Summary of the Employee Retirement Income Security Act (ERISA)
Released: 2009-05-19T00:00:00

Summary:
Due to the recent economic decline and the desire to enact large-scale health reform, the current federal regulation of pension plans, health plans, and other employee benefit plans has received considerable congressional attention. The Employee Retirement Income Security Act of 1974 (ERISA) provides a comprehensive federal scheme for the regulation of employee pension and welfare benefit plans offered by private-sector employers. ERISA contains various provisions intended to protect the rights of plan participants and beneficiaries in employee benefit plans. These protections include requirements relating to reporting and disclosure, participation, vesting, and benefit accrual, as well as plan funding. ERISA also regulates the responsibilities of plan fiduciaries and other issues regarding plan administration. ERISA contains various standards that a plan must meet in order to receive favorable tax treatment, and also governs plan termination. This report provides background on the pension laws prior to ERISA, discusses various types of employee benefit plans governed by ERISA, provides an overview of ERISA's requirements, and includes a glossary of commonly used terms.

subsections: section_title: Introduction
paragraphs: The Employee Retirement Income Security Act of 1974 (ERISA) protects the interests of participants and beneficiaries in private-sector employee benefit plans. Governmental plans and church plans generally are not subject to the law. ERISA supersedes state laws relating to employee benefit plans except for certain matters such as state insurance, banking and securities laws, and divorce property settlement orders by state courts. An employee benefit plan may be either a pension plan (which provides retirement benefits) or a welfare benefit plan (which provides other kinds of employee benefits such as health and disability benefits). Most ERISA provisions deal with pension plans. ERISA does not require employers to provide pensions or welfare benefit plans, but those that do must comply with its requirements. ERISA sets standards that pension plans must meet in regard to:
who must be covered (participation), how long a person has to work to be entitled to a pension (vesting), and how much must be set aside each year to pay future pensions (funding).
ERISA sets fiduciary standards that require employee benefit plan funds be handled prudently and in the best interests of the participants. It requires plans to inform participants of their rights under the plan and of the plan's financial status, and it gives plan participants the right to sue in federal court to recover benefits that they have earned under the plan. ERISA also established the Pension Benefit Guaranty Corporation (PBGC) to insure that plan participants receive promised benefits, up to a statutory limit, should a plan terminate with a lack of sufficient assets to pay promised benefits. In order to encourage employers to establish pension plans, Congress has granted certain tax deductions and deferrals to qualified plans. To be qualified for tax preferences under the Internal Revenue Code (IRC), plans must meet requirements with respect to pension plan contributions, benefits, and distributions, and there are special rules for plans that primarily benefit highly compensated employees or business owners.
Responsibility for enforcing ERISA is shared by the Department of the Treasury, the Department of Labor, and the Pension Benefit Guaranty Corporation (PBGC). In the Department of the Treasury, the Internal Revenue Service oversees standards for plan participation, vesting, and funding. The Department of Labor regulates fiduciary standards and requirements for reporting and disclosure of financial information. The PBGC—a government-owned corporation—administers the pension benefit insurance program.
subsections: section_title: Historical Development of Pension Plans in the United States
paragraphs: The first employer-sponsored pension plans in the United States were established in the late 19 th century in the railroad industry. At that time, pensions were regarded as gifts in recognition of long service rather than as a form of compensation protected by law. Pension benefits often were paid from employers' annual revenues and sometimes were reduced or terminated if the company paying the pension became unprofitable or went out of business.
Congress first gave pensions and profit-sharing plans preferential income tax treatment in the 1920s. At that time, few households paid income taxes, so these tax benefits did not immediately spur the growth of the private pension system. The Revenue Acts of 1938 and 1942 outlined more specific requirements for "tax-qualified" pension plans, including the requirement that benefits and contributions not discriminate in favor of highly compensated employees. Tax qualification means that the employer can deduct the amounts contributed to the plan, the earnings on the pension trust fund are exempt from taxes until distributed, and covered employees do not have to pay income tax on the employer's contributions to the plan. Employers also are allowed to "integrate" their pension benefit formulas with Social Security benefits to partly offset the relatively more generous income replacement rates that Social Security pays to low-wage workers.
During the Second World War (1941-1945), pensions and other deferred compensation arrangements were exempt from wartime wage controls. Employers who were unable to pay higher wages due to these controls could increase workers' total compensation by offering new or increased pension benefits. Also in 1940s, the federal courts declared that pensions were subject to collective bargaining, and that employers had to include pensions among the benefits for which unions could negotiate. In addition, the expansion of the income tax to include more households and the introduction of higher marginal income tax rates made the tax advantages of pensions considerably more valuable to workers. Both of these developments led to more widespread adoption of employer-sponsored pensions during the 1950s and 1960s.
section_title: Origins of ERISA
paragraphs: As the number and size of private pension plans grew in the 1950s and 1960s, so did the number of instances in which employers or unions attempted to use the assets of these plans for purposes other than paying benefits to retired workers and their surviving dependents. In 1958, Congress passed The Welfare and Pension Plans Disclosure Act, which required public disclosure of pension plan finances. Advocates of the legislation expected that greater transparency of pension funding would ensure that the funds held in trust for workers' pensions would not be misused by plan sponsors. After the Studebaker automobile company terminated its underfunded pension plan in 1963, leaving several thousand workers and retirees without the pensions that they had been promised, Congress began considering legislation to ensure the security of pension benefits in the private sector.
During the early 1970s, both the House and Senate labor committees drafted bills to regulate the private pension system. The Senate Labor and Public Welfare Committee reported a pension bill in 1972. Up to that point, the legislation had been handled exclusively as a labor issue, but since most private pension plans benefitted from the favorable tax treatment accorded them under the Internal Revenue Code, the Senate Finance Committee also asserted its jurisdiction. As passed by Congress in 1974, ERISA included elements produced by the House and Senate labor committees, the House Ways and Means Committee, and the Senate Finance Committee. Title I of the law, which sets standards for pension plans of employers engaged in interstate commerce, is under the jurisdiction of the House Committee on Education and Labor and the Senate Committee on Health, Education, Labor, and Pensions. Title II, which makes conforming amendments to the Internal Revenue Code for tax-qualified plans, is under the jurisdiction of the House Ways and Means Committee and the Senate Finance Committee. The labor and tax committees share jurisdiction over the PBGC.
ERISA was signed into law by President Gerald Ford on Labor Day, September 2, 1974. Congress has amended ERISA over the years to provide greater protection to survivors and spouses of pension plan participants, improve pension funding practices, strengthen the finances of the PBGC, alter the limits on tax-deductible pension plan contributions, and to ensure that tax-favored plans are broadly based and do not unduly favor a firm's owners and other highly compensated employees.
Before ERISA was enacted, an employer could terminate an unfunded pension plan without being liable for any additional pension contributions. If there were insufficient assets in the pension plan to pay all claims, participants had no legal recourse to demand that employers use company assets to continue funding the plan. ERISA protects the benefits of participants in most private-sector pension plans by requiring companies with defined benefit pension plans to fully fund the benefits that participants have earned. The law prohibits companies from using pension funds for purposes other than paying pensions and retiree health benefits. It also limits the age and length-of-service requirements that firms can require participants to meet to receive a pension. ERISA also requires all private-sector sponsors of defined benefit pension plans to purchase insurance from the Pension Benefit Guaranty Corporation.
section_title: Types of Qualified Retirement Plans
paragraphs: ERISA and the IRC classify employer-sponsored retirement plans as either defined benefit (DB) plans or defined contribution (DC) plans. A defined benefit plan specifies either the benefit that will be paid to a plan participant or the method of determining the benefit. The plan sponsor's contributions to the plan vary from year to year, depending on the plan's funding requirements. Benefits often are based on average pay and years of service. For example, the benefit might be defined as 1.5% of the average of the employee's highest five years of pay multiplied by his or her number of years of service. This would result in a benefit equal to 45% of a participant's "high-five" average pay after 30 years of service. Some DB plans, particularly plans covering workers who belong to unions, pay a flat benefit per year of service. For example, if the benefit is defined as $30 per month for each year of service, the monthly pension benefit after 30 years of service would be $900.
ERISA requires DB plans to be fully funded. The assets held in the pension trust must be sufficient to pay the benefits that the plan's participants have earned. The employer bears the investment risk for the assets held by the plan. If the assets decrease in value, or if the plan's liabilities increase, the plan sponsor must make additional contributions to the pension trust fund. The assets of qualified DB plans are exempt from creditors' claims if the sponsor is in bankruptcy, and DB plan benefits are insured up to certain limits by the Pension Benefit Guaranty Corporation.
A defined contribution plan is one in which the contributions are specified, but not the benefits. A defined contribution plan (also called "an individual account" plan) is one that provides an individual account for each participant that accrues benefits based solely on the amount contributed to the account and any income, expenses, and investment gains or losses to the account. The employee bears the investment risk in a DC plan, and DC plans are not insured by the PBGC.
When ERISA was enacted in 1974, most employer-sponsored retirement plans were defined benefit plans. The number of defined benefit plans continued to grow until the mid-1980s. The number of DB plans then began to fall while the number of DC plans increased. Analysts have suggested several possible reasons for these trends, including rising global competition that put greater pressure on companies to reduce costs, a more mobile workforce that preferred the portability of benefits earned in DC plans, the higher costs of maintaining DB plans after stronger funding requirements were put into place by ERISA, and the greater attractiveness of DC plans after Section 401(k) of the tax code was added by the Revenue Act of 1978. Although the standards established under ERISA have made workers' pensions more secure, some employers—especially small employers—apparently decided that the plan funding requirements of ERISA made DB plans too expensive to maintain. The decline in the number of DB plans since the 1980s has been the result mainly of terminations of small plans. By the late 1990s, defined contribution plans had overtaken defined benefit plans in number of plans, number of participants, and total assets. ( Table 1 .)
subsections: section_title: Hybrid Plans
paragraphs: In recent years, many employers have converted their traditional DB plans to "hybrid" plans that have characteristics of both defined benefit and defined contribution plans. The most common of these hybrids is the cash balance plan . A cash balance plan looks like a defined contribution plan in that the accrued benefit is defined in terms of an account balance. The employer contributes an amount equal to a fixed percentage of pay to the plan and pays interest on the accumulated balance. However, a cash balance plan is not an individual account owned by the participant. Assets are held in a common trust, and each participant's "account balance" is merely a record of his or her accrued benefit. Because plan sponsors are obligated to provide the participants with benefits that are no less than the sum of contributions to the plan plus interest, cash balance plans are considered to be defined benefit plans.
section_title: The Revenue Act of 1978 and 401(k) Plans
paragraphs: The most common defined contribution plans are 401(k) plans, named for the section of the IRC added by the Revenue Act of 1978 under which they were authorized. In 1981, the IRS published regulations for IRC §401(k). Soon after, the first 401(k) plans were established. A 401(k) plan is an "individual account plan." Its defining feature is that the employee, as well as the employer, can make pre-tax contributions to the account. Taxes on these contributions and on investment earnings are deferred until the money is withdrawn. Before Section 401(k) was enacted, DC plans for private-sector employees were funded by employer contributions or by after-tax employee contributions. Typically, participants in a 401(k) plan can allocate their account balances among a menu of investment options selected by the employer or by a plan administrator appointed by the employer. The participant's retirement benefit consists of the balance in the account, which is the sum of all the contributions that have been made plus interest, dividends, and capital gains (or losses) minus fees and expenses. Upon separating from the employer, the participant usually has the choice of receiving these funds through a series of withdrawals or as a lump sum. Some 401(k) plans allow participants to purchase a life annuity through an insurance company, but defined contribution plans are not required to offer annuities.
In most 401(k) plans, the employee must elect to have contributions to the plan deducted from his or her pay, decide how much to have deducted, and direct these contributions among the plan's investment options. The employer often contributes either a fixed dollar amount or percentage of pay to the account on behalf of each participant. Employer contributions are sometimes conditioned on the employee also making contributions. In a 401(k) plan, the employer can reduce or suspend its contributions to the plan if business conditions are unfavorable for the firm, or for any other reason. Although 401(k) plans are the most numerous DC plans, they are not the only kind of DC plan. (See box below .)
ERISA and the pension provisions of the Internal Revenue Code have been amended several times since ERISA was enacted in 1974. The most significant changes to ERISA since its original passage were enacted in the Pension Protection Act of 2006 (PPA)( P.L. 109-280 ). In December of 2008, Congress passed the Worker, Retiree, and Employer Recovery Act of 2008 (WRERA) ( P.L. 110-455 ), which makes several technical corrections to the Pension Protection Act of 2006 ( P.L. 109-280 ) and contains provisions designed to help pension plans and plan participants weather the current economic downturn. Amendments made to ERISA by the PPA and WRERA are discussed below.
section_title: ERISA: An Overview
paragraphs: ERISA consists of four titles. Title I sets out specific protections of employee rights in pensions and welfare benefit plans. Title II specifies the requirements for plan qualification under the Internal Revenue Code. Title III assigns responsibilities for administration and enforcement to the Departments of Labor and Treasury. Title IV of ERISA establishes the Pension Benefit Guaranty Corporation.
section_title: ERISA Title I: Protection of Employee Benefit Rights
subsections: section_title: A. Coverage
paragraphs: Title I of ERISA covers employee pension and welfare benefit plans established or maintained by employers in the private sector. The law specifically exempts governmental plans and church plans. Plans that are maintained only for the purpose of complying with applicable workmen's compensation laws, unemployment compensation, or disability insurance laws, as well as plans that are maintained outside of the United States (primarily for the benefit of persons who are non-resident aliens) are also exempted from ERISA's Title I requirements.
section_title: B. Reporting and Disclosure
paragraphs: Section 2(b) of ERISA states that it is the policy of ERISA "to protect ... the interests of plan participants and their beneficiaries by requiring disclosure and reporting of financial and other information." Both pension and welfare benefit plans can be subject to extensive reporting and disclosure requirements that can be found under Sections 101 through 111 of ERISA. These sections may require disclosure of information to plan participants and beneficiaries, as well as reporting of pension and welfare plan information to governmental agencies. Some of the reporting and disclosure requirements provide that certain materials must be disseminated or made available to participants at reasonable times and places. Other requirements arise only upon the written request of a plan participant or beneficiary or upon the occurrence of a specific event. Reports and disclosures required by ERISA include summary plan descriptions, annual reports, and summaries of plan modifications. In addition, the Pension Protection Act of 2006 (PPA) made enhancements to the reporting and disclosure requirements, requiring the provision of statements of a participant's total accrued benefits, an annual funding notice for single-employer plans, as well as a notice of eligibility to divest employer securities.
subsections: section_title: 1. Summary Plan Description
paragraphs: As a mechanism for informing plan participants of the terms of the plan and its benefits, ERISA requires that plan administrators furnish to participants a summary plan description (SPD). A SPD is a written summary of the provisions of an employee benefit plan that contains the terms of the plan and the benefits offered. It must be written in a manner that can be understood by the average plan participant and be sufficiently accurate and comprehensive to reasonably apprise participants and beneficiaries of their rights and obligations under the plan.
