CHRA Government Affairs Center

CHRA 2010-2011 Government Affairs Committee  

Mission:

"To influence legislative issues in Maryland related to HR management practice and in accordance with the Association's purpose of advancing the HR discipline; and to act as liaison to Maryland's governmental entities within the legislative, executive and judicial branches."

G.A.C. Members

Committee Chair:
Greta L. Engle - Kelly Benefit Strategies

Committee Members:
Jane Davis - Kelly & Associates Insurance Group
Gregory Derwart - Arc of Baltimore
Michael DiMaggio - Fidelity Engineering

Jennifer Grabowski, PHR - Sabra, Wang & Associates, Inc.
Daniel Lasson, PHR - Murthy Law Firm
Sara A. Stark, SPHR, CCP, CBP - LifeBridge Health
Christine V. Walters, MAS, JD, SPHR - FiveL Company
Nicole Windsor, Esq. - Bowie & Jensen, LLC

 

U.S. DOL Issued Updated Fact Sheet (#71) on Internship Programs

As summer approaches and employers engage in partnerships with local academic institutions, many consider using summer interns as a part of school-to-work programs. In April the U.S. Department of Labor (DOL) published an updated Fact Sheet (#71) reminding employers about how to properly classify an intern as paid versus unpaid. While this information is not new they serve as a good reminder of what an employer should consider before properly classifying a worker as an unpaid intern. The fact that the DOL chose now to publish this reminder may also reasonably indicate the Department's intent to monitor these classifications more closely in the upcoming months. The DOL considers six factors to determine whether an internship has been properly classified as unpaid in the private sector. Unlike assessing the classification of an independent contractor in which a variety of factors are weighed against one another, all six of the following factors must be met in order to properly classify an intern as unpaid:

1. The internship, even though it includes actual operation of the facilities of the employer, is similar to training which would be given in an educational environment.
2. The internship experience is for the benefit of the intern;
3. The intern does not displace regular employees, but works under close supervision of existing staff;
4. The employer that provides the training derives no immediate advantage from the activities of the intern; and on occasion its operations may actually be impeded;
5. The intern is not necessarily entitled to a job at the conclusion of the internship; and
6. The employer and the intern understand that the intern is not entitled to wages for the time spent in the internship.

If you are a public or non-profit sector employer you should note that the DOL is considering issuing guidance for the classification of unpaid interns in those sectors. Consider, too, that volunteers may pose another classification challenge for employers. In June 2009, Reuters reported that volunteerism was on the increase, "Applications for the AmeriCorps rose 234 percent this year compared with last. Similarly, Teach for America, the program that sends America's brightest college graduates to teach in its poorest schools, saw a 42 percent increase in applications this year...There is more of a desire to serve the community among people in [their] 20s and 30s." Remember that just because someone volunteers to work for free does not mean it is legal to permit them to do so. Unlike the test for interns, the DOL uses a three factor test to determine whether an individual is properly classified as an unpaid volunteer. Generally the individual:

1. works part time in the volunteer role;
2. works for a religious, civic, or humanitarian organization; and
3. works for a religious, civic, or humanitarian objective.

When classifying any worker as something other than an employee, be it an unpaid intern, volunteer or independent contractor you should review the classification with your company's employment counsel. And don't forget that if your company is looking for ways to support and advance school-to-work programs you might consider participating in CHRA's Pathways to Success program!

May 2010 Healthcare Reform Implications & Update
Submitted by: Greta Engle, Director, Government Affairs

In March of this year, President Obama signed into law the Patient Protection and Affordable Care Act as well as its companion bill, the Health Care and Education Reconciliation Act of 2010. Together, these two acts create what is known as "Health Care Reform", or the "Health Care Act". There are 5,000 pages associated with the combined Act. It is anticipated that over the summer, a corrections bill will be introduced providing clarification and amendments to the already 5,000 pages of legislation.

Update - Tax treatment dependent children
Most recently, the IRS provided guidance on tax treatment of employers providing health benefits for children under age 27. The IRS is encouraging employers to begin covering young adults voluntarily before the 9/23/10 implementation date of the adult dependent child provision (for plan years beginning 6 months after the date of the law's enactment). The rationale is the avoidance of gaps in coverage for new college graduates and saving administration costs of re-enrolling and disenrolling members.

Parents will now be able to add their children under age 27 for their health coverage on a tax-free basis.

Effective 3/30/2010 employers may permit employees to make pre-tax contributions under a Section 125 plan for children under age 27.

The expanded health care tax benefit applies to various workplace and retiree health plans. This also applies to self employed individuals who qualify for the self employed insurance deduction on their federal income tax return.

Employers may allow this change under their current Section 125 plan even if that plan has not yet been amended to reflect the change in coverage options. To reduce the employer burden, employers will have until the end of 2010 to amend Section 125 language to incorporate the change.

This new guidance has large potential impact on health FSA's and on HRA's. These plans may now reimburse tax free expenses of children who have not attained age 27 as of the end of the calendar year.

