Timely Remittance: Being Late Will Cost You

Timely Remittance: Being Late Will Cost You

No doubt, offering a defined contribution retirement plan – like a 401(k) – can have a positive impact on employee attraction, engagement, and retention. Plus, helping employees build a nest egg for the future is simply the right thing to do. Just make sure that when you take on the responsibility of being a plan manager, you’re also aware of the many regulations governing plan administration, such as timely remittance. Failing to comply violates Department of Labor and IRS regulations, and can result in significant penalties, plan disqualification, and more.

So, what is timely remittance? Once you deduct funds from your employees’ wages for contribution to a retirement plan or repayment of a plan loan (if applicable), timely remittance relates to how long it takes you to segregate those monies from general funds and remit them to the plan. Failing to remit contributions in a timely manner can be seen as taking a loan from the plan, which is a prohibited transaction.

To be timely, the process of segregating and remitting funds should occur:

  • As soon as administratively possible for employers with more than 100 eligible plan participants.
  • Within seven days of taking the deduction for employers with 100 or fewer eligible plan participants and no ERISA audit requirement.
  • No later than the 15th business day of the month following the end of the month that the deductions occurred (as per DOL regulation 2510.3-102).

It sounds simple, but there’s more to it. As noted by the American Institute of Certified Public Accountants (AICPA) in its March 2021 Primer Series, the 15 business days “is not a safe harbor for depositing deferrals; rather, these rules set the maximum deadline if that amount of time is the earliest that is reasonably required to be able to separate the plan assets from the employer’s corporate assets.”

If other payroll items, like tax withholdings can be segregated inside of the 15-day period, employee contributions and loan repayments must be segregated on that earlier date as well. What’s more, if the company can segregate employee contributions from general assets within three business days, for example, failing to do so can be considered late remittance. Even if the remittance process is shortened from four days to three days during the year (for example, you change payroll processors and the new one is quicker), you could be responsible for untimely remittance for the months where it took four days.

What’s the big deal? Holding onto the money for too long can result in lost earnings for the plan participants.

To fulfill fiduciary responsibilities, plan management must monitor timely remittances, regardless of whether payroll is processed in-house or by a third party. This can be accomplished with a policy that requires regular reconciliation of plan contributions according to the trust statement to payroll records, as part of ongoing internal control procedures.

If at any time there should be a delay in segregating and remitting the funds, it’s wise to document what happened in detail and hold onto any supporting records. It’s also a good idea to consult an ERISA lawyer to evaluate whether a deposit was late and is considered a prohibited transaction.

As for next steps, refer to the IRS’ 401(k) Plan Fix-It Guide and the DOL’s FAQs about Reporting Delinquent Participant Contributions on Form 5500.

In general, you’ll need to report the prohibited transaction by completing and submitting Form 5500. There are penalties for each day that a remittance was delayed. The plan administrator may also be subject to civil monetary penalties and tax liabilities for failing to report delinquencies on Form 5500 and if an auditor fails to note a missing delinquent contribution schedule.

If you have any questions on this or other accounting, tax, payroll, or audit issues, please don’t hesitate to give RBT CPAs a call. We’re a leader in the Hudson Valley and we care about getting the details right so you can focus on other things like your business. RBT CPAs: We succeed when we help you succeed. Give us a call today.

 

Please note: The information is this article should not be construed as legal advice. When you need such advice, it’s always best to contact your legal counsel.

Understanding the Changing Landscape of Found Money

Understanding the Changing Landscape of Found Money

March 10 was the deadline for businesses to file an Abandoned Property Law Annual Report. Not filing potentially increases risk of an audit, but so does filing. What’s a business to do?

Healthcare organizations may be particularly vulnerable, considering the complexities surrounding costs, who is responsible payment, and more. Whether it’s a payment to a vendor that went out of business or a duplicative payment from a patient and insurance company for the same claim, the state where the property’s owner resides may have dibs on this and other types of found money including payroll checks, direct deposits, customer credit balances, and more.

The New York State Fiscal Year 2021-2022 Annual Report of the Office of Unclaimed Funds (OUF) explains the OUF is responsible for implementing the state’s Abandoned Property Law by ensuring abandoned funds are remitted to the state; conducting audits to recover funds; increasing public awareness of the funds; and protecting the rights of owners until funds are returned.