ERISA specifies what the SPD must contain. It must state when an employee can begin to participate in the plan, describe the benefits provided by the plan, state when benefits become vested, and describe the remedies available if a claim for benefits is denied in whole or in part. If a plan is altered, participants must be informed, either through a revised SPD, or in a separate document, called a summary of material modifications (discussed below), both of which must also be given to plan participants.
section_title: 2. Summary of Material Modifications
paragraphs: Under Section 104(b)(1), a plan administrator must provide a summary of any material modification (SMM) in the terms of the plan as well as any change in information required to be included in the SPD. This summary must be provided, in most cases, within 210 days after the close of the plan year in which the modification was adopted, and also must be furnished to the Labor Department upon request. Similar to the SPD, the materials must be written in a manner that can be understood by the average plan participant. While ERISA does not define "material modification" and does not specifically cover what changes warrant an SMM, courts have addressed this issue. Courts have held plan amendments such as the establishment and elimination of benefits are material modifications. However, as courts have also pointed out, not all plan amendments are material modifications.
section_title: 3. Annual Report
paragraphs: Section 103 of ERISA provides that certain employee benefit plans must file an annual report with the Department of Labor. The annual report is considered to be a primary source of information concerning the operation, funding, assets, and investments of employee benefit plans. It is regarded as a compliance and research tool for the Labor Department, and a source of information and data for use by other federal agencies, Congress, and private groups in assessing employee benefit, tax, and economic trends and policies. While the annual report can also be an important disclosure document for plan participants, participants must request a copy from a plan administrator.
The annual report must include a detailed financial statement containing information on the plan's assets and liabilities, an actuarial statement, as well as various other information, depending on the type of the plan and the number of participants. Plan administrators must make copies of the annual report available at the principal office of the plan administrator and at other places as may be necessary to make pertinent information readily available to plan participants.
The annual report must be filed within seven months after the close of a plan year, and extensions may be available under certain circumstances. The annual report is to be filed with the Department of Labor on Form 5500. In 2006, the DOL published a rule requiring electronic filing of Form 5500 annual reports for plan years beginning on or after January 1, 2008.
section_title: 4. Benefit Statements
paragraphs: Under Section 105 of ERISA, plan administrators are required to periodically furnish a pension benefit statement to participants and beneficiaries. For defined contribution plans, a pension benefit statement must be provided (1) every calendar quarter to participants and beneficiaries who have the right to direct the investments of the account, or (2) once each calendar year for participants and beneficiaries who have accounts with the plan, but do not have control over the investment in the account. Section 105 also provides that plan administrators of defined benefit plans must furnish benefit statements to participants and beneficiaries at least once every three years to any individual who has both a non-forfeitable accrued benefit and is employed by the employer maintaining the plan at the time the statement is furnished. Statements to participants in defined benefit plans must also be provided upon request. Pension benefit statements must indicate information such as amount of non-forfeitable benefits, accrued benefits, and the earliest date on which accrued benefits become non-forfeitable. Benefit statements covering a defined contribution plan must also include the value of each investment to which assets have been allocated in a participant or beneficiary's account.
section_title: 5. Annual Funding Notice
paragraphs: Defined benefit plan administrators must also provide an annual plan funding notice. While in previous years funding notices have been furnished by multiemployer plans, single-employer plans must provide this notice beginning in 2008. The required annual notices include information about the plan's funding policy, assets, and liabilities; a statement of the number of participants; and a general description of the benefits that are eligible to be guaranteed by the PBGC. The notice must be provided to the PBGC, plan participants and beneficiaries, labor organizations representing such participants or beneficiaries, and, in the case of a multiemployer plan, to each employer who has an obligation to contribute to the plan.
section_title: 6. Notice of Freedom to Divest Employer Securities
paragraphs: The PPA amended the disclosure provisions of ERISA to require plan administrators to provide participants with a notice of their eligibility to divest employer securities held in a defined contribution plan. Section 101(m) of ERISA requires plan administrators to provide this notice to applicable individuals at least 30 days before the date on which the individual is eligible to divest these securities. The notice must inform the participant that he or she has the right to direct divestment of the employer securities and informed of the importance of diversifying the investment of retirement account assets. The notice must be written in a manner that can be understood by the average plan participant. It may be delivered in written, electronic, or other appropriate form that is reasonably accessible to the recipient.
section_title: C. Participation Requirements
paragraphs: ERISA restricts the amount of time an employee can be excluded from participating in a pension plan. Under ERISA Section 202(a)(1)(A), an employee can only be excluded from an ERISA pension plan on account of age or service if the employee is under age 21 or has not yet completed a year of service. The term "year of service" is defined as a 12-month period during which the employee has worked at least 1,000 hours.
Alternatively, in the case of a plan under which a participant's benefits are 100% vested after no more than two years of service, a plan may require two years of service prior to participating in the plan. Plans maintained for employees of certain educational institutions which provide for 100% vesting after one year may condition participation on an employee's becoming 26 years old or completing one year of service, whichever is later.
Once an employee becomes eligible to participate, a plan must enroll the employee no later than (1) the first day of the plan year or (2) six months after the date of satisfaction of the participation requirements, whichever is earlier. ERISA also prohibits pension plans from excluding employees from participation in the plan after an employee has attained a certain age.
section_title: D. Benefit Accrual
paragraphs: Section 204 of ERISA governs benefit accrual, which generally refers to the rate at which benefits are earned by a plan participant. An "accrued benefit" is defined differently for defined benefit and defined contribution plans. For defined benefit plans, accrued benefit means an individual's benefit determined under the plan and expressed in the form of an annual benefit commencing at normal retirement age, subject to exceptions. ERISA provides three primary methods for benefit accrual under a defined benefit plan:
Under the "133-1/3 rule," generally, a later rate of accrual for one year of plan participation cannot be more than 133-1/3 percent of the rate for any other plan year. Under the "3% rule," a participant must accrue at least 3% of the participant's anticipated normal retirement benefit in each year of participation, up to a maximum of 33-1/3 years. Under the "fractional rule," benefit accrual is focused on a worker's proportionate years of service under the plan. For example, if benefits can accrue for a maximum of 40 years up to the date of the plan's normal retirement age (such as 65), a worker starting under the plan at age 25 and working to age 60 would get 35/40 of the maximum credit toward a pension.
These tests limit the amount of "backloading," a practice of providing a higher benefit accrual rate for later years of service than for earlier years. "Front loading" benefits (providing a higher accrual rate for earlier years of service than for later years) is permitted, but decreases in the rate of benefit accrual cannot be based on the participant's age.
In a defined contribution plan, the participant's accrued benefit is the balance in his or her account. Participants begin accruing a benefit in a defined contribution plan once they have met the participation requirements under the terms of the plan. However, if an employer makes contributions to an employee's account, the accrued benefit received may be treated differently for vesting purposes than the accrued benefit from employee contributions.
subsections: section_title: 1. Anti-cutback Rule
paragraphs: ERISA Section 204(g) prohibits plan amendments that eliminate or reduce benefits already accrued by plan participants. This prohibition is commonly referred to as the "anti-cutback rule." Benefits subject to the anti-cutback rule include basic accrued benefits, as well as any early retirement benefits, "retirement-type" subsidies, and other optional forms of benefits that an individual who has met certain requirements (as defined by the plan) is eligible to receive. However, the anti-cutback rule does not prevent a plan from freezing accrued benefits, reducing the rate at which benefits will accrue in the future, or eliminating future benefit accruals altogether.
Although an accrued benefit is generally defined in monetary terms, the Supreme Court has held that the anti-cutback rule applies not only to a particular sum of money, but to a plan amendment which hinders a participant's receipt of benefits. In Central Laborers ' Pension Fund v. Heinz , a retired plan participant's benefits were suspended by the plan following a plan amendment that prohibited participants from engaging in the type of post-retirement employment he performed. The plaintiff claimed that this suspension violated ERISA's anti-cutback rule. The plan argued, among other things, that the anti-cutback rule applies only to amendments affecting the dollar amount the plan was obligated to pay, and that a mere suspension of benefits did not eliminate or reduce an accrued benefit. The Court rejected this argument and affirmed the decision of the lower court, stating that "as a matter of common sense, a participant's benefits cannot be understood without reference to the conditions imposed on receiving those benefits, and an amendment placing materially greater restrictions on the receipt of the benefit 'reduces' the benefit just as surely as a decrease in the size of the monthly benefit payment."
section_title: 2. Benefit Accrual and Age Discrimination
paragraphs: ERISA contains provisions designed to prevent age discrimination in benefit accrual. Section 204(b)(1)(H) of ERISA prohibits a defined benefit plan from ceasing accruals or reducing the rate of accrual on account of the employee's age. Section 204(b)(2)(A) of ERISA provides that for defined contribution plans, allocations to an employee's account may not cease, and the rate at which amounts are allocated to an employee's account may not be reduced on account of age.
Over the past few years, several courts have evaluated these provisions in determining whether cash balance plans are age-discriminatory. Discrimination has been alleged, among other things, because of the structure of a cash balance plan, under which employees receive both pay credits and interest credits. After the employee terminates employment, pay credits will generally cease, but an employee will typically continue to earn interest credits. Because a younger employee has more time before retirement age in which to earn interest than an older employee, an accrued benefit may be greater for a younger employee. This result, some have argued, violates the age discrimination provisions. While certain district court decisions have held that cash balance plans violate the age discrimination provisions, all appellate courts to evaluate this issue have found that the plans are not age discriminatory.
The PPA amended the benefit accrual requirements of ERISA, as well as other federal laws, by adding new standards under which a plan can be considered inherently non-age discriminatory. Under the act, a plan is not considered age discriminatory if a participant's entire accrued benefit, as determined under the plan's formula, is at least equal to that of any similarly situated, younger individual. A "similarly situated" individual is defined as an individual who is identical to the participant in every respect, including length of service, compensation, position, and work history, except for age. The PPA provides that cash balance plans do not discriminate against older workers if, among other things, benefits are fully vested after three years of service and interest credits do not exceed a market rate of return. In general, the new provisions regarding cash balance plans are effective for periods beginning on or after June 29, 2005. Thus, cash balance plans in existence prior to this date may still be subject to legal challenge.
section_title: E. Minimum Vesting Standards
paragraphs: While benefit accrual refers to the amount of benefits earned under ERISA, vesting occurs when a plan participant's accrued benefit is considered to be nonforfeitable. Once benefits have vested, the participant may be able to receive the vested portion of his or her retirement benefits even if he or she leaves the job before retirement. Vesting requirements apply only to benefits derived from employer contributions to a plan. Participant contributions to a pension plan must be automatically nonforfeitable to the participant.
ERISA imposes two general vesting requirements: one depending on age and one depending on length of service. First, under Section 203(a) of ERISA, all plans must provide that the employees' rights to their "normal retirement benefits" are fully vested upon attainment of "normal retirement age." While a plan may choose a "normal retirement age" for purposes of determining when a participant's benefits vest, ERISA provides that this age must be the earlier of: (1) the time a participant attains normal retirement age as specified under a plan or (2) the later of the time the participant attains age 65 or the fifth anniversary of the time the participant commenced participation in the plan.
Second, ERISA's vesting provisions also require benefits to vest based on an employee's years of service to the employer. Under ERISA § 203(b), a qualified defined benefit plan must meet one of two vesting schedules. The first schedule is met if a participant's benefits are fully vested after five years of service, commonly referred to as five-year "cliff" vesting. Alternatively, a participant's benefits may vest under the following graded vesting schedule:
Most defined contribution plans are subject to similar vesting requirements. Exceptions include the SIMPLE 401(k) and the Safe Harbor 401(k) plans, in which participants are immediately vested in employer contributions. For other defined contribution plans, employers have a choice between two vesting schedules for employer contributions. Under cliff vesting, participants must be 100% vested in employer contributions after no more than three years of service. Under graduated or graded vesting, an employee must be at least 20% vested after two years, 40% after three years, 60% after four years, 80% after five years, and 100% vested after six years. Both employer matching contributions ( i.e. , employer plan contributions made on behalf of an employee and on account of an employee's elective contributions) as well as employer nonelective contributions (such as profit-sharing contributions) must vest under these rules.
subsections: section_title: Breaks in Service
paragraphs: ERISA protects plan participants from losing credit for earlier service in cases in which workers leave their jobs and then return to work within five years. Once an employee becomes eligible to participate in a pension plan, all years of service with the employer during which the employer maintained the plan (including service before becoming a plan participant) must be taken into account for purposes of determining how much service will be counted toward meeting the plan's vesting requirement. In the case of a nonvested participant, years of service before any break in service must be taken into account upon re-employment. In a defined contribution plan, if a participant who is not 100% vested incurs a break in service of less than five years and subsequently returns to work, all service after returning to work must be added to the pre-break service in determining the vested portion of the pre-break benefit. A break in service occurs in any year in which the employee completes less than 500 hours of service. Generally, workers will not incur a break in service for up to one year's absence due to pregnancy, childbirth, infant care, or adoption.
section_title: F. Benefit Protections for Spouses
paragraphs: The Retirement Equity Act of 1984 (REA) amended ERISA to increase pension protections for the survivors of deceased plan participants. As amended by the REA, ERISA requires defined benefit plans and money purchase plans to provide preretirement and postretirement survivor annuities to married employees unless a written election to waive the survivor annuity is signed by both the employee and his or her spouse. In the event of divorce, ERISA requires plan administrators to honor qualified domestic relations orders (QDROs) issued by state courts that divide the pension or account balance between the two parties. This requirement ensures that a court order awarding a share of a vested pension benefit to the former spouse of a divorced plan participant will be honored by the plan.
subsections: section_title: 1. Preretirement Survivor Benefits
paragraphs: ERISA requires defined benefit plans to provide a survivor annuity to the spouse of a vested active participant or vested former participant. The cost of the preretirement survivor annuity may be paid by the employer or passed on to covered participants through reduced benefits or increased contributions. To waive the preretirement survivor benefit, both participant and spouse must sign a waiver form. The plan can defer payment of the survivor annuity until the month in which the deceased participant would have reached the plan's earliest retirement age. Profit-sharing plans (including 401(k) plans) and stock bonus plans must provide for automatic payment of the participant's vested account balance to his or her spouse upon the death of the participant unless both parties designate an alternate beneficiary in writing. If either a profit-sharing plan or stock bonus plan offers a life annuity option, it must provide a pre-retirement survivor annuity.
section_title: 2. Postretirement Survivor Benefits
paragraphs: ERISA requires the default form of benefit paid to a married participant in a defined benefit plan to be a joint and survivor annuity that provides a life annuity to the survivor equal to at least 50% of the joint benefit paid while the participant was living. Beginning in 2008, the PPA requires plans to offer a 75% survivor annuity option if the plan's survivor annuity is less than 75%, and to offer a 50% survivor annuity option if the plan's survivor annuity is greater than 75%. Waiving the survivor benefit requires the written consent of both the participant and spouse. The participant and spouse must have at least 90 days ending on the annuity starting date to waive the survivor annuity. The decision to waive the survivor annuity also can be revoked during this period.
