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ERISA ALERT NEWSLETTER

QUALIFIED PLAN NEWS:

-- WHAT TO DO ABOUT LOST PARTICIPANTS ?   It's been a hassle, but is there hope for a solution...

When employees with vested account balances terminate employment and, for whatever reason, cannot be located, they’re commonly referred to as “lost participants.” Locating these former employees who are entitled to retirement-plan benefits is a challenging and pressing problem for plan sponsors.  If a plan sponsor is aware of these important plan provisions and communicates them effectively to employees from the beginning of their plan participation, participants are less likely to become missing after they separate from the employer.  Plan administrators must make every effort to locate a person who is a missing participant.

There are no ideal, easy answers but here are some suggestions:

Public data sources - For a nominal fee, you can access several public data services available on the Internet.

Private investigators - Some private investigators specialize in locating persons with unclaimed pension funds. Fees vary.

Internal networking - You can post a notice in the employee workroom or lunchroom stating the company is looking for former employees who may be entitled to pension benefits. Current employees may help provide information to facilitate the search.

Letter to most recent address of a lost participant - Make an effort to determine if the most recent address is still current. Mail letters with certification or return receipt. Keep this information as proof that you attempted to contact the person.

Pension Benefit Guaranty Corporation (PBGC) - Contact the PBGC to locate lost participants within a defined benefit plan. Instructions on locating missing participants can be found on the Web site at www.pbgc.gov.

100% tax withholding - In recent cases, employers have withheld 100% of the retirement as tax withholding presuming the IRS will then notify the participant at tax-filing time. The IRS hasn’t barred this method and hasn’t issued guidance on it.

Forfeiting the vested-account balance - If the plan document allows, the lost participant’s balance can be forfeited and revert to the employer or plan after a specified time. But you must maintain accurate records and restore the participant’s benefits if a claim is made.

Education and Prevention - The most effective procedure is to ensure that employees are aware of their retirement benefits when they leave.  Have an accurate Social Security number on file for each person with vested plan benefits. Clear written communication will ensure that participants are aware of the importance of informing the employer of address changes. Encourage employees to withdraw their retirement benefits as soon as possible from the plan.  If you have concerns about missing participants and available options, please contact us. We will be happy to assist in implementing a strategy to locate and distribute vested balances.

IRS Letter Forwarding Program - The IRS, in Rev. Proc. 94-22, offers a letter-forwarding program to help find lost participants. Under this program, the employer must write to the missing participant stating whom to contact to obtain retirement benefits.  The service is free if the request is for 49 or fewer recipients.  For 50 or more participants, there is a base fee of $1,750 plus $.50 per participant.  Click Here for our sample letter package.

Social Security Administration Letter Forwarding Program - If you have 50 or more lost participants, the Social Security Administration also offers a letter forwarding service which may be more cost effective at $3 per participant.  Click here for our sample letter package.

Light at the end of the tunnel...

Establish an IRA - If the plan allows, the plan administrator can establish an IRA or annuity for the participant and transfer the retirement account to the IRA held on the participant’s behalf. Currently, it is difficult to find a financial institution willing to accept these funds without the participant’s acknowledgment. Because employer fiduciary issues are also involved based on the investment selection, this method isn’t widely used at this time.  However, the recent "EGTRRA" legislation mandated that participants with balances in excess of $1,000 (but less than $5,000), who have not consented to a distribution, must have their distributions rolled over to a "default" IRA... once the appropriate guidance was made available. It is assumed that financial institutions will be more willing to accept these funds once this guidance is available.


SECTION 125 / FLEXIBLE SPENDING NEWS:

OVER THE COUNTER MEDICATIONS - The IRS expands the tax reduction benefits of your flex plan!

Based on a September 3, 2003 Revenue Ruling and in discussions with the IRS, expenses incurred by Flex Plan Participants for the purchase of OTC medicines and/or drugs to treat a medical condition are reimbursable from your flex account upon substantiation of:
  • Evidence of the name of the medicine or drug, the date purchased and the amount paid on a receipt from independent third party (i.e. store, pharmacy);
  • Completion of a Reimbursement Request Form with OTC purchases detailed line by line which must specify who the expense is for (employee, spouse or dependent);
  • The participant’s certification that such medicine or drug is for medical care.

The following three lists will help you determine which OTC items can be reimbursable by your flex plan and what additional documentation will be required before reimbursement is made. The drug must be legal and legally procured; e.g. it is currently illegal to import drugs from Canada.