During FY 2021-2022, the OUF collected $980 million. The Voluntary Compliance Program resulted in $8 million being found. Audit collections totaled $93 million. $404 million was returned to rightful owners. $560 million was transferred to the state’s General Fund (the state holds over $17.5 billion in unclaimed funds dating back to 1943. The Hudson Valley had the third highest amount of funds paid (following NYC and Long Island), totaling $33 million.

As reported by TaxExecutive.org, “The importance of knowing and understanding unclaimed property laws has grown in recent years, because unclaimed property is now a significant revenue source for certain states…As a result, states now actively enforce these laws to capture unclaimed property in audits, voluntary disclosure programs, and litigation or through legislation.”

Audits can result in significant assessments, interest, and penalties. Voluntary compliance programs and agreements give companies a way to avoid interest and penalties in most states. That sounds good until you consider if your company doesn’t have records for the look back period, it must use the state’s mandated methodology to estimate liability. What’s more, you’ll still need agreement from a state appointed administrator or audit firm. Even after all of that, your firm can still be referred for an audit.  In recent years, more “holders” of unfound money have turned to litigation and increasingly found support.

If your company needs help understanding the laws, how they’re enforced, and your options for responding, RBT CPAs tax professionals can help. With state and auditing firms’ outreach efforts growing to uncover additional sources of potential revenue, should you receive any type of communication asking for self-disclosure or the like, be sure to give your RBT CPAs contact a call.

NOTE: RBT CPAs is providing this content for informational purposes only. It should not be construed as advice or direction. Should you need advice or direction, it’s in your best interest to talk to a tax professional (like those at RBT CPAs) or to contact your legal counsel.

IRS FAQs Clarify Eligible Expenses Under Tax-Advantaged Health Care Accounts

IRS FAQs Clarify Eligible Expenses Under Tax-Advantaged Health Care Accounts

Health Savings Accounts (HSAs), Flexible Spending Arrangements (FSAs), Archer Medical Savings Accounts (Archer MSA), and Health Reimbursement Arrangements (HRAs) give employees the opportunity to set aside pre-tax income to pay for eligible medical expenses (rather than itemize and file for a tax deduction if expenses exceed 7.5% of qualified income). In mid-March, the Internal Revenue Service (IRS) posted frequently asked questions (FAQs) providing more details about the types of expenses that are eligible for reimbursement through tax-advantaged plans.

As noted on IRS.gov, “These FAQs are part of the National Strategy on Hunger, Nutrition, and Health. The National Strategy provides a roadmap of actions the federal government will take to end hunger and reduce diet-related diseases by 2030.”

In keeping with that line of thinking, the FAQs largely focus on costs related to nutrition, wellness, and general health, addressing questions about the cost of nutritional counseling, weight-loss programs, weight-loss food and drinks, gym memberships, over-the-counter medications, and more.

That does not mean a new pair of expensive running shoes is fair game. IRS.gov says, “Medical expenses are the costs of diagnosis, cure, mitigation, treatment, or prevention of disease, and for the purpose of affecting any part or function of the body. These expenses include payments for legal medical services rendered by physicians, surgeons, dentists, and other medical practitioners. They include the costs of equipment, supplies, and diagnostic devices needed for these purposes. They also include the costs of medicines and drugs that are prescribed by a physician. Medical expenses must be primarily to alleviate or prevent a physical or mental disability or illness. They don’t include expenses that are merely beneficial to general health.”

According to the FAQs, dental, eye and physical exams are all considered eligible expenses, as are expenses for alcohol abuse disorder programs and smoking cessation programs. The cost of therapy used to treat a mental illness is eligible, as are costs for nutritional counseling and weight loss programs to treat a specific, physician-diagnosed disease like obesity.

When it comes to the cost of a gym memberships, it’s considered an eligible expense when purchased “for the sole purpose of affecting a structure or function of the body (i.e., prescribed physical therapy for an injury)” or for treating a physician-diagnosed disease (i.e., obesity, hypertension, or heart disease).

More information about eligible expenses can be found in IRS Publication 502, Medical and Dental Expenses, and Tax Topic 502, Medical and Dental Expenses.