Because a joint and survivor annuity is based on the joint life expectancy of the participant and spouse instead of a single life, the amount of the joint annuity is lower than it would be if it were a single-life annuity. Once a joint and survivor annuity is in effect and the retirement annuity has commenced, the spouse to whom the participant was married on the date that the annuity started is entitled to the survivor annuity, even if the couple is no longer married when the participant dies.
Before the annuity begins, the employer must provide each participant with a written notice that states:
the terms and conditions of the qualified joint and survivor annuity; the right of the participant and spouse to decline the survivor annuity and the effect of the decision; the rights of the spouse; and the right to reverse the decision and the effect of reversing it.
section_title: 3. Qualified Domestic Relations Orders
paragraphs: The REA of 1984 amended ERISA to allow plans to honor state court orders awarding a share of a worker's pension to a former spouse. ERISA sets forth procedures the plan administrator must follow to determine if a court order is a qualified domestic relations order (QDRO). While ERISA generally requires pension plans to provide that "benefits under the plan may not be assigned or alienated," an exception to this requirement is made for QDROs. Payments to the former spouse of a participant may begin when the participant becomes eligible to retire, even if the participant is still employed.
A QDRO must specify:
the name and last known address of the participant and each person to receive money, the amount or percentage of the participant's benefits to be paid to each person, the number of payments or the time period to which the order applies, and each plan to which the order relates.
A QDRO generally will qualify only if it does not require the plan to:
provide a form of benefit not otherwise provided by the plan, pay more benefits than it would have paid in the absence of the order, or pay benefits that the plan must already pay to another beneficiary because of an earlier QDRO.
The PPA directed the Secretary of Labor to issue regulations to clarify whether a domestic relations order that supersedes or revises an earlier QDRO will be considered to be qualified, and to state the conditions under which a QDRO will not be treated as qualified because of the time at which it was issued.
section_title: G. Buyouts, Mergers, and Consolidations
paragraphs: If a company is purchased by another firm, participants and beneficiaries in the acquired company may not be denied pension benefits already earned, and PBGC insurance protections continue to apply to those benefits. In the event of a plan merger, consolidation, or transfer of plan assets or liabilities, the participant's benefit must be equal to, or greater than, the benefit to which the participant would have been entitled had the plan been terminated immediately before the merger, consolidation, or transfer.
section_title: H. Plan Funding
paragraphs: To ensure that sufficient money is available to pay promised pension benefits to participants and beneficiaries, ERISA sets rules that require plan sponsors to fully fund the pension liabilities of defined benefit plans. These rules were substantially modified by the PPA. The funding requirements of ERISA recognize that pension liabilities are long-term liabilities. Consequently, plan liabilities need not be funded immediately, but instead can be amortized (paid off with interest) over a period of years. Single-employer plans generally are required to amortize initial past service liabilities and past service liabilities arising under plan amendments over no more than seven years. Defined contribution plans do not promise a specific benefit, and so these plans have no funding requirements.
ERISA requires employers that sponsor defined benefit plans to fund the pension benefits that plan participants earn each year. This is referred to as funding the normal cost of the plan. In addition, DB plan sponsors must amortize the cost of any pension benefits granted to employees for past service, but for which no monies were set aside. Furthermore, if a DB plan retroactively increases the level of benefits by plan amendment, these new liabilities must be amortized as well. The assets of the pension plan must be kept in a trust that is separate from the employer's general assets. Assets in the pension trust fund are protected from the claims of creditors in the event that the plan sponsor files for bankruptcy.
subsections: section_title: 1. Funding Requirements for Single-employer Plans
paragraphs: ERISA requires companies that sponsor defined benefit pension plans to fully fund the benefits that plan participants earn each year. If a plan is underfunded, the plan sponsor must amortize this unfunded liability over a period of years. The PPA established new rules for determining whether a defined benefit plan is fully funded, the contribution needed to fund the benefits that plan participants will earn in the current year, and the contribution to the plan that is required if previously earned benefits are not fully funded. In general, the new rules are effective with plan years beginning in 2008, but many provisions of the PPA will be phased in over several years.
subsections: section_title: a. Minimum funding standards for single-employer plans
paragraphs: Pension plan liabilities extend many years into the future. Determining whether a pension is adequately funded requires converting the future stream of pension payments into the amount that would be needed today to pay off those liabilities all at once. This amount—the "present value" of the plan's liabilities—is then compared with the value of the plan's assets. An underfunded plan is one in which the value of the plan's assets falls short of the present value of its liabilities. Converting a future stream of payments (or income) into a present value requires the future payments (or income) to be discounted using an appropriate interest rate. Other things being equal, the higher the interest rate, the smaller the present value of the future payments (or income), and vice versa.
When fully phased in, the new funding requirements established by the PPA will require plan assets to be equal to 100% of plan liabilities. Any unfunded liability will have to be amortized over no more than seven years. Sponsors of severely underfunded plans that are at risk of defaulting on their obligations will be required to fund their plans according to special rules that will result in higher employer contributions to the plan. Plan sponsors are allowed to use credit earned for past contributions (called "credit balances") to offset required contributions, but only if the plan is funded at 80% or more. The value of credit balances must be adjusted to reflect changes in the market value of plan assets since the date the contributions that created the credit balances were made.
A plan sponsor's minimum required contribution is based on the plan's target normal cost and the difference between the plan's funding target and the value of the plan's assets. The target normal cost is the present value of all benefits that plan participants will accrue during the year. The funding target is the present value of all benefits—including early retirement benefits—already accrued by plan participants as of the beginning of the plan year. If a plan's assets are less than the funding target, the plan has an unfunded liability . This liability—less any permissible credit balances—must be amortized in annual installments over no more than seven years. The plan sponsor's minimum required annual contribution is the plan's target normal cost for the plan year, but not less than zero. The 100% funding target is being phased in at 92% in 2008, 94% in 2009, 96% in 2010, and 100% in 2011 and later years. The phase-in does not apply to underfunded plans that were required to make deficit reduction contributions in 2007. Those plans have a 100% funding target in 2008.
ERISA requires plans to discount future liabilities using three different interest rates, depending on the length of time until the liabilities must be paid. A short-term interest rate is used to calculate the present value of liabilities that will come due within five years. A mid-term interest rate is used for liabilities that will come due in five to 20 years, and a long-term interest rate is applied to liabilities that will come due in more than 20 years. The Secretary of the Treasury determines these rates, which are derived from a "yield curve" of investment-grade corporate bonds averaged over the most recent 24 months. The yield curve is being phased in over three years beginning in 2007. It will replace the four-year average of corporate bond rates established under the Pension Funding Equity Act of 2004, which expired on December 31, 2005.
section_title: b. "At risk" plans
paragraphs: Pension plans that are determined to be at risk of defaulting on their liabilities must use specific actuarial assumptions to determine plan liabilities. A plan is deemed to be at-risk if it is unable to pass either of two tests. Under the first test, a plan is at-risk if it is less than 70% funded under the "worst-case scenario" assumptions that (1) the employer is not permitted to use credit balances to reduce its cash contribution and (2) employees will retire at the earliest possible date and will choose to take the most expensive form of benefit. If a plan does not pass this test, it will be deemed to be at-risk unless it is at least 80% funded under standard actuarial assumptions. This latter test will be phased in over four years, with the minimum funding requirement starting at 65% in 2008 and rising to 70% in 2009, 75% in 2010, and 80% in 2011. If a plan passes either of these two tests, it is not deemed to be at-risk; however, it is required to make up its funding shortfall over no more than seven years. Plans that have been at-risk for at least two of the previous four years also will be subject to an additional "loading factor" equal to 4% of the plan's liabilities plus $700 per participant, which is added to the plan sponsor's required contribution to the plan. Plan years prior to 2008 will not count for this determination. Plans with 500 or fewer participants in the preceding year are exempt from the at-risk funding requirements.
section_title: c. Mortality tables
paragraphs: To estimate a pension plan's future obligations, the plan's actuaries use mortality tables to project the number of participants who will claim a pension and the average length of time that participants and their surviving beneficiaries will receive pension payments. ERISA requires the Secretary of the Treasury to prescribe the mortality tables to be used for these estimates. Large plans can petition the IRS to use a plan-specific mortality table.
section_title: 2. Valuation of Plan Assets
paragraphs: Prior to enactment of the PPA, a plan sponsor could determine the value of a plan's assets using actuarial valuations, which can differ from the current market value of those assets. For example, in an actuarial valuation, the plan's investment returns could be "smoothed" (averaged) over a five-year period, and the average asset value could range from 80% to 120% of the fair market value. Averaging asset values reduces volatility in the measurement of plan assets that can be caused by year-to-year fluctuations in interest rates and the rate of return on investments. Averaging therefore reduces the year-to-year volatility in the plan sponsor's required minimum contributions to the pension plan. The PPA narrowed the range for actuarial valuations to no less than 90% and no more than 110% of fair market value and it reduced the maximum smoothing period to two years. Plans with more than 100 participants are required to use the first day of the plan year as the basis for calculations of plan assets and liabilities. Plans with 100 or fewer participants can choose another date.
subsections: section_title: Plan contributions and credit balances
paragraphs: Within limits, plan sponsors can offset required current contributions with previous contributions. However, these so-called "credit balances" can be used to reduce the plan sponsor's minimum required contribution to the plan only if the plan's assets are at least 80% of the funding target, not counting prefunding balances that have arisen since the PPA became effective. Existing credit balances and new prefunding balances must both be subtracted from assets in determining the "adjusted funding target attainment" percentage that is used to determine whether certain benefits can be paid and whether benefit increases are allowed. Credit balances also have to be adjusted for investment gains and losses since the date of the original contribution that created the credit balance. Credit balances must be separated into balances carried over from 2007 and balances resulting from contributions in 2008 and later years.
section_title: 3. Benefit Limitations in Underfunded Plans
paragraphs: ERISA places limits on (1) plan amendments that would increase benefits, (2) benefit accruals, and (3) benefit distribution options (such as lump sums) in single-employer defined benefit plans that fail to meet specific funding thresholds.
subsections: section_title: a. Shutdown Benefits
paragraphs: Shutdown benefits are payments made to employees when a plant or factory is shut down. These benefits typically are negotiated between employers and labor unions, and usually they are not prefunded. ERISA prohibits shut-down benefits and other "contingent event benefits" from being paid by pension plans that are funded at less than 60% of full funding unless the employer makes a prescribed additional contribution to the plan. The PBGC guarantee for such benefits is phased in over a five-year period commencing when the event occurs.
section_title: b. Restrictions on benefit accruals
paragraphs: ERISA requires benefit accruals to cease in plans funded at less than 60% of full funding. Once a plan is funded above 60%, the employer—and the union in a collectively bargained plan—must decide how to credit past service accruals. This provision does not apply if the employer makes an additional contribution prescribed by statute. However, Section 203 of WRERA provides that for the first plan year beginning during the period of October 1, 2008, through September 30, 2009, this restriction on benefit accruals is determined using the funding levels from the preceding year, instead of the current year, if the funding levels for the preceding year are greater. Thus, for plans that have lost a lot in the value of plan assets, looking to the funding levels for the previous year may allow some plans to continue providing future benefit accruals that would otherwise have to cease them.
section_title: c. Restrictions on benefit increases
paragraphs: Plan amendments that increase benefits are prohibited if the plan is funded at less than 80% of the full funding level, unless the employer makes additional contributions to fully fund the new benefits. Benefit increases include—but are not limited to—increases in the rate of benefit accrual and increasing the rate at which benefits become vested.
section_title: d. Restrictions on lump-sum distributions
paragraphs: Lump-sum distributions are prohibited if the plan is funded at less than 60% of the full funding level or if the plan sponsor is in bankruptcy and the plan is less than 100% funded. If the plan is funded at more than 60% but less than 80%, the plan may distribute as a lump sum no more than half of the participant's accrued benefit.
section_title: e. Notice to participants
paragraphs: ERISA requires plan sponsors to notify participants of restrictions on shutdown benefits, lump-sum distributions, or suspension of benefit accruals within 30 days of the plan being subject to any of these restrictions. The restrictions on benefits in underfunded plans are effective in 2008, but not before 2010, for collectively bargained plans.
section_title: 4. Lump-sum Distributions
paragraphs: ERISA requires defined benefit pensions to offer participants the option to receive their accrued benefit as a life annuity: a series of monthly payments guaranteed for life. Many defined benefit plans also offer participants the option to take their accrued benefit as a lump sum at the time they separate from the employer. The amount of a lump-sum distribution from a defined benefit pension is inversely related to the interest rate used to calculate the present value of the benefit that has been accrued under the plan: the higher the interest rate, the smaller the lump sum and vice versa. To protect employees' accrued benefits, ERISA prescribes interest rates and mortality tables to be used in determining the minimum value of a participant's benefit expressed as a lump sum. Before the PPA, minimum lump-sum values were calculated using the interest rate on 30-year Treasury bonds. As amended by the PPA, ERISA requires lump-sum payments from defined benefit plans to be no less than the amount that would result from using the applicable corporate bond interest rate. It requires plans that use an interest rate that results in larger lump sums to treat these larger payments as a subsidy to plan participants, which must be funded by the plan sponsor. The new rules for lump sums are being phased in over five years, beginning in 2008.
When fully phased in, minimum permissible lump-sum distributions will be based on a three-segment interest rate yield curve, derived from the rates of return on investment-grade corporate bonds of varying maturities. Plan participants of different ages will have their lump-sum distributions calculated using different interest rates. Other things being equal, a lump-sum distribution paid to a worker who is near the plan's normal retirement age will be calculated using a lower interest rate than will be used for a younger worker. As a result, all else being equal, an older worker will receive a larger lump sum than a similarly situated younger worker. The interest rates used to calculate lump sums will be based on current bond rates rather than the three-year weighted average rate used to calculate the plan's funding target. Plans funded at less than 60% are prohibited from paying lump-sum distributions. Plans funded at 60% to 80% can pay no more than half of a participant's accrued benefit as a lump-sum distribution.
