Menu

Health Care Reform for FSA and HRA Sponsors - Part II

November 15, 2012
Download   
Share Page

To read Part I, please click here.

This alert is Part II in a series focusing on the impact of the Patient Protection & Affordable Care Act of 2010 (ACA) on health flexible spending accounts (FSAs) and health reimbursement arrangements (HRAs). This alert focuses on requirements with W-2 reporting, preventative care, and research fees.

W-2 Reporting

Beginning in 2012, all health plans subject to COBRA must report the value of coverage on employee W-2s. This is simply informational reporting of the cost of coverage and does not necessitate a tax collection. For 2012, W-2s are only required for employers who filed 250 or more W-2s for 2011. For 2013, informational W-2 data will be generally required for all plans subject to these requirements and sponsored by employers with 20 or more employees.

Two broad exemptions exclude (i) all HRAs and (ii) FSAs with no employer contributions or employer flex credits (IRS Notice 2012-9, Q&A-18). FSAs with employer contributions only report the employer contributions. Arrangements that allow employees to allocate flex credits to an FSA must use a more complicated assessment to determine what to report.

Though not entirely clear, we expect that failures to properly report the value of coverage will be subject to the same penalties applicable to general errors and omissions on W-2s.

Cost-Sharing for Preventative Care

Effective plan years beginning on or after 9/23/10, non-grandfathered group health plans subject to HIPAA portability may not impose cost-sharing requirements on preventative care. This will mainly affect HRAs that require employees to satisfy a deductible before paying or reimbursing expenses. For example, if an employer has a grandfathered medical plan that requires employees to satisfy a $5,000 deductible before covering claims for preventative or other care and the employer establishes an HRA that pays up to $2,000 in claims, but only after employees meet $3,000 of the $5,000 deductible.

We recommend that employers with non-grandfathered HRAs with deductibles or copay requirements take one or more of the following precautions to avoid violating this ACA requirement: (i) confirm that an employer sponsored medical plan fully-covers preventative care; (ii) screen HRA claims for preventative care and pay those claims (revised documentation may be needed); or, (iii) remove deductibles and copays.

Fees: Patient-Centered Research

Sponsors of self-insured plans subject to HIPAA Portability must pay a fee to support research by the Patient-Centered Outcomes Research Institute. For plan years ending between 10/1/12 and 9/30/13, the fee is $1 per covered life; for plan years ending between 10/1/13 and 9/30/14, the fee is $2 per covered life. Beyond 2014, the fee will be published by the U.S. Treasury. Payment is due the following July 31 on an IRS Form 720.

Self-insured plans that provide overlapping coverage can be treated as a single plan if they operate along the same plan year. For example, an employer sponsoring a self-insured medical plan and an HRA will normally need to pay separate fees on each plan unless they have the same plan year.

We hope the above highlights the care HRA and FSA sponsors should use in operating those arrangements.

For more information, please contact the Carlton Fields attorney with whom you usually work, or the author of this Legal News Alert.


©2019 Carlton Fields, P.A. Carlton Fields practices law in California through Carlton Fields, LLP. Carlton Fields publications should not be construed as legal advice on any specific facts or circumstances. The contents are intended for general information and educational purposes only, and should not be relied on as if it were advice about a particular fact situation. The distribution of this publication is not intended to create, and receipt of it does not constitute, an attorney-client relationship with Carlton Fields. This publication may not be quoted or referred to in any other publication or proceeding without the prior written consent of the firm, to be given or withheld at our discretion. To request reprint permission for any of our publications, please use our Contact Us form via the link below. The views set forth herein are the personal views of the author and do not necessarily reflect those of the firm. This site may contain hypertext links to information created and maintained by other entities. Carlton Fields does not control or guarantee the accuracy or completeness of this outside information, nor is the inclusion of a link to be intended as an endorsement of those outside sites.

Subscribe to Publications

Disclaimer

The information on this website is presented as a service for our clients and Internet users and is not intended to be legal advice, nor should you consider it as such. Although we welcome your inquiries, please keep in mind that merely contacting us will not establish an attorney-client relationship between us. Consequently, you should not convey any confidential information to us until a formal attorney-client relationship has been established. Please remember that electronic correspondence on the internet is not secure and that you should not include sensitive or confidential information in messages. With that in mind, we look forward to hearing from you.