These clarifications follow other changes to certain tax-advantaged accounts as the pandemic wound down. For example, certain pandemic relief measures affecting FSAs (like allowing any balance remaining to rollover from one year to the next) ended in 2022, although employers can choose to allow rollovers up to annual limits — $570 for 2023 and $610 for 2024). (Cuadra Deanna. “The pandemic FSA carryover allowance is over: Here’s what’s changed.” November 11, 2022. Benefitnews.com.) Also, the Continuing Appropriations Act of 2023 allows certain telehealth benefits to be provided before a deductible is met under a high deductible health plan, without disqualifying the covered person from being eligible to participate in an HSA. (For more details, visit Fisherphilips.com.)

If you are a plan sponsor, it’s a good idea to let employees know about the clarifications provided in the IRS FAQs, as they could get reimbursed on out-of-pocket expenses that they may have thought were previously excluded.

While you help employees understand how to maximize tax-advantages available in a benefits program, RBT CPAs is here to help you maximize your tax strategy for your business. We’re a leading accounting, tax, audit and business advisory services firm serving the Hudson Valley for over 50 years. To learn more, give us a call. We would love to talk and see what we can do to help you be more successful.

Please note: We are accountants and financial experts – not benefits attorneys. We are providing this content for informational purposes only; it should not be construed as legal advice. If you are considering communicating or making changes to benefits, we strongly encourage you to seek advice from benefits counsel.

Seven Ways Health Care Institutions Are Addressing Staffing Challenges

Seven Ways Health Care Institutions Are Addressing Staffing Challenges

We can all agree there is a global talent shortage and, considering the U.S. population is shrinking along with the number of people in the workforce, the issue is only going to get worse. So, we scoured publications, websites, and more to learn how health care practices and hospitals across the country are addressing the challenge. Here is some of what we found…

Upskill your current workforce.

Nothing says you value your people more than when you invest in their future. A 55,000-person healthcare system in Cincinnati, called Beons Secours Merc Health (BSMH), created Called to Grow – a program consisting of tuition reimbursement and career pathways to help employees move into higher skilled roles.  BSMH partnered with a company specializing in upskilling employees. All employees – whether on-call or full-time – are eligible to participate starting their first day of work. (Hilgers, Laura. How One Healthcare System Is Addressing a Talent Shortage. February 7, 2023. LinkedIn.)

Provide 100% tuition assistance paid up front.

As part of the Called to Grow program, BSMH covers 100% of tuition – paid up front – for more than 120 clinical certifications, undergraduate and graduate degrees, and nursing degrees at 15 institutions. (Hilgers, Laura. How One Healthcare System Is Addressing a Talent Shortage. February 7, 2023. LinkedIn.)

Career planning.

BSMH has three HR internal mobility specialists to learn about employee interests, identify potential careers, layout career paths, and help employees follow them. “Someone in laundry and linen services, for example, could train to become a care companion on the nursing support team. A care companion could then train to become a patient care technician.” (Hilgers, Laura. How One Healthcare System Is Addressing a Talent Shortage. February 7, 2023. LinkedIn.)

Engage students to create a talent pipeline.

Three hospital groups in Chicago created Healthcare Forward, a program offering high school students in economically depressed areas training and the guarantee of a job interview for entry-level positions. (UChicagoMedicine. Chicago Health Systems join forces to promote careers in healthcare across West and South Sides. December 6, 2021.)

Mary Washington Healthcare in Virginia worked with a local community college to create a clinical education model that allows student nurses to support current nurses before graduation. Geisinger in Pennsylvania provides up to 175 employees $40,000 in support a year to pursue a nursing career in return for a five-year commitment to work as an inpatient nurse. (American Hospital Association. Senate Statement: Recruiting, Revitalizing and Diversifying – Examining the Healthcare Workforce Shortage. February 10, 2022.)

Children’s Hospital Colorado and Denver Health’s Medical Career Collaborative (MC2) gives high school students hands-on experiences to foster interest in healthcare careers. 96% of participants complete the program and over 70% go on to pursue a healthcare career. Some even end up working for one of the two institutions involved. (Davis, Carol. Stop Workforce Shortages: 3 Ways. June 2022. HealthLeadersMedia.com.)

Offer an Apprenticeship Program.

Trinity Health in Michigan addressed its medical assistant shortage by adopting an apprentice program that has trained 129 assistants since its start and improved retention by 76%. It pays students to go to school three days a week and work at the hospital two days. (American Hospital Association. How Some Hospitals Are Grappling with the Workforce Shortage. June 28, 2022. AHA.org.)