The PPA also established a new interest rate floor for testing whether a lump sum paid from a defined benefit plan complies with the benefit limitations under IRC §415(b). In general, IRC §415(b) limits the annual single-life annuity payable from a qualified defined benefit plan to the lesser of 100% of average compensation over three years or $195,000 (in 2009). A benefit paid as a lump sum must be converted to an equivalent annuity value for purposes of applying this limit. As amended by the PPA, ERISA requires plans making this calculation to use an interest rate that is no lower than the highest of (1) 5.5%, (2) the rate that results in a benefit of no more than 105% of the benefit that would be provided if the interest rate required for determining a lump sum distribution were used, or (3) the interest rate specified in the plan documents.
section_title: 5. Funding Requirements for Multiemployer Plans
paragraphs: A multiemployer plan is a collectively bargained plan maintained by several employers—usually within the same industry—and a labor union. Multiemployer defined benefit plans are subject to funding requirements that differ from those for single-employer plans. The PPA established a new set of rules for improving the funding of multiemployer plans that the law defines as being in "endangered" or "critical" status. These new requirements will remain in effect through 2014.
As amended by the PPA, ERISA requires each multiemployer plan to certify the plan's current funding status and project its funding status for the following six years within 90 days after the start of the plan year. If the plan is underfunded, it has 30 days after the certification date to notify participants and eight months to develop a funding schedule that meets the statutory funding requirements and to present it to the parties of the plan's collective bargaining agreement. Multiemployer plans must amortize any increases in plan liabilities that are due to benefit increases or to changes in the actuarial assumptions used by the plan over a period of 15 years.
The PPA increased the limit on tax-deductible employer contributions to multiemployer plans to 140% of the plan's current liability (up from 100%), and it eliminated the 25%-of-compensation combined limit on contributions to defined benefit and defined contribution plans. The PPA also allows the Internal Revenue Service to permit multiemployer plans that project a funding deficiency within ten years to extend the amortization schedule for paying off its liabilities by five years, with a further five-year extension permissible. It requires the plans to adopt a recovery plan and to use specific interest rates for plan funding calculations.
subsections: section_title: a. Requirements for underfunded multiemployer plans
paragraphs: The PPA established mandatory procedures, effective through 2014, to improve the funding of seriously underfunded multiemployer plans. A multiemployer plan is considered to be endangered if it is less than 80% funded or if the plan is projected to have a funding deficiency within seven years. A plan that is less than 80% funded and is projected to have a funding deficiency within seven years is considered to be seriously endangered . An endangered plan has one year to implement a "funding improvement plan" designed to reduce the amount of under-funding. Endangered plans have 10 years to improve their funding. They must improve their funding percentage by one-third of the difference between 100% funding and the plan's funded percentage from the earlier of (1) two years after the adoption of the funding improvement plan or (2) the first plan year after the expiration of collective bargaining agreements that cover at least 75% of the plan's active participants.
Seriously endangered plans that are less than 70% funded have 15 years to improve their funding. They must improve their funding percentage by one-fifth of the difference between 100% funding and the plan's funded percentage from the earlier of (1) two years after the adoption of the funding improvement plan or (2) the first plan year after the expiration of collective bargaining agreements that cover at least 75% of the plan's active participants. A plan that is endangered or seriously endangered may not increase benefits. If the parties to the collective bargaining agreement are not able to agree on a funding improvement plan, a default funding schedule applies that will reduce future benefit accruals. A multiemployer plan is not endangered in any plan year in which the required funding percentages are met.
A multiemployer plan is considered to be in critical status if (1) it is less than 65% funded and it has a projected funding deficiency within five years or will be unable to pay benefits within seven years; (2) it has a projected funding deficiency within four years or will be unable to pay benefits within five years (regardless of its funded percentage); or (3) its liabilities for inactive participants are greater than its liabilities for active participants, its contributions are less than carrying costs, and a funding deficiency is projected within five years. A plan in critical status has one year to develop a rehabilitation plan designed to reduce the amount of underfunding.
section_title: b. Reductions in adjustable benefits
paragraphs: In general, ERISA's anti-cutback rule prohibits reductions in accrued, vested benefits. The PPA relaxed the anti-cutback rule so that multiemployer plans in critical status are permitted to reduce or eliminate early retirement subsidies and other "adjustable benefits" to help improve their funding status if this is agreed to by the bargaining parties. Benefits payable at normal retirement age cannot be reduced, and plans are not permitted to cut any benefits of participants who retired before they were notified that the plan is in critical status. Adjustable benefits include certain optional forms of benefit payment, disability benefits, early retirement benefits, joint and survivor annuities (if the survivor benefit exceeds 50%), and benefit increases adopted or effective less than five years before the plan entered critical status.
section_title: c. Disclosure requirements
paragraphs: As amended by the PPA, ERISA requires multiemployer plans to send funding notices to participants within 120 days after the end of the plan year. The Department of Labor will post information from plans' annual reports on its website, and plans are required to provide certain information to participants on request. For plans in endangered or critical status, the plan actuary must certify that the funding improvement is on schedule. Annual reports must contain information on funding improvement plans or rehabilitation plans. Notification must be provided to participants, beneficiaries, bargaining parties, the PBGC, and the Secretary of Labor within 30 days after the plan determines that it is in endangered or critical status.
section_title: I. Fiduciary Responsibility
paragraphs: ERISA imposes certain obligations on plan fiduciaries, persons who are generally responsible for the management and operation of employee benefit plans. ERISA Section 3(21)(A) provides that a person is a "fiduciary" to the extent that the person: (1) exercises any discretionary authority or control with respect to the management of the plan or exercises any authority with respect to the management or disposition of plan assets; (2) renders investment advice for a fee or other compensation with respect to any plan asset or has any authority or responsibility to do so; or (3) has any discretionary responsibility in the administration of the plan. Every plan governed by ERISA must have one or more named fiduciaries, and these fiduciaries must be named in the plan document. Section 404(a)(1) of ERISA establishes the duties owed by a fiduciary to participants and beneficiaries of a plan. This section identifies four standards of conduct: (1) a duty of loyalty, (2) a duty of prudence, (3) a duty to diversify investments, and (4) a duty to follow plan documents to the extent that they comply with ERISA.
subsections: section_title: 1. Duty of Loyalty
paragraphs: Section 404(a)(1)(A) of ERISA requires plan fiduciaries to discharge their duties "solely in the interest of the participants and beneficiaries" and for the "exclusive purpose" of providing benefits to participants and beneficiaries and defraying reasonable expenses of administering the plan. The duty of loyalty applies in situations where the fiduciary is confronted with a potential conflict of interest, for instance, when a pension plan trustee has responsibilities to both the plan and the entity (such as the employer or union) sponsoring the plan.
However, just because an ERISA fiduciary engages in a transaction that incidentally benefits the fiduciary or a third party does not necessarily mean that a fiduciary breach has occurred. One case to address this idea is Donovan v. Bierwirth , a case under which pension plan trustees, who were also corporate officers, were responsible for deciding whether they should tender shares of company stock in order to thwart a hostile takeover attempt. The trustees not only decided against tendering the stock, but also decided to purchase additional company stock for the pension plan. In finding that the trustees had breached their fiduciary duties, the court in Donovan noted that it is not a breach of fiduciary duty if a trustee who, after careful and impartial investigation, makes a decision that while benefitting the plan, also incidentally benefits the corporation, or the fiduciaries themselves. However, fiduciary decisions must be made with an "eye single to the interests of the participants and beneficiaries." The court articulated that the trustees have a duty to "avoid placing themselves in a position where their acts as officers and directors of the corporation will prevent their functioning with the complete loyalty to participants demanded of them as trustees of a pension plan."
In addition to providing benefits, a plan fiduciary must "defray[] reasonable expenses of administering the plan." The Department of Labor has stated that "in choosing among potential service providers, as well as in monitoring and deciding whether to retain a service provider, the trustees must objectively assess the qualifications of the service provider, the quality of the work product, and the reasonableness of the fees charged in light of the services provided."
On November 16, 2007, the Department of Labor issued a final regulation that revises the Form 5500, which plans file each year to report their funding status and other financial information that ERISA requires to be disclosed to the Department. The regulation will require disclosure of information regarding the fees paid by the plan to administrators, record keepers, and other service providers. On December 13, 2007, the Department of Labor published a proposed regulation that would require service providers to disclose to plan fiduciaries, in advance of entering into a contract with the plan, all fees and any other direct or indirect compensation that the service provider would receive while under contract to the plan.
section_title: 2. Duty of Prudence
paragraphs: Section 404(a)(1)(B) of ERISA requires fiduciaries to act "with the care, skill, prudence, and diligence under the circumstances then prevailing that a prudent man would use in the conduct of an enterprise of a like character with like aims." When examining whether a fiduciary has violated the duty of prudence, courts typically examine the process that a fiduciary undertook in reaching a decision involving plan assets. If a fiduciary has taken the appropriate procedural steps, the success or failure of an investment can be irrelevant to a duty of prudence inquiry.
Regulations promulgated by the Department of Labor provide clarification as to the duty of prudence in regard to investment decisions. These regulations indicate that a fiduciary can satisfy his duty of prudence under ERISA by giving "appropriate consideration" to the facts and circumstances that the fiduciary knows or should know are relevant to an investment or investment course of action. "Appropriate consideration" includes (1) "a determination by the fiduciary that the particular investment or investment course of action is reasonably designed, as part of the portfolio ... to further the purposes of the plan, taking into consideration the risk of loss and the opportunity for gain (or other return) associated with the investment," and (2) consideration of the portfolio's composition with regard to diversification, the liquidity and current return of the portfolio relative to the anticipated cash flow requirements of the plan, and the projected return of the portfolio relative to the plan's funding objectives.
section_title: 3. Duty to Diversify Investments
paragraphs: Section 404(a)(1)(C) of ERISA requires fiduciaries to diversify the investments of a plan "so as to minimize the risk of large losses, unless under the circumstances it is clearly prudent not to do so." In general, it is believed that fiduciaries should not invest an unreasonably large proportion of a plan's portfolio in a single security, in a single type of security, or in various securities dependent upon the success of a single enterprise or upon conditions in a single locality.
Courts have agreed that ERISA Section 404(a)(1)(C) does not create a diversification obligation in terms of fixed criteria, but instead requires a determination based on the specific facts of each individual case. In GIW Industries, Inc. v. Trevor Stewart , the court concluded that the defendant investment manager breached its duty to diversify investments by investing too heavily in long-term government bonds. By investing 70 percent of the plan's assets in long-term bonds rather than short-term bonds, the firm exposed the fund to a greater degree of risk. Expert testimony had indicated that short-term bonds or bonds with staggered maturity dates would have minimized exposure if the bonds were sold before maturity. The court maintained that Trevor Stewart's investment exposed the fund "to greater risk of cash outflows than was prudent."
Similarly, in Brock v. Citizens Bank of Clovis , the Tenth Circuit determined that trustees of the Citizens Bank of Clovis Pension Plan breached their duty to diversify investments by investing over 65 percent of the plan's assets in commercial real estate mortgages. The court maintained that the trustees' significant investment in one type of security exposed the plan to a multitude of risks. Moreover, the court found that the trustees failed to establish that the investments were prudent notwithstanding the lack of diversification. However, in Metzler v. Graham , the court found that a plan trustee had not breached his duty under Section 404(a)(1)(C), even though he had invested more than half of the plan's assets in one piece of real estate. While the court found that the trustee had not diversified investments, the court concluded that the lack of diversification of the plan's investments was prudent under the facts and circumstances of the case.
section_title: 4. Duty to Act in Accordance with Plan Documents
paragraphs: Section 404(a)(1)(D) of ERISA requires fiduciaries to discharge their duties "in accordance with the documents and instruments governing the plan insofar as such documents and instruments are consistent with [ERISA]." Courts have interpreted this section to apply not only to a document or instrument that establishes a plan or maintains a plan, but also to other writings that have a substantive effect on the plan. These writings have included investment management agreements, collective bargaining agreements, and even internal memoranda regarding the sale of plan assets.
Under Section 404(a)(1)(d), if a plan provision conflicts with ERISA, a fiduciary is obligated to ignore the plan provision. Courts have evaluated this requirement in the context of when compliance with a plan provision leads to a breach of other fiduciary duties. The Department of Labor has argued that "if obeying a plan provision requires the fiduciary to act imprudently and disloyally in violation of ERISA section 404(a)(1)(A) and (B) ... the provision is not consistent with ERISA and the fiduciary has a duty to disregard it." This situation was addressed in Tittle v. Enron , in which the pension plan in question required employer contributions to be made "primarily in Enron stock." The court in Enron held that the plan fiduciaries had a duty to ignore this provision if it would be imprudent to follow it.
In interpreting Section 404(a)(1)(D), courts have also held that fiduciaries do not breach the duty to act in accordance with plan documents if their failure to follow such documents results from erroneous interpretations made in good faith. In Morgan v. Independent Drivers Association Pension Plan , the Tenth Circuit found that the trustees of a pension plan did not violate Section 404(a)(1)(D) because their decision to terminate the plan based on an erroneous interpretation of the effect of a new plan funding method was both considered in good faith and based on consultation with experts.
section_title: 5. Prohibited Transactions
paragraphs: In addition to requiring plan fiduciaries to adhere to certain standards of conduct, ERISA prohibits fiduciaries from engaging in specified transactions deemed likely to injure a pension plan. Engaging in a prohibited transaction is a per se violation of ERISA. Thus, in evaluating a fiduciary's role in a prohibited transaction, it may be considered irrelevant to examine whether the transaction would be considered prudent had it occurred between independent parties.
Section 406(a) of ERISA bars certain transactions between a plan and a party in interest with respect to a plan. Subject to certain exemptions, a fiduciary must not cause a plan to engage in any transaction with a party in interest if the fiduciary knows or should know that the transaction is a:
sale or exchange, or leasing, of any property; lending of money or other extension of credit; furnishing of goods, services, or facilities; transfer or use of any plan assets; or acquisition, on behalf of the plan, of any employer security or employer real property in violation of ERISA § 407, which limits the amount of employer securities and property that may be held by a plan.
Section 406(b) prohibits certain transactions between a plan and a plan fiduciary. A fiduciary may not:
deal with the assets of the plan in his own interest or for his own account; act in any transaction involving the plan on behalf of a party (or represent a party) whose interests are adverse to the interests of the plan or the interests of its participants or beneficiaries, or receive any consideration for his own personal account from any party dealing with such plan in connection with a transaction involving the assets of the plan.
ERISA also places a limit on the amount of investment in the sponsoring employer's stock and property held in a defined benefit plan. Section 407 generally provides that a plan may not invest in securities of an employer unless they are "qualifying employer securities." Further, under this section, a plan may not acquire or hold employer real property unless it is "qualifying employer real property." However, a plan may not acquire qualifying employer securities or qualifying employer property, if immediately after the acquisition, the aggregate fair market value of employer securities and employer real property held by the plan is more than 10% of the fair market value of the assets of the plan.