List # 1: Medical-Only Items:

This “Medical Only” list is a list of OTC drugs that we have determined are primarily for medical care and that will be reimbursable in reasonable quantities without a doctor’s note if you provide the above substantiation.

  • Anti-diarrhea medicine, laxatives like Ex-Lax
  • Antacids
  • Allergy medicine
  • Pain Reliever
  • Cold Medicine
  • Menstrual cycle products for pain and cramp relief
  • Cough Drops, throat lozenges, sinus medication, nasal sinus sprays
  • Nicotine Gum or patches for stop-smoking purposes
  • Special ointment or cream for sunburn (not just regular moisturizers)
  • Ben Gay, Tiger Balm, and similar products for muscle pain or joint pain
  • Pedialyte for ill child’s dehydration
  • Items that used to be a prescribed drug are usually reimbursable
  • First aid cream, Bactine, special diaper rash ointments, calamine lotion, bug bite medication, wart remover treatments
  • Visine and other such eye products, Contact Lens cleaning solution
  • Suppositories and creams for hemorrhoids
  • Sleeping aids
  • Motion Sickness Pills
  • Bandaids, bandages, guaze pads, first aid kits, cold/hot packs for injuries
  • Hydrogen peroxide, rubbing alcohol
  • Liquid adhesive for small cuts
  • Reading Glasses
  • Carpal tunnel wrist supports
  • Thermometers (ear or mouth)
  • Incontinence supplies
  • Nasal strips
  • Diabetic Test supplies
  • Blood Pressure Monitor
  • Crutches
  • Take home screening tests including kits for detecting colon cancer, hepatitis C and HIV.

List # 2: “Dual Purpose” Items Requiring Doctor’s Diagnosis and Recommendation:

“Dual Purpose” OTC drugs are ones that are deemed to have both a medical purpose and a personal/cosmetic or general health purpose. OTC drugs on this list that will be reimbursed only with a doctor’s note stating that person has a specific medical condition and that the OTC drug/medicine is recommended to treat it and that the treatment is not for cosmetic purposes.

  • Weight Loss Drugs to treat a specific disease
  • Pills for persons who are lactose intolerant
  • Orthopedic Shoes and inserts (only the extra cost over buying non-orthopedic shoes/boots can be reimbursed). The average cost of non-orthopedic shoes will be considered to be $25 and non-orthopedic boots will be $50.00.
  • Sunscreen (must have present existence of a disease such as skin cancer)
  • Acne Treatment (most skin care and acne treatment is NOT reimbursable because it constitutes a cosmetic procedure. There is an exception if the procedure is necessary to "ameliorate a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma, or disfiguring disease”)
  • Glucosamine/chondroitin for arthritis or other medical condition. St. John’s Wort for depression.
  • OTC hormone therapy and menopause symptom treatments such as hot flashes, night sweats, etc.
  • Medicated Shampoos under narrow circumstances
    • Only if a doctor diagnoses the person as having a specific scalp infection (not just dry scalp or dandruff) and prescribes a special treatment to be applied for a limited period of time.
  • Fiber Supplements under narrow circumstances
    • Not reimbursable if taken daily as a supplement to normal diet, but reimbursable if taken to treat a specific medical condition for a limited time.
  • Dietary Supplements or herbal medicines to treat a specific medical condition in narrow circumstances
    • Example: Doctor tells you to take 1000 MG of vitamin B-12 daily to treat a specific vitamin deficiency or to take Vitamin C for Scurvy.
    • Dietary Supplements to improve and maintain general health are NOT reimbursable. (e.g. one-a-day vitamins)
    • Prenatal vitamins

List # 3: Excluded Items:

This is a list of OTC items which are deemed to be merely beneficial for general health or are cosmetic in nature. They are NOT eligible for reimbursement under Flex Plans (FSAs).

  • Dietary Supplements
  • Nutritional Supplements
  • Food Replacements
  • Vitamins
  • Toiletries and cosmetics such as: Toothpaste or toothbrushes (including Battery-powered) even if a dentist recommends using them because these items are needed by everyone for general good health.
  • Chapstick etc.
  • Face creams, deodorants, moisteners and suntan lotion
  • Medicated shampoos and soaps for dry skin, dry scalp or dandruff.

The above is not a complete list, only a guideline and subject to modification based on evolving interpretation of rules and regulations by the IRS. 


July 2004

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