Succession planning & promotion from within.

Indiana University Health places great emphasis on the talent review process. Staff record short- and long-term career goals on talent profiles, their dreams, and where they are willing to live. Each employee’s leader completes a talent assessment. Then senior leaders turn to the talent pool to fill manager and senior-level positions. Two out of every three promotions go to an existing employee. (Davis, Carol. Stop Workforce Shortages: 3 Ways. June 2022. HealthLeadersMedia.com.)

Use artificial intelligence (AI) for greater accuracy in staffing needs and scheduling.

Sanford Health’s previous nurse staffing plans were accurate about 60% of the time. Its AI driven tool enables data analytics that increased nurse staffing plans to 90% accuracy. As a result, patients were cared for, and staff didn’t burn out from being overworked or unable to take time off. (Davis, Carol. Stop Workforce Shortages: 3 Ways. June 2022. HealthLeadersMedia.com.)

There is one other thing you can do – engage RBT CPAs for all of your accounting, tax, audit and business consulting needs so your staff is freed up to focus on attracting and retaining the talent needed to provide care today and in the future. To learn what RBT CPAs can do for your organization, click here.

Should You Offer an Individual Coverage Health Reimbursement Account (ICHRA) In Lieu of Group Medical Plan Coverage?

Should You Offer an Individual Coverage Health Reimbursement Account (ICHRA) In Lieu of Group Medical Plan Coverage?

With group medical plan coverage costs projected to increase between 5% and 6% next year, employers are in a tough spot. Keep offering this valuable coverage and absorbing big cost increases as part of their overall recruitment, retention, and engagement efforts, or consider an alternative that’s growing in popularity: Individual Coverage Health Reimbursement Accounts (ICHRAs).

ICHRAs came into being in 2020 and allow employers to reimburse employees with tax-free dollars for some or all the cost of medical insurance they purchase on their own, as well as certain out-of-pocket costs like copayments and deductibles. They are similar to a Qualified Small Employer Health Reimbursement Arrangement (QSEHRA) introduced in 2017 but offer more flexibility and features.   Here are some highlights:

  • The employer decides how much to contribute to the ICHRA. As long as that amount is considered “affordable”, an employer will meet any Affordable Care Act coverage mandate that applies.
  • A covered employee purchases his/her own coverage – inside the Marketplace or out – and gets reimbursed with ICHRA funds to offset some or all of the monthly premiums (depending on how much the employer contributes). This enables the employee to decide which plan has the benefits (i.e., prescription drug), network doctors, and other features that are meaningful to him/her. Employers can also contribute funds to help cover out-of-pocket costs.
  • If an employee chooses to purchase a plan outside of the ACA Marketplace, the employer can offer him/her the option to pay any premium amounts above the employer’s ICHRA contribution using tax-free dollars via a cafeteria plan.
  • ICHRA reimbursements are tax-deductible for employers and tax-free for employees. So instead of paying payroll taxes on reimbursements given, the reimbursements qualify as an employer tax deduction. In addition, reimbursements are not considered taxable income to employees.

As a result, employees are given the flexibility to choose the coverage that best meets their cost and healthcare needs. Employers can get out of the resource-intensive business of managing, negotiating, and paying directly for group medical plan coverage. Plus, they can manage costs better than ever because they set the limit on how much they’ll contribute to an ICHRA.

ICHRAs also offer a lot of flexibility to employers. For example, an employer can choose which classes of employees are eligible for the ICHRA, while still offering a group medical plan to others. So, an employer may decide to offer an ICHRA to employees in New York, but not Ohio; to full-time employees, but not part-time; etc. An employer can even decide to offer the ICHRA as the only medical plan option to all new hires (a good way to transition away from group medical plan sponsorship over time).

With ICHRAs, small businesses that couldn’t afford to offer traditional coverage now have an option that can strengthen their ability to attract and retain employees. Businesses that already offer medical plan coverage may decide an ICHRA may be a better fit for certain employee classes. All employers may view it as a viable alternative to taking on the risk of managing, negotiating with, and paying for group medical plan coverage.