The Section 407 requirements generally do not apply to defined contribution plans, unless the plan requires a portion of an elective deferral to be invested in qualifying employer securities or qualifying employer real property. However, the PPA created new diversification requirements for qualifying employer securities held in defined contribution plans. Section 204(j) of ERISA provides that an individual must be allowed to elect to direct a plan to divest employee contributions and elective deferrals invested in employer securities, and reinvest these amounts in other investment options. A plan must offer at least three investment options (besides employer securities) to which an individual may direct the proceeds from the divestment. Individuals must be allowed to diversify their employee contributions out of employer stock as often as other investment changes are allowed, but at least quarterly. In addition, employees who have completed three years of service must also be allowed to diversify employer matching contributions and employer nonelective contributions out of employer stock. This requirement is phased in over three years for existing amounts contributed in plan years before 2007. The section also provides that, except as provided in regulations, plans cannot impose restrictions on employer stock investment or diversification that are not imposed on other plan investments.
ERISA provides for various exemptions from the prohibited transactions provisions. Section 408(a) directs the Secretary of Labor to establish a procedure for granting administrative exemptions for certain individuals and classes. The section provides that the Secretary may not grant an exemption under this section unless it is (1) administratively feasible, (2) in the interests of the plan and of its participants and beneficiaries, and (3) protective of the rights of participants and beneficiaries of the plan. The Labor Department has promulgated regulations outlining the procedures for filing and processing prohibited transaction exemption applications.
Section 408(b) of ERISA provides a number of statutory exemptions. These exemptions, found in Section 408(b), include certain loans to participants and beneficiaries (so long as certain conditions are met); reasonable arrangements with parties in interest for office space or legal, accounting, or other services needed for the establishment or operation of the plan; certain plan investments (in the form of deposits) made in banks or in similar financial institutions whose employees are covered by the plans; as well as the purchase of life insurance, health insurance, or annuities from a qualifying insurer who is the employer maintaining the plan.
section_title: 6. Investment Advice
paragraphs: Prior to the PPA, ERISA's prohibited transaction restrictions were believed to have discouraged the provision of investment advice. Because it was perceived that "[v]irtually any transaction could fall within one of these [prohibited transaction] categories," individuals were reluctant to provide investment advice to plan participants. The PPA amended both ERISA and the Internal Revenue Code to add a statutory prohibited transaction exemption with regard to providing investment advice. This exemption allows fiduciaries to provide investment advice without fear of fiduciary liability under the prohibited transaction provisions.
Section 408(g)(1) of ERISA, as added by Section 601(a)(2) of the PPA, states that the act's prohibited transaction restrictions shall not apply to transactions involving investment advice if such advice is provided by a fiduciary adviser pursuant to an "eligible investment advice arrangement." An "eligible investment advice arrangement" is defined as an arrangement that either
(1) provides that any fees (including any commission or other compensation) received by the fiduciary adviser for investment advice or with respect to the sale, holding, or acquisition of any security or other property for purposes of investment of plan assets do not vary depending on the basis of any investment option selected, or
(2) uses a computer model under an investment advice program meeting the requirements of Section 408(g)(3) in connection with the provision of investment advice by a fiduciary adviser to a participant or beneficiary.
To be considered an "eligible investment advice arrangement," an arrangement must meet other requirements identified in subsequent paragraphs of Section 408(g). These requirements include the following: the express authorization of the arrangement by a plan fiduciary other than the person offering the investment advice program, any person providing investment options under the plan, or any affiliate of either; the performance of an annual audit of the arrangement by an independent auditor; compliance with various disclosure requirements; the writing of participant notifications in a clear and conspicuous manner; and the maintenance of any records showing compliance with the relevant provisions of Section 408(g) for not less than six years. If investment advice is provided through the use of a computer model, such model must also meet certain specified requirements.
section_title: 7. Fiduciary Duty and Participant-Controlled Investment
paragraphs: Under Section 404(c) of ERISA, if a defined contribution plan permits a participant or beneficiary "to exercise control over the assets in his account," a fiduciary will not be liable for any loss which may result from the participant's or beneficiary's investment choices. However, in order for a fiduciary to be immune from liability, a plan must meet certain requirements. Labor Department regulations describe two basic requirements for a plan to be considered a "404(c) plan." First, a plan must provide the participant or beneficiary the opportunity to exercise control over the assets in the individual's account. Individuals must, among other things, have a "reasonable opportunity to give investment instructions" as well as "the opportunity to obtain sufficient information to make informed decisions" about investment alternatives under the plan.
Second, a plan must allow a participant or beneficiary to choose from a "broad range of investment alternatives." A participant or beneficiary is deemed to have access to this range of alternatives if, among other things, the individual has the opportunity to "materially affect" the potential return and the degree of risk on the portion of the individual account with respect to which he is permitted to exercise control. In addition, a participant or beneficiary must be given a choice of at least three investment alternatives, each of which is diversified, has different risk and return characteristics, and which, in the aggregate, enable the participant to achieve a portfolio with risk and return characteristics that are "normally appropriate" for the participant or beneficiary.
In addition, in order for a fiduciary to be immune from liability under Section 404(c), a participant or beneficiary must not only have the ability to exercise control of plan assets, but must also have taken the opportunity to "exercise independent control" with respect to the investment of assets in the individual's account. The 404(c) regulations provide guidance as to when a participant or beneficiary will be deemed to have exercised control over plan assets, as well as certain circumstances under which a participant or beneficiary's exercise of control will not be considered "independent."
section_title: 8. Fiduciary Liability under ERISA Section 409
paragraphs: Plan fiduciaries may be personally liable if the fiduciary breaches a responsibility, duty, or obligation under ERISA. Section 409 of ERISA provides that a fiduciary may be liable to a plan for any losses resulting from such breach and may be responsible for forfeiting to the plan any profits that have been made through the improper use of plan assets. Besides this monetary relief available, a court may also award "equitable and remedial relief" as it deems appropriate.
In addition, Section 409(b) provides that a fiduciary is not liable with respect to a breach of fiduciary duty "if such breach was committed before he became or after he ceased to be a fiduciary." Courts have found that fiduciaries are not liable for losses caused by an imprudent investment made prior to when the individual assumed fiduciary responsibility. Still, a fiduciary may have an obligation to rectify breaches of fiduciary duty committed by a previous fiduciary and may be liable if he or she fails to take remedial action.
section_title: J. Administration and Enforcement
paragraphs: One of the primary goals in enacting ERISA was to "protect ... the interests of participants and ... beneficiaries" of employee benefit plans, and assure that participants receive promised benefits from their employers. To this end, ERISA "provid[es] for appropriate remedies, sanctions, and ready access to the Federal courts." ERISA contains an "integrated enforcement mechanism" that is also "essential to accomplish Congress' purpose of creating a comprehensive statute for the regulation of employee benefit plans." An integral part of the civil enforcement scheme is ERISA Section 502, which allows both private parties as well as government entities to bring various civil actions to enforce provisions of ERISA.
subsections: section_title: 1. Civil Enforcement under Section 502(a)
paragraphs: Section 502(a) authorizes civil actions under ERISA as well as the remedies available to a successful plaintiff. Civil actions under Section 502(a) include the following actions that may be brought by a participant or a beneficiary, or, in some cases, a plan fiduciary or the Secretary of Labor, to:
redress the failure of a plan administrator to provide information required by ERISA's reporting and disclosure requirements or COBRA requirements (Section 502(a)(1)(A)); recover benefits due to a participant or beneficiary under the terms of his plan, to enforce his rights or to clarify his rights to future benefits under the terms of the plan (Section 502(a)(1)(B)); receive appropriate relief due to breaches of fiduciary duty (Section 502(a)(2)); enjoin any act or practice which violates ERISA or the terms of the plan, as well as to obtain other appropriate equitable relief to redress such violations (Section 502(a)(3)); collect civil penalties (Section 502(a)(6)).
The Supreme Court has found the enforcement scheme under Section 502(a) to contain "exclusive" federal remedies. Accordingly, Section 502(a) may preempt state law under the jurisdictional doctrine of "complete preemption." As the Supreme Court has reasoned, Congress may so completely preempt a particular area that "any civil complaint raising [a] select group of claims is necessarily federal in character." In other words, complete preemption can occur "when Congress intends that a federal statute preempt a field of law so completely that state law claims are considered to be converted into federal causes of action." Under the doctrine of complete preemption, a state claim that conflicts with a federal statutory scheme may be removed to federal court. In the context of ERISA, if a state law claim is considered within the scope of ERISA's 502(a) civil enforcement provisions, the state law claim is completely preempted. Under these circumstances, a plaintiff is limited to bringing a claim under Section 502 of ERISA and may only receive the remedies available under the federal statute.
Courts have frequently examined the scope of the remedies available under Section 502(a), in light of preemption and other factors. Questions have arisen as to which plaintiffs are eligible to bring a Section 502(a) claim and what remedies are available to them. The following discussion addresses how the Supreme Court has evaluated various claims under Section 502.
section_title: 2. Claims to Enforce Benefit Rights
paragraphs: Section 502(a)(1)(B) of ERISA authorizes a plaintiff ( i.e. , a participant or a beneficiary in an ERISA plan) to bring an action against the plan to recover benefits under the terms of the plan, or to enforce or clarify the plaintiff's rights under the terms of the plan. Under this section, if a plaintiff's claim for benefits is improperly denied, the plaintiff may sue to recover the unpaid benefit. A plaintiff may also seek a declaration to preserve a right to future benefits or an injunction to prevent a future denial of benefits.
In terms of monetary remedies, Section 502(a)(1)(B) provides that a successful plaintiff may receive the benefits the plaintiff would have been entitled to under the terms of the plan. Compensatory or punitive damages are not available. In addition, as Section 502 of ERISA is considered to contain "exclusive" federal remedies, Section 502(a)(1)(B) has been held to preempt state or common law causes of action that may provide for more generous remedies than what is available under ERISA. The preemption of these state law claims has been controversial, as it can significantly impact plaintiffs relative to their opportunity to recover various types of damages under state law. The question of which state law claims are preempted by ERISA 502(a)(1)(B) has been controversial and has received significant attention from the courts.
The Supreme Court in Pilot Life v. Dedeaux evaluated whether a state law claim for wrongful denial of benefits was preempted by Sections 514 and 502 of ERISA . The plaintiffs in Pilot Life claimed that the denial of disability benefits by insurers of ERISA-regulated plans violated a Mississippi common law relating to bad faith. In finding the state law claim preempted by Section 502, the Court reasoned that the civil enforcement provisions of 502(a) of ERISA are intended to be the "exclusive vehicle" for actions asserting improper processing of a claim for benefits. Further, in explaining why state law claims (and remedies) were not available, the Court explained:
... the provisions of 502(a) set forth a comprehensive civil enforcement scheme that represents a careful balancing of the need for prompt and fair claims settlement procedures against the public interest in encouraging the formation of employee benefit plans ... the policy choices reflected in the inclusion of certain remedies and the exclusion of others under the federal scheme would be undermined if ERISA-plan participants and beneficiaries were free to obtain remedies under state law that Congress rejected in ERISA.
In Aetna Health Inc. v. Davila , two individuals sued their insurance carriers, claiming the carriers violated the Texas Health Care Liability Act when they failed to exercise ordinary care in denying benefit coverage. The insurance carriers removed the cases to the federal district court and argued that Section 502(a)(1)(B) of ERISA completely preempted the respondents' causes of action.
At issue for the Supreme Court was whether the individual's causes of action were preempted by Section 502(a) of ERISA and, thus, removal to federal court was proper. Respondents argued, among other things, that their state law claim for violating the "duty of ordinary care" arises independently of any duty imposed under ERISA. However, the Court disagreed, finding that "respondents bring suit only to rectify a wrongful denial of benefits promised under ERISA-regulated plans and do not attempt to remedy any violation of a legal duty independent of ERISA." The Court, relying on its decision in Pilot Life , among other cases, explained that a state cause of action that "attempts to authorize" a larger remedy than ERISA Section 502(a) does not place it outside of an ERISA claim.
section_title: 3. Claims to Redress Breaches of Fiduciary Duty
paragraphs: Section 502(a)(2) of ERISA authorizes the Secretary of Labor, a participant, a beneficiary, or a plan fiduciary to bring a civil action caused by a breach of fiduciary duty under Section 409 of ERISA. That section makes a plan fiduciary personally liable for breaches against an ERISA plan, and a breaching fiduciary must make good to the plan "any losses to the plan resulting from a breach" and restore to the plan any profits made from using the assets of the plan in improper ways. It also subjects such a fiduciary to other relief as a court may deem appropriate, including removal of the fiduciary.
One controversial issue with respect to breach of fiduciary duty claims under ERISA has been that while an individual plaintiff ( e.g ., a plan participant) may bring a civil action under Section 502(a)(2), the Supreme Court has found that any recovery must "inure ... to the benefit of a plan as a whole." In Massachusetts Mutual Life Insurance Co. v. Russell , the Supreme Court evaluated whether a plan beneficiary could bring a civil action for monetary damages against a plan fiduciary who had been responsible for the improper processing of a benefit claim. The plaintiff, who was disabled with a back injury, sought to recover damages after her employer's disability committee terminated (and later reinstated) her disability benefits. The Court rejected the beneficiary's claim, explaining that ERISA Section 409 did not authorize a beneficiary to bring a claim against a fiduciary for monetary damages. Based on the text of Section 409 and the legislative history of ERISA, the court opined that relief for an individual beneficiary was not available under Section 409; a plaintiff could only recover losses on behalf of the plan.
The Supreme Court's 2008 decision in LaRue v. DeWolff, Boberg & Associates addressed whether Section 502(a)(2) authorizes a participant in a defined contribution plan to sue a plan fiduciary and recover losses to the plan, if the losses only affected an individual's plan account. In LaRue , a participant in a 401(k) plan requested that plan administrators change an investment in his individual account. The plan administrators failed to make this change, and the individual's account suffered losses of approximately $150,000. LaRue brought an action under Section 502(a)(2) alleging that the plan administrator breached his fiduciary duty by neglecting to properly follow the investment instructions. The Court held for the plan participant, finding that "although §502(a)(2) does not provide a remedy for individual injuries distinct from plan injuries, that provision does authorize recovery for fiduciary breaches that impair the value of plan assets in a participant's individual account." In the decision, Justice Stevens, writing for the majority, distinguished LaRue from the Russell case in two ways. First, the Court explained that the type of fiduciary misconduct occurring in La Rue violated "principal statutory duties" imposed by ERISA that "relate to the proper plan management, administration, and investment of fund assets." Conversely, in Russell , the fiduciary's breach ( i.e. , a delay in processing a benefit claim) fell outside of these principal duties.
