified Coverage.
      • Nonqualified Coverage.
      • Coverage for Employee's Spouse or Dependents.
      • Coverage for Domestic Partners.
    • Payroll Tax Implications
      • Former or Retired Employees.
      • Spouse or Dependent Coverage.
  • 1905 PLAN ADMINISTRATION
    • The Plan Administrator
      • Choosing a Plan Administrator.
    • Duties of a Plan Administrator
      • Fiduciary Responsibilities.
      • Conversion Privileges.
    • ERISA Requirements
  • 1906 ADDITIONAL REQUIREMENTS
    • COBRA and HIPAA Portability Requirements
    • Family Medical Leave Act Requirements
  • 1907 DEATH BENEFITS
    • Death Benefit Plans Subject to ERISA
    • Death Benefit Plans Subject to Nondiscrimination Requirements
    • Death Benefits Included in a Cafeteria Plan
    • COBRA, HIPAA Portability, and Family Medical Leave Act (FMLA) Requirements
    • Death Benefit Only (DBO) Plans
  • 1908 GROUP-PERMANENT LIFE INSURANCE
    • Common Types of Permanent Insurance
      • Whole Life Insurance.
      • Group Universal Life Insurance.
    • Tax Treatment of Group-permanent Life Insurance Premium Payments
      • Special Rules for Self-employed Persons.
      • Sole Proprietors.
      • Partners, LLC Members, and More-than-2% S Corporation Shareholders.
    • Tax Treatment of Death Benefits
  • 1909 SPLIT-DOLLAR LIFE INSURANCE ARRANGEMENTS
    • IRS Audit Initiatives
    • What Is Split-dollar Insurance?
    • Typical Structure of Split-dollar Arrangements
      • S Corporation Split-dollar Arrangements.
      • Noncorporate Employers.
    • Employer's Tax Treatment
      • Rules for COLI Policies.
    • Employee's Tax Treatment
      • Material Modifications.
    • Split-dollar Arrangements Entered into before September 18, 2003
      • Loan Treatment.
      • Economic Benefit Treatment.
    • Payroll Tax Treatment
      • Policy Dividends.
    • Split-dollar Arrangements Entered into after September 17, 2003
      • Economic Benefit Regime.
      • Loan Regime.
      • Below-market Interest and OID Rules under the Loan Regime.
    • Applying the Section 409A Rules to Split-dollar Life Insurance Arrangements
    • Sarbanes-Oxley and Split-dollar Life Insurance Arrangements
    • Split-dollar Life Insurance Taxed under Group-term Rates
  • APPENDIX 19A: Group-term Life Insurance Plan Compliance Checklist
  • APPENDIX 19B: Checklist to Determine If Group-term Life Insurance Coverage Is Qualified
  • APPENDIX 19C: Taxable Amount of Group-term Life Insurance
  • APPENDIX 19D: Sample Summary Plan Description for a Group-term Life Insurance Plan
  • APPENDIX 19E: Sample Summary of Material Modifications for a Group-term Life Insurance Plan
  • APPENDIX 19F: P.S. 58 Rates--Uniform One-year Term Premiums for $1,000 Coverage
  • APPENDIX 19G: Table 2001--Table of One-year Term Premiums for $1,000 of Life Insurance Protection
  • APPENDIX 19H: Tax Treatment of Employer-provided Life Insurance Coverage
  • APPENDIX 19I: Citations of Sources Used in This Chapter

CHAPTER 20: QUALIFIED RETIREMENT PLANS
  • 2000 INTRODUCTION
  • 2001 IDENTIFYING THE KEY FEATURES OF DIFFERENT PLANS
    • Payroll Deduction IRA (or Roth IRA)
    • Deemed IRAs
  • 2002 EMPLOYER CONTRIBUTIONS TO QUALIFIED RETIREMENT PLANS
    • Section 415 Limit on Annual Additions and Benefits
    • Employer's Tax Deduction
      • Defined Benefit Plans.
      • Life Insurance-funded Plan [Section 412(i) Plan].
      • Profit-sharing, Money Purchase, and Stock Bonus Plans.
      • Payroll Deduction IRAs.
      • SEPs.
      • SIMPLE IRA Plans.
      • Combined Plans.
    • Income and Payroll Tax Treatment of Contributions
  • 2003 QUALIFIED RETIREMENT PLAN DISTRIBUTIONS
    • Minimum Distribution Rules
    • Income and Payroll Tax Treatment of Distributions
      • Withholding on Pensions and Annuities.
      • Eligible Rollover Distributions.
      • Corrective Distributions.
      • Periodic Payments.
      • Nonperiodic Payments.
      • Form 945.
      • Form 1099-R.
      • Taxable and Nontaxable Distributions.
      • Designated Roth 401(k) Account Distributions.
  • 2004 FORM 5500 FILING REQUIREMENTS
    • Form 5500
    • When Form 5500-EZ Can Be Filed
  • 2005 CASH OR DEFERRED ARRANGEMENTS [401(K) PLANS]
    • Contribution Limits
    • Employee Elective Deferrals
      • Catch-up Contributions for Participants Age 50 and Over.
      • Automatic Enrollment for 401(k) Plans.
      • Elective Deferral Limit.
    • Tax Treatment of 401(k) Contributions
    • 401(k) Contributions under a Cafeteria Plan
    • Safe Harbor 401(k) Plans
    • One-person 401(k) Plans
    • SIMPLE 401(k) Plans
    • Qualified Roth Contribution Program
  • 2006 DEALING WITH TAX-SHELTERED ANNUITY [403(B)] PLANS
    • Annual Additions
    • Employee Elective Deferrals
      • Catch-up Contributions.
    • Tax Treatment of Contributions
  • 2007 ADOPTING A SAVINGS INCENTIVE MATCH PLAN FOR EMPLOYEES (SIMPLE IRA PLAN)
    • Employer Contribution Limits
    • Employee Elective Deferrals
    • Catch-up Contributions
    • Tax Treatment of Contributions
    • Depositing Contributions
    • Administrative Requirements
  • 2008 TAX CREDITS FOR RETIREMENT PLANS
    • Credit for Contributions
    • Credit for New Retirement Plan Expenses
  • APPENDIX 20A: Key Features of Qualified Plans
  • APPENDIX 20B: Qualified Plan Data Sheet
  • APPENDIX 20C: 2009 Participant Elective Deferral Limitation Worksheet
  • APPENDIX 20D: Citations of Sources Used in This Chapter

Continuing Professional Education
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