According to ICHRA FAQs issued jointly by the U.S. Department of Treasury, the U.S. Department of Labor, and the U.S. Department of Health and Human Services, it is projected that “in the next 5-10 years, roughly 800,000 employers will offer Individual Coverage HRAs to pay for insurance for more than 11 million employees.”

Still, there are a lot of technicalities that need to be worked through if you’re considering making the move. For example, employees must choose between the ICHRA and health premium tax credit through the ACA Marketplace. Also, small employers must choose between an ICHRA or Small Business Healthcare Tax Credit – they can’t have both.

For more information, review Healthcare.gov’s ICHRA Decision Guide; Takecommandhealth.com’s guide; and Healthinsurance.org’s ICHRA overview.

Interested in learning more? RBT CPA affiliate Visions Human Resource Services staff is available to conduct benefit plan analysis, while RBT CPAs can help you understand the tax implications of choosing an ICHRA versus other options. Give us a call if you have any questions about this or anything related to your accounting, tax, audit, and business advisory needs. We’ve been serving businesses in the Hudson Valley for over 50 years and believe we succeed when we help you succeed. Call RBT CPAs today.

Ready to Unwind? Prepare for the End of the Public Health Emergency

Ready to Unwind? Prepare for the End of the Public Health Emergency

Whoever gave the moniker “unwinding” to the work that will be required once the Public Health Emergency (PHE) ends must have a great sense of humor. While “unwinding” usually brings thoughts of relaxation and perhaps a sandy beach and a favorite cocktail or hobby, the “unwinding” that will occur when the U.S. PHE expires will likely be anything but relaxing, especially for those in healthcare or a related field.

So much has happened since January 31, 2020, when the World Health Organization declared a Public Health Emergency of International Concern and the Secretary of the U.S. Health and Human Services Department, Alex Azar, declared a PHE in the U.S. due to COVID.  That PHE has been renewed 11 more times, for three-months at a clip, with the latest due to expire January 13, 2023. Don’t panic, yet.

First, the PHE will most likely be extended once again, since the promised 60-day notice before expiration did not occur. Second, the last extension occurred mere days before the PHE was due to end, so advance notice of an extension isn’t necessarily the norm.

While some wonder why we even have a PHE anymore, the healthcare community has to prepare for the unwinding of Federal and state COVID rules, regulations, and protocols, which impact everything from patient care, privacy, and communications to coding, billing, revenue, insurance, and more. To make things more complicated, the timeframes for unwinding vary.

Obviously, the amount of work required to unwind will be impacted based on whether you have a multi-disciplinary practice or focus on one specialty; whether you operate a hospital or medical practice; whether you lead an insurance company/brokerage or telehealth platform; and more.

Still, there’s going to be a lot of work required at the same time you’re likely dealing with the effects of the ongoing labor shortage and uncertain financial environment. As noted by Employee Benefit News, “As we move into 2023, a new sort of “new normal” will likely emerge, but it will take significant effort and communication between healthcare providers, systems, insurance carriers, employers, and employees.” (Schomer, Stephanie. “When COVID is no longer a public health emergency, what happens to healthcare?” November 7, 2022. BenefitNews.com.)

There are a few ways to start preparing to unwind that may be worth consideration now:

  • Review changes that took place throughout the PHE and identify which ones will impact your organization once the unwinding begins. Valuable resources include:
    – KFF’s detailed summary of changes, timing and implications.
    – The Center for Medicare and Medicaid Services’ roadmap for unwinding and fact sheets by medical discipline.
    – Medicaid’s dedicated resources, tools and information and the S. Department of Health and Human Services’.
    Georgetown University’s Health Policy Institute state unwinding tracker links to state plans as well as communication tools, FAQs, and more.
    New York State of Health website, toolkit, and communication templates.
  • If you operate a practice that specializes in one discipline or industry, be sure to get on the email lists of national organizations representing your vertical. This can help you get right to the information that’s most pertinent for your practice.
  • Consider establishing a task force now to oversee the overall unwinding process for your organization. Define who should be on the task force, governance, objectives, timelines, milestones, and success measures. Be sure to include legal counsel for accurate interpretation and application of rules, regulations, and protocols.
  • Start developing a change management strategy incorporating communication and training. Identify all key constituents and audiences, their information needs, communication channels, key messages, and more. Whether you decide to institute a two-minute start of shift daily meeting to review the latest updates or add a reference page on your Internet/Intranet, using the time available to get an infrastructure in place now can help you when the PHE ends.