Second, the Court found that in Russell, the emphasis placed on protecting the "entire plan" from fiduciary breach under Section 409 applies to defined benefit plans, which were the norm at the time of the case. However, as the Supreme Court noted in LaRue , defined contribution plans are more popular today, and the "entire plan" language in Russell does not apply to these plans. The Court explained that for defined benefit plans, fiduciary misconduct would not affect an individual entitlement to a benefit unless the misconduct detrimentally affected the entire plan. By contrast, "for defined contribution plans ... fiduciary misconduct need not threaten the solvency of the entire plan to reduce benefits below the amount that participants would otherwise receive." The Court went on to note that "whether a fiduciary breach diminishes plan assets payable to all participants and beneficiaries, or only to persons tied to particular individual accounts, it creates the kinds of harms that concerned the draftsmen of §409."
section_title: 4. Claims to Enforce Plan Provisions and "Other Equitable Relief"
paragraphs: Section 502(a)(3) of ERISA permits a participant, beneficiary, or fiduciary, to bring a civil action to enjoin any act or practice which violates ERISA or the terms of the plan, or obtain "other appropriate equitable relief" due to an ERISA violation. Section 502(a)(3) of ERISA has been referred to as a "catchall" provision—claims that may not be brought under other Sections of 502, but are nevertheless violations of ERISA or the plan, can be brought under this section. The Supreme Court in Varity v. Howe found that individual relief under Section 502(a)(3) is available. However, courts have struggled with the scope and meaning of the term "other appropriate equitable relief" in Section 502(a)(3). This issue has been considered one of the most controversial areas of ERISA jurisprudence. The controversy has often arisen in cases in which plaintiffs had sought monetary relief for ERISA Section 502(a)(3) violations.
The Supreme Court first evaluated the meaning of "equitable relief" in Mertens v. Hewitt Associates . In this case, plan participants brought an action under Section 502(a)(3) seeking monetary relief after the plan actuary failed to make proper actuarial assumptions in calculating plan assets. Participants claimed that this error contributed to plan underfunding, and subsequently, to the plan's defaulting on promised retirement benefits. The Court found that the monetary relief the participants sought was nothing other than compensatory damages, and held, in a 5-4 decision, that ERISA Section 502(a)(3) did not authorize suits for compensatory damages against a non-fiduciary. In explaining why these damages were not available, the Court articulated that "equitable relief" with respect to Section 502(a)(3) is relief that was "typically available in equity," such as injunction, mandamus, or restitution. While it had been argued that the relief petitioner sought was considered equitable under the common law of trusts, the Court rejected this argument. It explained that while "legal" remedies may have been available to plaintiffs in a court of equity, this idea did not "define the reach" of Section 502(a)(3), and that what was available under Section 502(a)(3) were the more "traditional" forms of equitable relief.
The Supreme Court applied the reasoning of Mertens in another decision interpreting Section 502(a)(3), Great West Life & Annuity Insurance Co. v. Knudson . In this case, a group health plan sought reimbursement from a plan beneficiary for amounts the plan had paid after the beneficiary was severely injured in an automobile accident. After the accident, the beneficiary brought an action against the automobile manufacturer and others, and she received a settlement. The plan claimed it was entitled to the settlement amount based on a provision in the plan requiring plan participants to reimburse the plan for any amounts the beneficiary receives from a third party.
In another 5-4 decision, the Court found for the beneficiary, holding that Section 502(a)(3) did not authorize the reimbursement sought by the plan. The health plan claimed the relief sought was restitution, which could be characterized as equitable relief. The Court refused to accept this reasoning, explaining that while restitution could be found traditionally in courts of equity, what mattered for purposes of Section 502(a)(3) was whether the restitution sought was to restore to the plaintiff particular funds or property in the defendant's possession. Because the proceeds of the settlement were not in the identifiable defendant's possession (i.e., they had been paid to a trust, to the plaintiff's attorney, etc.), the plaintiff's claim for equitable relief failed.
section_title: 5. Criminal Enforcement under ERISA and Other Federal Law
paragraphs: ERISA provides for three types of criminal sanctions. First, Section 501 provides that any person who willfully violates the reporting, disclosure and other related provisions of ERISA may be fined up to $100,000, imprisoned up to 10 years, or both. Persons other than individuals ( e.g. , corporate entities) may be fined up to $500,000. Conduct that may be prosecuted under Section 501 includes a willful act as well as an omission to perform reporting or disclosure required by ERISA. Second, Section 511 states that it is unlawful for any person to use (or threaten to use) fraud, force, or violence in interfering or preventing a person from exercising rights under an employee benefit plan. Persons who willfully violate this section can be fined $100,000 or imprisoned for not more than ten years, or both.
Third, Section 411 bars individuals convicted of various crimes from holding certain positions with regard to an employee benefit plan. Individuals convicted of these crimes may not serve (1) as an administrator, fiduciary, officer, trustee, custodian, counsel, agent, employee, or representative of a plan in any capacity; (2) as a consultant or advisor to a plan; or (3) in any capacity that involves decision-making authority or custody or control of the moneys, funds, assets or property of any plan. Under this section, individuals may be barred from service during or for the period of 13 years after conviction or after imprisonment, whichever is later. This time period is subject to certain exceptions. In addition, Section 411 prohibits an individual from knowingly hiring, retaining, employing, or otherwise placing someone to serve in any capacity which violates this section. Individuals who intentionally violate this provision are subject to a fine of no more than $10,000, up to five years imprisonment, or both.
Besides the three provisions under ERISA, the Federal Criminal Code prohibits certain conduct relating to employee benefit plans. Provisions under the Federal Criminal Code include the following:
Under Section 664 of Title 18, any person who embezzles, steals, or unlawfully and willfully abstracts or converts to his own use (or to the use of another) any assets of an employee benefit plan, will be fined, imprisoned no more than five years, or both. Assets of a plan include money, securities, premiums, and property. Under Section 1127 of Title 18 of the United States Code, any individual who knowingly makes a false statement or representation of fact, or knowingly conceals, covers up, or fails to disclose any fact on certain documents required under ERISA may be subject to criminal penalties of up to $10,000, five years in prison, or both. Section 1954 of Title 18 prohibits various persons serving in positions relating to employee benefit plans from (1) soliciting or receiving or (2) giving or offering any fee, kickback, commission, gift, loan, money or other item of value because of, or to influence, a certain question or matter concerning an employee benefit plan. Persons violating this section may be fined, imprisoned for up to three years, or both. An exception to Section 1954 may be made for a person's salary, compensation, or other payments made for goods and services furnished or performed in the regular course of a person's duties to the plan.
Section 506(b) of ERISA provides that the Secretary of Labor has the responsibility and authority to detect, investigate, and refer both civil and criminal violations of ERISA as well as other related federal laws, including the provisions under the United States Criminal Code. ERISA also requires the Secretary of Labor to provide evidence of crimes to the United States Attorney General, who may consider this evidence for purposes of criminal prosecution.
section_title: K. Preemption of State Laws
paragraphs: A critical feature of ERISA is its preemption of state laws. According to the Supreme Court, Congress provided for ERISA preemption in order to "avoid a multiplicity of regulation in order to permit the nationally uniform administration of employee benefit plans." ERISA preemption reflects this objective of ERISA: to regulate employee benefit plans "as exclusively a federal concern."
The question of whether ERISA preempts state law has, at times, been complex and controversial. The provisions at issue in the preemption debate are (1) Section 514, ERISA's express preemption section, under which ERISA may supercede state law, and (2) Section 502(a), which provides for claims that may be brought and remedies a plaintiff may recover under ERISA, and may preempt a state law cause of action.
subsections: section_title: 1. Section 514
paragraphs: ERISA's express preemption provision, Section 514, has three important parts. First, under Section 514(a), ERISA preempts "any and all State laws insofar as they may now or hereafter relate to any employee benefit plan...." The Supreme Court has examined the scope of this provision on several occasions. In one of the first key cases to address ERISA preemption, Shaw v. Delta Airlines , the Court interpreted the term "relate to" as applying to any state law that "has a connection with or reference to such a plan." The Court has stated that "[u]nder this 'broad common sense meaning,' a state law may 'relate to' a benefit plan, and thereby be pre-empted, even if the law is not specifically designed to affect such plans, or the effect is only indirect." While the Court's early decisions ( e.g., Shaw ) suggested that the application of ERISA's explicit preemption clause was virtually limitless, its decision in New York State Conference of Blue Cross & Blue Shield Plans v. Travelers Insurance Co. signaled a change in the Court's interpretation of Section 514(a).
In Travelers , several commercial insurers challenged a state law that required them, but not Blue Cross and Blue Shield, to pay surcharges. The commercial insurers argued that the law was preempted by ERISA because it "relate[d] to" employer-sponsored health insurance plans. In addressing the issue of ERISA's preemption clause, the Court first noted that there is a "presumption that Congress does not intend to supplant state law." The Court then turned to whether Congress intended to preempt state law by looking to "the structure and purpose of the act." The Court concluded that "nothing in the language of the act or the context of its passage indicates that Congress chose to displace general health care regulation, which historically has been a matter of local concern." In other cases, the Court has similarly recognized the states' ability to regulate matters of health and safety, and has concluded that state laws of general applicability are not necessarily preempted by ERISA. However, despite the Traveler s case arguably narrowing the scope of Section 514(a), this section still is considered to broadly preempt state law.
The second important part is the "savings clause" under ERISA Section 514(b), which provides exemptions to ERISA preemption. The savings clause allows states to enforce any "law ... which regulates insurance, banking, or securities." The issue of which state laws "regulate insurance" under Section 514(b) has received considerable attention from the Supreme Court. An important case interpreting the savings clause is Kentucky Association of Health Plans, Inc. v. Miller, where the Supreme Court found that Kentucky's "any willing provider" (AWP) laws, which prohibited insurers from discriminating against a health care provider willing to meet the insurer's criteria for participation in the health plan, was saved from ERISA preemption. In finding that the AWP laws "regulated insurance," the Court departed from reasoning it had used in earlier savings clause cases, and articulated a new two-part test. Under this test, a state law falls within the ambit of the savings clause if it is "specifically directed toward" the insurance industry and "substantially affects the risk pooling arrangement between the insurer and insured."
In evaluating whether the law was specifically directed toward the practice of insurance, the Court explained that the savings clause regulates insurance , not insurers, and that insurers may only be regulated "with respect to their insurance practices. Petitioner HMOs argued, among other things, that the AWP laws were not directed toward insurers, as the laws regulated both the insurance industry and doctors who seek to form and maintain provider networks. The Court rejected this argument and pointed out that the law did not impose any prohibitions or requirements on health providers, and that health care providers were still able to enter into exclusive health care networks outside the state.
In regard to the second part of the new test, the Court explained that it was necessary for a law to affect the risk pooling arrangement between the insurer and the insured to be covered under the savings clause; otherwise, any law imposed upon an insurance company could be deemed to "regulate insurance." Petitioners had argued that the AWP laws do not alter or affect the terms of insurance policies, but instead concern the relationship between insureds and third-party providers. The Court disagreed and pointed out that it had never held that a state law must alter or control the terms of the insurance policies in order to "regulate insurance." The Court found that AWP laws affected the risk pooling arrangement because they altered the scope of permissible bargains between insurers and insureds, and restricted insurers' ability to offer lower premiums in exchange for acceptance of a closed network of providers.
The third important part of ERISA preemption, known as the "deemer clause," generally provides that an employee benefit plan governed by ERISA shall not be "deemed" an insurer, bank, trust company, investment company, or a company engaged in the insurance or banking business in order to be subject to state law (and accordingly, avoid ERISA preemption). In FMC v. Holliday , the Supreme Court found that a Pennsylvania law that prevented subrogation when applied to a self-funded health plan was preempted by ERISA by virtue of the deemer clause. In its decision, the Court held that although the statute did "relate to" an ERISA benefit plan, the law fell within the ambit of the savings clause because the law controlled the terms of insurance contracts by invalidating any subrogation provisions that they contain. However, because the plan in question was a self-funded plan ( i.e., it did not offer benefits through health insurance), it was found that the plan could not be "deemed" an insured plan for the purpose of state regulation.
section_title: 2. Section 502
paragraphs: ERISA preemption can also be found in ERISA's remedial provisions under Section 502. Section 502(a) creates a civil enforcement scheme that allows a participant or beneficiary of a plan to bring a civil action for various reasons, including "to recover benefits due to him under the terms of the plan, to enforce his rights under the terms of the plan, or to clarify his rights to future benefits under the terms of the plan." If a plaintiff seeks to bring a state law claim "within the scope" of Section 502(a), the state law claim can be preempted. See section " J. Administration and Enforcement " for additional discussion of ERISA Section 502.
section_title: L. Special Regulation of Health Benefits
paragraphs: Besides the regulation of pension plans, ERISA also regulates welfare benefit plans offered by an employer to provide medical, surgical and other health benefits. ERISA applies to health benefit coverage offered through health insurance or other arrangements ( e.g ., self-funded plans).
Health plans, like other welfare benefit plans governed by ERISA, must comply with certain standards, including plan fiduciary standards, reporting and disclosure requirements, and procedures for appealing a denied claim for benefits. However, these health plans must also meet additional requirements under ERISA. As enacted in 1974, ERISA's regulation of health plan coverage and benefits was limited. However, beginning in 1986, Congress added to ERISA a number of requirements on the nature and content of health plans, including rules governing health care continuation coverage, limitations on exclusions from coverage based on preexisting conditions, parity between medical/surgical benefits and mental health benefits, and minimum hospital stay requirements for mothers following the birth of a child.
subsections: section_title: 1. COBRA
paragraphs: The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) added a new Part 6 to Title I of ERISA, which requires the sponsor of a group health plan to provide an option of temporarily continuing health care coverage for plan participants and beneficiaries under certain circumstances. Under ERISA Section 601, a plan maintained by an employer with 20 or more employees must provide "qualified beneficiaries" with the option of continuing coverage under the employer's group health plan in the case of certain "qualified events." A qualifying event is an event that, except for continuation coverage under COBRA, would result in a loss of coverage, such as the death of the covered employee, the termination (other than by reason of the employee's gross misconduct) or reduction of hours of the covered employee's employment, or the covered employee becoming entitled to Medicare benefits.