Employees may approach their employer to request an election change based on the expanded tax benefit. The IRS and Treasury intend to amend Section 125 plan election change regulations retroactively to 3/30/2010 to include change in status events affecting children under age 27 who are newly eligible for coverage. However, the guidance is not requiring FSA and HRA plans to reimburse expenses for the expanded definition of a child dependent. Although, it is changing the rules to create the potential if the employer sponsor later chooses.

Beginning March 30, 2010, employers can allow employees to immediately make pre tax salary reduction contributions for group health benefits under an FSA for children under age 27 even if the FSA plan has not yet been amended. A retroactive amendment to an FSA plan to cover children under age 27 has to be made no later then December 31, 2010 and must be effective retroactively to the first date in 2010 when employees are permitted to make pre tax salary reduction contributions to cover children under age 27.

Update - Healthcare Reform
March 23, 2010

  • Immediate access to insurance for uninsured individuals with pre-existing conditions
  • Small business tax credit in effect

June 21, 2010

  • Reinsurance program begins for early retirees ages 55-64

Plan years beginning on or after September 30, 2010

  • Eliminate preexisting condition exclusions for children
  • Eliminate lifetime limits and restrict usage of annual limits
  • Begin covering preventive health services without any member cost share - this will be further defined by the Secretary of Health & Human Services (HHS) but presumes a wellness exam and diagnostic work to be covered at 100% by the employer's plan with no co payment
  • Dependents covered through age 26
  • A $250 rebate under Medicare Part D
  • Medicaid eligibility expands to cover parents and childless adults up to 133% of federal poverty level
  • Insurance carriers/health plans must sustain medical loss ratios of 80% for small group and 85% for large group - if benefit plans run more profitably then these ratios, funds returned to participants. This has the insurance industry rethinking expenses on member communications, value added wellness services, internet services, cost calculators, etc… as well as broker commissions.

Effective in 2011

  • Employers are required to report plan value on W2's
  • Standardize the definition of medical expenses under IRS 213D and no longer allowing over the counter drugs covered under FSA, HRA and HSA without a physician prescription
  • Non qualified withdrawals of HSA money will see an increased penalty of 20% vs. 10%
  • Medicare D to include discount brand name drugs in the "doughnut hole"
  • Reductions in Medicare Advantage reimbursements
  • Medicare D premiums increase for higher income retirees
  • Section 125 or Cafeteria plan changes - a simplified cafeteria plan created
  • Voluntary Long-Term care program created

Effective no later than March 23, 2012

  • Employers required to provide as plan sponsors a 4-page standardized benefits summary that accurately describes the coverage under their plan and must be distributed to all applicants and participants prior to open enrollment

Effective 2013

  • Limits Healthcare FSA's to $2,500 in annual contributions (consumer price index for subsequent years)
  • Eliminates the employer subsidy available to those offering retiree benefits under Medicare D
  • Increases threshold for claiming itemized deductions for medical expenses
  • Additional hospital tax of 0.9% on individual taxpayers earning over $200,000 or $250,000 for a joint return

Plan years beginning on or after January 1, 2014

  • Individual and employer coverage mandates commence or penalties are to be paid
  • Small business tax credit expanded
  • Employers must offer vouchers to employees < 400% federal poverty level with contributions between 8% - 9.8% of household adjusted gross income ($88,000 for a family of four)
  • State based exchanges for individuals and small groups (exchange can be made available to large employers in 2017 depending upon what the states decide)
  • Employer penalty begins for employees who opt out of their group health plan
    • If an employer does not offer coverage, penalty $2,000 annual for each full time employee so long as one employee receives the tax credit
    • If an employer offers coverage, there will be a $3,000 penalty for each employee receiving the tax credit
  • Employers will be required to file reporting documentation on the group health plan with employees and the Secretary of HHS
  • Preexisting conditions for all enrollees is eliminated
  • Annual limits are prohibited for "essential" benefits (defined by HHS)
  • Employers must automatically enroll employees in the plan, with a provision to allow the employee to opt out of the plan
  • Penalties commence for waiting periods over 30 days and waiting periods over 90 days are no longer permissible
  • Maximum out of pocket limits for all plans are not to exceed HSA limits
  • Medicaid eligibility increases to 133% of federal poverty level for all non-elderly individuals
  • Wellness incentive maximum increases from 20%-30%
  • Guaranteed issue and community rating 3 to 1 ratio maximum

Effective in 2018

  • Excise tax on high cost employer provided health plans, "Cadillac plans"

It should be noted that Maryland lawmakers received a study on February 3, 2010, regarding the establishment of a health insurance exchange in our state. The report evaluates the logistical and cost considerations in setting up an exchange and details the non-group and small group markets in Massachusetts prior to reform. Massachusetts spent millions of dollars on creating a connector (a place where consumers go to purchase coverage through the state).

The studies authors, Bob Carey and Jonathan Gruber, visited Maryland. They studied our insurance markets and the role that third party intermediaries already operating in Maryland would play as connectors or sub connectors.

The authors determined Maryland already has the infrastructure in place, which many states do not. Our transition into healthcare reform will likely be easier and less costly. However, there are a number of policy issues that will need to be addressed prior to Maryland moving in to an exchange environment. It is our hope that given our current position, many leading experts in our state will be called upon to help clarify and refine this next phase of national healthcare reform.

 

Click here to view the most recent legislative updates.

 


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