While you’re focusing on leading your organization through the unwinding, keep in mind that RBT CPAs can free you up by handling all your accounting, tax, and auditing needs with the highest levels of professionalism and ethics. We’re one of the largest firms in the Hudson Valley and beyond, with a legacy built on one simple belief: we succeed when we help our clients succeed. Interested? Give us a call today.

Why It’s Important to Know Your Limits for 2023 Benefit Plans

Why It’s Important to Know Your Limits for 2023 Benefit Plans

At various times of the year, the IRS announces benefit plan limits for the following year. It’s important to understand these limits – and make sure your benefit-eligible employees do, too – in order to maximize what your company and employees get out of the benefit plans you invest in and offer.

Benefit plans are a great way to enhance your company’s employee value proposition and support your attraction, recruitment, and retention efforts. To maximize the investment you and your employees make in benefit plans, it’s important to provide clear and frequent communication explaining how benefits work and what employees can do to get the most from them. This is especially true when a communication can help an employee gain tax advantages and avoid losing money – this is where plan limits come in.

For example, earlier this year the IRS announced 2023 health care flexible spending account (FSA) limits are increasing to $3,050 (from $2,850 this year). That’s good news, as it helps employees put aside more tax-free money to pay for eligible out-of-pocket health care expenses, while reducing their taxable income – both of which will no doubt be welcomed given inflation and the current economic environment.

There are three caveats:

  1. Employees need to know about changes to limits and what it could mean to them.
  2. Employees need to know how to change their benefit elections to take advantage of new limits.
  3. Employees need to know what happens if they don’t use health care FSA funds and file claims by IRS deadlines (they lose the money). Extended grace periods for using the money in 2020 and 2021 due to federal stimulus packages are not available in 2023.

The important phrase here is “employees need to know.” If you also offer a high deductible health plan with a health savings account (HSA), things get even more complicated. Employees need to know whether an FSA or HSA is best for their situation.

See how complicated it can get? That doesn’t even get into defined benefit, defined contribution, compensation, and other IRS limits that will apply in 2023.

Since you have a business to run and may or may not have the resources who can spend the time educating your employees about all of the ins and outs of benefits, you may want to reach out to your benefits administrator for help.

RBT CPA’s affiliate — Spectrum Pension and Compensation – offers third party administration and related services (including communication) for clients in the Hudson Valley and beyond. While you won’t be competing with Fortune 100 companies for attention, you will get customized, personalized services to ensure compliance while promoting the value your plans deliver to your company and team.

Interested in learning more? Click here to see the summary of 2023 limits Spectrum shared with its clients and prospects just a few weeks ago and here to learn what Spectrum can do for your business and employees in 2023 and beyond.

How Biden’s Student Loan Relief Impacts Employer Plans and Planning

How Biden’s Student Loan Relief Impacts Employer Plans and Planning

Some employers had found a competitive edge in recruiting and retention by offering student loan assistance benefits. Others were considering adding them to their rewards programs. Then, Biden’s student loan relief was passed, leaving employers to ponder their next move.

As reported on BenefitsPro.com in September, 4 of 10 employers are taking another look at what to do with student loan benefits following the release of Biden’s plans. “The administration is directing the U.S. Department of Education to cancel $10,000 in federal student loan debt for borrowers earning less than $125,000 annually. Pell Grant recipients will see up to $20,000 eliminated. According to the White House, this initiative will assist up to 43 million borrowers, including eliminating the full remaining balance for roughly 20 million people.”

In an International Foundation of Employee Benefits Plans survey, almost 9% of participating employers offer a company student loan benefit and 16% are considering offering one. 11% are going to take another look at their strategy; 60% don’t plan on making any changes; and 31% don’t know what they’re going to do. Of the employers that do offer a benefit, 28% reimburse the employee directly; 21% offer refinancing; and 3% provide a match in a defined contribution account. Participating employers indicate student loan benefits help with retention and recruitment; reduces employees’ financial stress; and drives employee engagement. On the other hand, some employers have faced pushback from employees who don’t benefit.

What do employees think? As reported on BenefitNews.com, a survey conducted by Betterment at Work found almost 60% of employees felt their employer should help them pay off debt. 74% indicated they’d leave their jobs for another company offering loan repayment benefits.  Perhaps the most potent finding: 86% would stay with an employer for at least five years if they offered repayment benefits.