Under Section 602 of ERISA, an employer must typically provide this continuation coverage for 18 months. However, coverage may be longer, depending on the qualifying event. Under ERISA 602(1), the benefits offered under COBRA must be identical to the health benefits offered to "similarly situated non-COBRA beneficiaries," or in other words, beneficiaries who have not experienced a qualifying event. The health plan may charge a premium to COBRA participants, but it cannot exceed 102% of the plan's group rate. After 18 months of required coverage, a plan may charge certain participants 150% of the plan's group rate. However, the American Recovery and Reinvestment Act of 2009 (ARRA, P.L. 111-5 ) includes provisions to subsidize health insurance coverage through COBRA. ARRA includes COBRA premium subsidies of 65% to help the unemployed afford health insurance coverage from their former employer. The subsidy is available for up to nine months to those individuals who meet the income test and who are involuntarily terminated from their employment on or after September 1, 2008, and before January 1, 2010. For more information on the COBRA premium subsidies, see CRS Report R40420, Health Insurance Premium Assistance for the Unemployed: The American Recovery and Reinvestment Act of 2009 , coordinated by [author name scrubbed]. 
section_title: 2. HIPAA
paragraphs: The Health Insurance Portability and Accountability Act of 1996 (HIPAA) added a new Part 7 to Title I of ERISA to provide additional health plan coverage requirements. Other federal legislation amended Part 7 of ERISA to require plans to offer specific health benefits. The requirements of Part 7 generally apply to group health plans, as well as "health insurance issuers" that offer group health insurance coverage. HIPAA amended ERISA to limit the circumstances under which a health plan may exclude a participant or beneficiary with a preexisting condition from coverage. This exclusion from coverage cannot be for more than 12 months after an employee enrolls in a health plan (or 18 months for late enrollees). HIPAA prohibits pre-existing condition coverage exclusions for any conditions relating to pregnancy. Similarly, newborns and adopted children may not be excluded from plan enrollment if they were covered under "creditable coverage" within 30 days after birth or adoption, and there has not been a gap of more than 64 days in this coverage. HIPAA also requires health plans to provide a special enrollment opportunity to allow certain individuals to enroll in the plan without waiting until the plan's next regular enrollment season. For example, special enrollment rights must be extended to a person who becomes a new dependent through marriage, birth, adoption or placement for adoption, or to an employee or dependent who loses other health coverage. Effective April 1, 2009, the Children's Health Insurance Program Reauthorization Act of 2009 amended ERISA to provide that group health plans must permit employees and dependents who are eligible for, but not enrolled in, coverage under the terms of the plan to enroll in two additional circumstances: (1) the employee's or dependent's coverage under Medicaid or SCHIP is terminated as a result of loss of eligibility, or (2) the employee or dependent becomes eligible for a financial assistance under Medicaid or SCHIP, and the employee requests coverage under the plan within 60 days after eligibility is determined. Under these two circumstances, an employee must request coverage within 60 days after termination of Medicaid or SCHIP coverage, or becoming eligible for this coverage.
HIPAA also created ERISA Section 702, which provides that a group health plan or health insurance issuer may not base coverage eligibility rules on certain health-related factors, such as medical history or disability. In addition, a health plan may not require an individual to pay a higher premium or contribution than another "similarly situated" participant, based on these health-related factors. HIPAA also added Section 703 of ERISA, which provides that certain health plans covering multiple employers cannot deny an employer (whose employees are covered by the plan) coverage under the plan, except for certain reasons, such as an employer's failure to pay plan contributions.
section_title: 3. Mental Health Parity
paragraphs: In 1996, Congress enacted the Mental Health Parity Act (MHPA), which added Section 712 of ERISA to create certain requirements for mental health coverage, if this coverage was offered by a health plan. Under the MHPA, health plans are not required to offer mental health benefits. However, plans that choose to provide mental health benefits must not impose lower annual and lifetime dollar limits on these benefits than the limits placed on medical and surgical benefits. The MHPA allows a plan to decide what mental health benefits are to be offered; however, the parity requirements do not apply to substance abuse or chemical dependency treatment.
Certain plans may be exempt from the MHPA. Plans covering employers with 50 or fewer employees are exempt from compliance. In addition, employers that experience an increase in claims costs of at least 1% as a result of MHPA compliance can apply for an exemption. Recently, Congress enacted legislation which expands the MHPA's requirements. Included as part of the Emergency Economic Stabilization Act of 2008, the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act expands the parity requirements under the current version of the MHPA for mental health and substance use disorder coverage if such coverage is offered by a group health plan. In general, the act amends Section 712 of ERISA, as well as other federal laws, to require parity between mental health/substance use disorder benefits and medical/surgical benefits in terms of the predominant (1) financial requirements and (2) treatment limitations imposed by a group health plan. The new requirements apply to group health plans for plan years beginning after October 3, 2009.
section_title: 4. Maternity Length of Stay
paragraphs: In 1996, Congress passed the Newborns' and Mothers' Health Protection Act (NMHPA), which amended ERISA and established minimum hospital stay requirements for mothers following the birth of a child. In general, the NMHPA prohibits a group health plan or health insurance issuer from limiting a hospital length of stay in connection with childbirth for the mother or newborn child to less than 48 hours, following a normal vaginal delivery, and to less than 96 hours, following a cesarean section.
section_title: 5. Reconstructive Surgery Following Mastectomies
paragraphs: The Women's Health and Cancer Rights Act, enacted in 1998, amended ERISA to require group health plans providing mastectomy coverage to cover prosthetic devices and reconstructive surgery. Under Section 713 of ERISA, this coverage must be provided in a manner determined in consultation between the attending physician and the patient.
section_title: ERISA Title II: Internal Revenue Code Provisions
paragraphs: In order for an employer-sponsored retirement plan to qualify for federal income tax deferrals and deductions, it must comply with the pension-related provisions of the Internal Revenue Code (IRC). The pension-related provisions of the IRC require plans to cover rank-and-file workers, and they include "nondiscrimination rules" that prohibit qualified plans from favoring highly-compensated employees with respect to eligibility or benefits.
subsections: section_title: A. Limits on Plan Contributions and Benefits
paragraphs: The IRC limits the amount of money that can be contributed on a tax-deductible basis to a defined benefit plan or defined contribution plan, the amount that can be paid annually from a defined benefit plan, and the amount of income that can be taken into consideration when establishing benefits under a defined benefit plan.
subsections: section_title: 1. Defined Benefit Plan Provisions
paragraphs: In 2009, no more than the first $245,000 of an employee's annual compensation can be used in computing benefits or contributions under a DB plan. The maximum annual benefit payable in 2009 under a defined benefit plan at age 62 is the lesser of $195,000 or 100% percent of the participant's average compensation for his or her three highest years of earnings. This dollar limit is adjusted annually by the increase in the consumer price index (CPI), and rounded down to the next lower multiple of $5,000. IRC §415(b) requires the dollar limit on benefits to be actuarially reduced for retirement before age 62. For qualified police and firefighters with at least 15 years of service, no actuarial reduction is required. Consequently, the dollar limit for police and firefighters is the same as the unreduced §415(b) dollar limit, or $195,000 in 2009, regardless of age.
subsections: section_title: a. Tax on asset reversions
paragraphs: ERISA prohibits plan sponsors from withdrawing money from a pension trust fund. However, they can recover "excess" assets upon terminating a plan, provided they have satisfied all pension claims. The employer must pay both a corporate income tax and a federal excise tax on the amount of the asset reversion. The Omnibus Budget Reconciliation Act of 1990 ( P.L. 101-508 ) amended the IRC to increase the excise tax on pension asset reversions from 15% to 50%, unless the employer: (1) establishes or maintains a "qualified replacement plan;" (2) provides significant benefit increases; or (3) is in bankruptcy liquidation. In these cases, the excise tax is 20%. A qualified replacement plan must cover at least 95% of the active participants in the terminated plan, and 25% of the amount the employer could otherwise receive in a reversion must be transferred to the replacement plan. The amount transferred is not subject to the excise tax or corporate income tax.
section_title: b. Transfers of assets to fund retiree health benefits
paragraphs: P.L. 101-508 permitted the transfer of excess assets from a single-employer defined benefit pension plan to a retiree health plan. The amount that could be transferred was the excess of the market value of the plan's assets over the full funding limit, but could not exceed what the employer expected to pay in retiree health benefits in that year. Transfers were limited to the greater of amounts above the plan's full-funding limit or 125% of the plan's current liability. The PPA amended IRC §420 to expand the ability of defined benefit plan sponsors to transfer surplus plan assets to retiree health plans. Sponsors of single-employer plans may now transfer excess pension assets to fund the estimated retiree medical costs for a period of up to 10 years. Plan sponsors are required to maintain the plan's funded status during the transfer period, either by additional contributions or transfers back from the health accounts, and they must maintain retiree medical benefits at a certain level for the transfer period and for four years subsequent to the transfer period.
section_title: c. Limit on tax deductions for employer contributions
paragraphs: In 2007, the maximum tax-deductible employer contribution to a defined benefit plan was 150% of the plan's current liability minus the value of the plan's assets. Beginning in 2008, the maximum tax-deductible employer contribution is (1) the plan's target normal cost plus (2) 150% of the funding target plus (3) an allowance for future pay or benefit increases minus (4) the value of the plan's assets. Excess employer contributions to defined benefit plans are subject to a 10% excise tax.
section_title: 2. Defined Contribution Plan Provisions
paragraphs: IRC §415(c) limits the maximum "annual addition" to a defined contribution plan (the sum of employer and employee contributions). In 2009, the maximum annual addition is the lesser of $49,000 or 100% of annual compensation. The maximum employee contribution (called an "elective deferral") to a 401(k), 403(b), or 457(b) plan is $16,500 in 2009. This amount is indexed annually.
subsections: section_title: a. Combined limit under IRC §404(a)(7)
paragraphs: IRC §404(a)(7) establishes limits on employer tax deductions for contributions made in connection with one or more defined contribution plans and one or more defined benefit plans. One effect of these limits is that large contributions to a defined benefit plan could result in the employer's contributions to the defined contribution plan being nondeductible for that year. The PPA revised the law such that the combined contribution limit under §404(a)(7) is determined without regard to defined benefit plans that are insured by the PBGC. In addition, only employer contributions to a defined contribution plan that exceed 6% of participant compensation are subject to the limit. Employees' elective deferrals are disregarded from the deduction limits.
section_title: b. "Catch-up" contributions
paragraphs: The Economic Growth and Tax Relief Reconciliation Act of 2001 added §414(v) to the Internal Revenue Code. This amendment allows additional ("catch-up") contributions by participants in 401(k), 403(b), 457(b), SEP, IRA, and SIMPLE plans who are or will be age 50 or older by the end of the plan year. These contributions were to "sunset" in 2010, but they were made permanent by the PPA. The maximum catch-up contribution is the lesser of (1) a specific dollar limit or (2) the participant's compensation for the year reduced by any other elective deferrals made during the year. In 2008, the catch-up dollar limit for 401(k), 403(b), SEP, and 457(b) plans is $5,500. For SIMPLE plans, the 2009 catch-up dollar limit is $2,500. For IRAs, the catch-up dollar limit is $1,000.
section_title: B. Coverage and Nondiscrimination
paragraphs: Tax-qualified retirement plans may not discriminate in favor of highly-compensated employees (HCEs) with regard to coverage, amount of benefits, or availability of benefits. A "highly compensated employee" is defined in law as any employee who owns 5% or more of the company or whose compensation in 2009 exceeds $110,000 (indexed to inflation). An employer can elect to count as HCEs only employees who rank in the top 20% of compensation in the firm, but must include anyone who owns 5% or more of the company.
subsections: section_title: 1. Nondiscrimination Test
paragraphs: IRC §410(b) specifies who a qualified plan must cover. A plan must meet one of the following tests:
The plan must benefit at least 70% of non-highly compensated employees. This is called the percentage test.
or
The plan must benefit a percentage of nonhighly compensated employees which is at least 70% of the percentage of highly compensated employees benefitting under the plan. This is called the ratio test.
or
The plan must benefit a classification of employees that does not discriminate in favor of highly-compensated employees (nondiscriminatory classification test) and the average benefit percentage of the nonhighly compensated employees must be at least 70% of the average benefit percentage of the highly-compensated employees (average benefit percentage test).
In a defined contribution plan, either the proportion of non-highly compensated employees (NHCEs) covered by the plan must be at least 70% of the proportion of highly compensated employees (HCEs) covered by the plan, or the average contribution percentage for NHCEs must be at least 70% of the average contribution percentage for HCEs. Plans that have after-tax contributions or matching contributions are subject to the "actual contribution percentage" (ACP) test, which measures the contribution rate to HCEs' accounts relative to the contribution rate to NHCEs' accounts. Some §403(b) plans are subject to nondiscrimination rules; §457 plans generally are not. The actual contribution percentage of HCEs in a §401(k) plan generally cannot exceed the limits shown in Table 2 .
section_title: 2. Safe Harbor Plans
paragraphs: Any of three "safe-harbor" 401(k) plan designs are deemed to satisfy the ACP test automatically for employer matching contributions (up to 6% of compensation):
The employer matches 100% of employee elective deferrals up to 3% of compensation, and 50% of elective deferrals between 3% and 5% of compensation, and all employer matching contributions vest immediately. Employer matching contributions can follow any other matching formula that results in total matching contributions that are no less than under the first design. All employer matching contributions must vest immediately. The employer automatically contributes an amount equal to at least 3% of pay for all eligible NHCEs. Employer contributions must vest immediately.
All 401(k) plans must satisfy an "actual deferral percentage" (ADP) test, which measures employees' elective deferrals. The same numerical limits are used as under the ACP test. Three "safe-harbor" designs, similar to the safe-harbor designs for the ACP test, are deemed to satisfy the ADP test automatically. In addition, "cross-testing" allows defined-contribution plans to satisfy the nondiscrimination tests based on projected account balances at retirement age, rather than current contribution rates. This permits bigger contributions for older workers. Because higher-paid employees receive proportionally smaller Social Security benefits relative to earnings than lower-paid workers, employers are permitted to make larger contributions on earnings in excess of the Social Security wage base ($106,800 in 2009). Regulations limit the size of the permitted disparity in favor of workers whose earnings are above the wage base.
section_title: C. Distributions from Qualified Plans
paragraphs: The Tax Reform Act of 1986 created uniform distribution rules for pension plans and established an excise tax to be imposed for failure to make a required minimum distribution. This law also specified that, if there were after-tax employee contributions to a plan, a portion of each payment to the participant is to be considered a return of employee contributions (and not taxed) and that a portion is to be considered a return of employer contributions (and subject to tax). Defined benefit plans and money purchase plans must offer participants a benefit in the form of a life annuity. Defined benefit and money purchase plans may also offer other payment options, such as lump-sum distributions. Defined contribution plans other than money purchase plans usually pay benefits in a single lump-sum or as payments over a set period of time, such as 5 or 10 years. Some of these plans also offer an annuity option.