Employers striving to regain their footing following the Great Resignation and Great Reshuffling may want to take note, especially since the impact of Biden’s plan is limited to those who incur Federal student loan debt by June 30, 2022 and who meet certain income requirements. Even after Biden’s plan pays out benefits, 23 million will still have student loan debt (not including new debt incurred after June 30.)

According to Forbes, more than 50% of today’s students leave college with debt, the average being $28,950. 92% of loans are federal, with the balance being private. Borrowers between 25 and 34 owe about $500 billion in federal student loans; between 35 and 49 owe $620 billion; between 50 and 61 owe about $282 billion; and 2.4 million aged 62 or older owe $98 billion in student loans.

The application for student loan forgiveness under the Biden plan is scheduled to open this month. Eight million people are expected to receive automatic forgiveness; the balance need to apply, but there are some issues being worked through. Just last week, eligibility was scaled back due to legal challenges. In addition, some borrowers want to opt out of the loan forgiveness to avoid state taxes that they would not be subject to otherwise. The number of cases on the docket challenging the law is rising.

While details surrounding Biden’s plan are being settled, the clock is ticking on another benefit offered under the Coronavirus Aid, Relief and Economic Security (CARES) Act to employers. As reported by The College Investor,  “Section 2206 of the CARES Act allows a portion of employer provided student loan assistance to be excluded from income. Whether those payments are made directly to the employee or the lender, they will be tax-free. The income exclusion is up to $5,250 per year per employee.” As of now, this tax advantage is available through December 31, 2025.

For updates on Federal Student Loan Forgiveness, sign up on the U.S. Department of Education subscription webpage.

While we’re not benefit experts or lawyers, at RBT CPAs, we do know taxes, audits and accounting. If you have any questions about how the CARES Act income inclusion may impact your company, give us a call. We’ve been supporting businesses and municipalities in and around the Hudson Valley for over 50 years.

Inflation Reduction Act Healthcare Provisions’ Rollout Timeline

Inflation Reduction Act Healthcare Provisions’ Rollout Timeline

When the Inflation Reduction Act (IRA) was signed into law in August, there was a huge rush to figure out what the law meant and what it would do. Now that we’ve had a little time to reflect on it, one striking characteristic is that the health care provisions roll out over a decade, with the majority taking effect over the next four years.

Since we’re accountants – not lawyers, we consulted a multitude of sources to compile the following effective dates for many (but not all) IRA health care provisions – you’ll find a list of those sources at the end of this article. With that, here’s the timeline we came up with…

December 31, 2022

A plan continues to qualify as high deductible even if it does not apply a deductible to insulin-related products.

2023

ACA premium tax credits enhanced in 2021 under the American Rescue Plan Act and due to expire at the end of 2022 and are extended through 2025.

Adult vaccines recommended by the Advisory Committee on Immunization Practices are covered 100% under Medicare Part D with no cost share. (Certain vaccines will be covered 100% under state Medicaid and Children’s Health Insurance Programs as well.)

Annual price increases for certain Part B and Part D drugs are capped at the rate of inflation; otherwise, manufacturers must pay rebates to the Center for Medicare and Medicaid Services (CMS) or face penalties. Rebates for Part B drugs must be paid quarterly (within 30 days of notice). Rebates for Part D drugs must be paid annually (within 30 days of notice). If rebates aren’t paid, penalties equal to at least 125% of the rebate amount apply.

Insulin out-of-pocket costs are capped at $35 per month for Medicare beneficiaries through 2025.

2024

For Medicare Part D, once costs reach the catastrophic phase (above $7,000), the 5% cost-share no longer applies.

Medicare Part D subsidies are available to beneficiaries at or below 150% (up from 135%) of the federal poverty line.

Part D premium is capped at 6% growth annually through 2029.

2025

Medicare beneficiaries’ annual out-of-pocket costs for Part D spending are capped at $2,000.

Medicare Part D sponsors and Medicare Advantage organizations must offer beneficiaries payment plans, subject to a monthly cap, to pay off Part D prescription drug cost-share amounts.

2026

ACA premium tax credits extended under the IRA expire.

Medicare beneficiaries’ insulin costs are capped at the lesser of $35, 25% of the maximum fair price (MFP) for insulin, or 25% of the negotiated price for insulin. Also, coinsurance amounts and adjustments to supplier payments under Medicare Part B for insulin furnished via durable medical equipment are limited.

Under Medicare Part D, the first negotiated prices for 10 drugs with no generic or biosimilar counterpart that account for the greatest Medicare Part D spending take effect. Manufacturers that delay negotiations under the pretense a biosimilar or generic alternative will be available within 2 years but never materializes will be required to pay rebates to HHS. Manufacturers who fail to sell selected drugs at the MFP negotiated will be subject to severe penalties.

2027

Negotiated prices take effect for the 15 drugs on the negotiation list for Medicare Part D.

2028

Negotiated prices take effect for the 15 drugs on the negotiation list for both Medicare Parts B and D.

2029

Negotiated prices take effect for the 20 prescription drugs on the negotiation list for both Medicare Parts B and D.

2030

CMS will recalculate Part D base premiums using the original Part D premium formula.

2032

As reported by the National Law Review, “The IRA extends the moratorium on implementation of the final rule that relates to eliminating the anti-kickback statute Safe Harbor Protection for Prescription Drug Rebates, issued by the Office of the Inspector General on Nov. 30, 2020. The moratorium is extended until Jan. 1, 2032.”

Sources: National Law ReviewPWC, JDSupra.com, Holland & Knight, HealthCareDive.com, BenefitNews, and Kaiser Family Foundation (KFF)


It’s important to note that I am not a lawyer; if you need confirmation of any IRA provisions please consult legal counsel. However, I am an accountant with RBT CPAs – one of the largest firms in the Hudson Valley and beyond. We’re known for our professionalism, ethics, and responsiveness. Should you need any accounting, tax, or auditing assistance, please don’t hesitate to give us a call.

IRS Changed Certain Deadlines for SECURE Act and CARES Act Amendments

IRS Changed Certain Deadlines for SECURE Act and CARES Act Amendments

If you’ve been racing to comply with SECURE and CARES Act retirement plan amendment deadlines, take a breath! In August, the IRS issued Notice 2022-33 extending some deadlines.

As reported by the Society for Human Resource Management (SHRM), private sector 401(k) plan sponsors who took advantage of benefit changes under the Setting Every Community Up for Retirement Enhancement (SECURE) Act and the Coronavirus Aid, Relief and Economic Security (CARES) Act were previously required to make plan amendments this year. The deadline for:

  • Calendar year plans were originally December 31, 2022.
  • Non-calendar year plans were the last day of the first plan year beginning on or after January 1, 2022.
  • Collectively bargained plans were the exception, with the deadline being the last day of the first plan year after the start of 2024.

The IRS notice issued August 3 pushed the deadline back to December 31, 2025, for both calendar year and non-calendar year plans, with a few exceptions: Under the CARES Act, the amendment deadline for loans, in-service withdrawals, and temporary suspension of loan repayments remain unchanged.

It is important to note, there are different deadlines for government plans. Government sponsors of 457 (b) plans and 403(b) plans for public school employees have until 90 days after the close of the third regular session beginning after December 31, 2023, to amend the plan (although the deadline for certain 457(b) amendments resolving compliance issues may be later).

The SECURE Act requires employers to extend eligibility for certain part-time employees starting in 2024; ease withdrawals by new parents for birth or adoption expenses; and permanently increase the start date for minimum distributions from age 70 ½ to 72. However, it’s important to note that further guidance is pending.

The CARES Act, which offered flexibility to employers during COVID, suspended minimum distribution requirements in 2020 and made it easier for new parents to make withdrawals for birth or adoption expenses. Plan loan limits were also doubled to the lesser of $100,000 or 100% of a vested account balance.

Should you need professional assistance with adopting the amendments, making the effective date retroactive, and operating plans as if the amendments are in effect, our Spectrum Pension and Compensation Inc. affiliate can help. For almost 30 years, Spectrum has been assisting employers in the Hudson Valley and beyond with employee benefits, including retirement plans, health insurance, and life insurance. The Spectrum team is available to provide technical assistance in plan design, compliance, administration, and record keeping. Click here for their contact information.

For accounting, auditing, and tax support, RBT CPAs is always here to help. Give us a call.