A qualified plan must allow participants to begin receiving benefits by the latest of (1) age 65 (or the plan's normal retirement age, if earlier than 65), or (2) after ten years of service, or (3) upon terminating service with the employer. Defined benefit plans and money purchase plans usually allow participants to receive benefits only after they have reached the plan's normal retirement age, but some have provisions for early retirement, often at age 55. Most 401(k) plans allow participants to receive their account balances when they leave the employer. A 401(k) plan may allow for distributions while the worker is still employed if he or she has reached age 59½ or has suffered a severe financial hardship, such as facing imminent eviction or foreclosure. Profit-sharing plans may permit participants to receive their vested benefits after a specific number of years or when they leave the employer.
Distributions from employer-sponsored plans must start no later than April 1of the year after the year in which the participant attains age 70½, unless the participant is still employed by the form that sponsors the plan. Failure to make a required distribution results in an excise tax equal to 50% of the excess of the minimum required distribution over the amount actually distributed. The amount of the required minimum distribution is based on the participant's age and remaining life expectancy. If a participant in a DB plan retires after age 70½, his or her accrued pension benefit must be actuarially increased to reflect the value of benefits that would have been received had the employee retired at age 70½. The actuarial adjustment rule does not apply to defined contribution plans.
Some employers now offer a "phased retirement" option that allows employees at or near retirement age to reduce their work hours to part-time and receive a pension distribution to supplement their reduced earnings. The PPA amended ERISA to allow defined benefit plans to make in-service distributions to employed plan participants beginning at the earlier of age 62 or the plan's normal retirement age. Distributions from a 401(k) plan can be made to a current employee without penalty beginning at age 59½. In-service distributions from either a DB plan or a DC plan are subject to income taxes.
subsections: section_title: 1. Plan Loans
paragraphs: Qualified plans are permitted, but are not required, to offer loans to participants. The loan must charge a reasonable rate of interest and be adequately secured. A loan from a tax-qualified pension plan is treated for federal income tax purposes as a taxable plan distribution if it exceeds prescribed limits. The maximum permissible loan amount takes into account other outstanding plan loans as well as the present value of the benefits earned by the recipient. A participant can borrow up to half of the present value of accrued benefits, but no more than $50,000. The loan must be repaid within five years unless it is used to purchase a principal residence. Loans that are not repaid when due are treated as taxable distributions and may also be subject to a 10% additional tax if the recipient was under age 59½. Defined contribution plans established under §401(k), §403(b), or §457 also can make distributions in case of financial hardship, such as imminent eviction or foreclosure. Hardship distributions are subject to income taxes, and if the recipient is under age 59½, they may be subject to an additional 10% tax.
section_title: 2. Additional Tax on Early Withdrawals
paragraphs: With certain exceptions, a 10% additional tax is imposed on distributions from a qualified plan unless the individual is age 59½, dies, or becomes disabled. This additional tax does not apply to early distributions if they are paid:
(1) after the plan participant has reached age 59½; (2) to a beneficiary after the death of the participant; (3) because the participant has become disabled; (4) as part of a series of substantially equal periodic payments (SEPPs) over the life of the participant or the joint lives of the participant and survivor; (5) to an employee who has separated from service under an early retirement arrangement after reaching age 55; (6) as dividends paid from an Employee Stock Ownership Plan (ESOP); (7) through an IRS levy to collect back taxes owed by the plan participant; (8) to pay medical expenses of the plan participant, a spouse, or dependent, but only to the extent that they exceed 7.5% of adjusted gross income; or (9) to an alternate payee under a qualified domestic relations order (QDRO).
section_title: 3. Rollovers
paragraphs: Departing plan participants can roll over (transfer) distributions from a qualified plan to an individual retirement account (IRA) or to another employer's plan, if the plan accepts such transfers. If the accrued benefit is less than $5,000 when the participant leaves an employer, the plan can make an immediate distribution without the participant's consent. Amounts of $5,000 or more may be cashed out only with the written consent of the participant. For married workers, the consent of the worker's spouse is also required.
If the distribution is more than $1,000, the plan must automatically roll over the funds into an IRA that it selects, unless the participant elects to receive a lump sum payment or to roll it over into an IRA that he or she chooses. The plan must first send a notice allowing the participant to make other arrangements, and it must follow rules regarding what type of IRA can be used (for example, it cannot combine the distribution with savings the individual has deposited directly in an IRA). Rollovers must be made to an entity that is qualified to offer individual retirement plans. Also, the rollover IRA must have investments designed to preserve principal. The IRA provider may not charge more in fees and expenses for such plans than it would to its other IRA customers.
If the departing employee elects to receive a lump sum payment and does not transfer the money to another qualified employer plan or to an IRA, the participant will owe a 10% tax penalty if he or she is under age 59½ and does not meet the exceptions listed in §72(t). Distributions paid directly to the plan participant rather than being rolled over into an IRA or a qualified employer plan are subject to mandatory tax withholding equal to 20% of the total distribution. If the rollover—which must be equal to the cash received plus the 20% withheld—is completed within 60 days of the distribution, the tax that was withheld is applied to the individual's income tax liability.
section_title: D. Integration with Social Security
paragraphs: The Social Security benefit formula is designed to replace a greater percentage of wages for lower-income workers than for higher-income workers. The Social Security Administration estimates that for benefits claimed at the full retirement age, Social Security currently replaces 55% of the average earnings of a low-wage worker and 27% of the earnings of a high-wage worker. Since the Revenue Act of 1942, it has been permissible for private pension plans to narrow the difference in total wage replacement by providing larger pension benefits as a percentage of compensation to higher-paid workers than to lower-paid workers. Plans may coordinate or "integrate" their retirement benefit formulas with Social Security under an "offset method" or an "excess method."
In defined benefit plans, integration with Social Security is usually related to the benefit paid to participants, while in defined contribution plans it most often relates to the contributions made by employers. In an integrated defined benefit plan, the amount of the worker's monthly pension is reduced or "offset" by a percentage of his or her Social Security benefit. In an integrated defined contribution plan, the amount contributed by the employer is higher for the portion of the employee's salary that is in excess of a specific amount, called the integration level. The most common integration level is the maximum amount of annual income that is subject to Social Security taxes ($106,800 in 2009). The maximum offset allowed under an offset plan and the "maximum permitted disparity" allowed under an excess plan are both limited by the tax code.
section_title: E. Special Rules for "Top-heavy" Plans
paragraphs: A defined benefit pension plan is considered "top-heavy" if more than 60% of benefits (in a DB plan) are earned by key employees or if more than 60% of contributions (in a DC plan) are made on behalf of key employees. Key employees are defined as company officers with earnings over $160,000 in 2009, owners of at least 1% of the company who receive over $150,000 in annual compensation, and owners of 5% or more of the company. For any plan year in which a plan is found to be top-heavy, special requirements must be met if the plan is to retain its tax-qualified status. Top-heavy plan requirements fall into two main areas: (1) faster vesting schedules for non-key employees; and (2) minimum nonintegrated benefits and contributions for non-key employees.
Top-heavy plans must implement an accelerated vesting schedule. The benefits vested must include all benefits accrued (earned) under the plan, not just those accrued while the plan is operating under the special top-heavy rules. Top-heavy plans may choose from one of two special vesting schedules. Under the first, plan participants must be 100% vested in their benefits after three years of service. Under the second, 100% vesting occurs after six years and is reached by stages: 20% of the employee's accrued benefits are vested after two years of service, and an additional 20% become vested after each of the next four years.
For years in which a plan is deemed to be top-heavy, the plan must meet specific minimum benefit and contribution levels for every non-key employee covered by the plan. The specified minimum benefit or contribution may not be reduced or eliminated through integration with Social Security. For each year that a defined benefit plan is top-heavy, a minimum benefit is required equal to 2% of the employee's average compensation earned for the five highest consecutive years of compensation. The highest minimum benefit does not have to exceed 20% of the non-key employee's average compensation. For each year that a defined contribution plan is top-heavy, the employer must make a contribution on behalf of each non-key employee equal to at least 3% of the employee's annual compensation.
section_title: ERISA Title III: Jurisdiction, Administration, and Enforcement
paragraphs: Title III of ERISA covers jurisdictional, administrative and enforcement matters. Under this title, various enforcement and regulatory responsibilities are coordinated between the Department of Labor, the Treasury Department, and the Pension Benefit Guaranty Corporation (PBGC).
Under Section 3001 of ERISA, before the Treasury Department issues a determination letter regarding whether a plan has met certain requirements under the Internal Revenue Code, the Treasury Department must allow certain employees, as well as the Department of Labor and the PBGC, the opportunity to comment on the application. Section 3002 provides that if the Secretary of Labor or the PBGC want to bring a claim against a party for violation of the participation, vesting, or funding provisions of ERISA, the Secretary and the PBGC must give the Secretary of the Treasury a reasonable opportunity to review the brief. ERISA also gives the Secretary of the Treasury the right to intervene in these cases.
Section 3003 provides that unless collection of the tax is in jeopardy, the Secretary of the Treasury must notify the Secretary of Labor before sending a notice of deficiency relating to a tax imposed on a prohibited transaction. The Secretary of the Treasury must also give the Secretary of Labor an opportunity to comment on the imposition of the tax. Under Section 3004 of ERISA, whenever the Secretary of the Treasury and the Secretary of Labor are required to carry out provisions in ERISA (or a federal law amended by ERISA) that relate to the same subject matter, the Secretaries must consult with each other to develop rules, regulations, practices, and forms. This collaboration is to encourage efficient administration of the provisions, and prevent duplication of efforts by the agencies, as well as creation of additional burden for plan administrators, employers, participants and beneficiaries.
section_title: ERISA Title IV: Pension Benefit Guaranty Corporation and Plan Termination
paragraphs: Title IV of ERISA established the Pension Benefit Guaranty Corporation (PBGC) as a government-owned corporation to protect the retirement income of participants and beneficiaries in private-sector defined benefit pension plans. Defined contribution plans such as ESOPs, profit-sharing plans, 401(k), 403(b), thrift/savings plans, and stock bonus plans are not insured by the PBGC. The insurance program treats pension plans differently depending on whether they are single-employer plans or multiemployer plans (i.e., collectively bargained plans to which more than one company makes contributions). The PBGC maintains separate reserve funds for single-employer plans and multiemployer plans.
subsections: section_title: A. Premiums for Single-employer Plans
paragraphs: The PBGC receives no appropriations from Congress. Its revenues come from premiums paid by employers that sponsor defined benefit pension plans, the assets of the terminated plans that it has taken over, investment income on its trust funds, and amounts recovered from the general assets of firms that terminate underfunded pension plans. Although it receives no appropriations, the Multiemployer Pension Plan Amendments Act of 1980 ( P.L. 96-364 ) requires the PBGC's receipts and disbursements to be included in the federal budget. The PBGC does not have the legal authority to set its own premiums, which are set in law by Congress. The PBGC single-employer insurance program receives two types of premiums from plan sponsors: a per-capita premium that is charged to all single-employer defined benefit plans and a variable premium charged to underfunded plans. The Deficit Reduction Act of 2005 increased the per capita premium from $19 per year to $30 per year for single-employer plans and indexed future premiums to average national wage growth. The per-capita premium is $34 in 2009.
The variable premium is equal to $9 per $1,000 of underfunded vested benefits. The interest rate for determining the amount of underfunding subject to the variable rate premium is based on a composite corporate bond rate for the month preceding the month in which the premium payment year begins. Under prior law, an underfunded plan was exempted from the variable-rate premium if it was not underfunded in any two consecutive years out of the previous three years. Under the PPA, the variable premium is assessed on all underfunded plans, regardless of the plan's funding status in earlier years. For employers with 25 or fewer employees, the variable premium is $5 per participant.
The PPA made permanent a surcharge premium for certain distress terminations that was added by P.L. 109-171 and was to expire in 2010. An annual surcharge of $1,250 per participant will be assessed for three years against any firm that terminates an underfunded pension plan during bankruptcy if it later emerges from bankruptcy.
section_title: B. PBGC Insurance Limit
paragraphs: The PBGC guarantees only "basic benefits." Basic benefits include pension benefits beginning at normal retirement age (usually age 65), certain early retirement and disability benefits, and benefits for survivors of deceased plan participants. Only vested benefits are insured. ERISA sets a limit on the benefits insured by the PBGC. This limit is adjusted annually for increases in wage growth in the economy. For pension plans ending in 2009, the maximum yearly pension guarantee is $54,000 for a participant retiring at age 65. The maximum insured benefit is reduced actuarially if a participant retires before age 65 or if the pension plan provides benefits in a form other than a life annuity. Benefits are insured at their nominal value: once the insured benefit amount is determined, it is not adjusted for inflation. Benefit increases that went into effect less than five years before a plan was terminated are not fully insured. Insurance on these benefits is phased in, guaranteeing 20% of the increase in benefits for each full year since the amendment that increased plan benefits was adopted.
section_title: C. Plan Terminations305
paragraphs: A sponsor of a single-employer plan can voluntarily end the pension plan in one of two ways: (1) a "standard" termination if the plan is fully funded; or (2) a "distress" termination that allows a sponsor in serious financial trouble to terminate a plan that may be less than fully funded. In addition, the PBGC may terminate a plan involuntarily if certain conditions are met. The PBGC becomes responsible for paying benefits in the case of a distress or involuntary termination.
subsections: section_title: 1. Standard Termination
paragraphs: An employer can end a plan through a standard termination only if the plan's assets are sufficient to cover all of the plan's liabilities. Participants and beneficiaries must be informed of the amounts due them, including the data and underlying actuarial assumptions used to compute the benefits. An actuary must certify that the assets are sufficient to meet all plan liabilities. If the rules for a standard termination have been met, the plan sponsor purchases annuities from a commercial insurer or distributes lump-sum payments to beneficiaries. The employer then has no further liability to the PBGC or plan participants and can recapture any remaining assets after paying all applicable taxes.
section_title: 2. Distress Termination
paragraphs: An employer can terminate an underfunded plan under a distress termination only if one of the following conditions applies:
Bankruptcy proceedings seeking liquidation have been filed by or against the company under Chapter 7 of the Bankruptcy Code; The company is undergoing reorganization under Chapter 11of the Code and the bankruptcy court has approved a plan termination; The company is unable to pay its debts when due and will be unable to continue in business unless the plan is ended; or The company has experienced unreasonably burdensome pension costs solely as a result of a decline in its workforce.
One of the criteria for a distress termination must be met by each company that is a contributing sponsor of the plan or a "substantial member" of the sponsor's controlled group. Generally, a substantial member is a company whose assets comprise 5% or more of the total assets of the controlled group. The controlled group includes corporate parents and affiliates of the plan sponsor.
section_title: 3. Involuntary Termination
paragraphs: The PBGC may end a pension plan even if a company has not filed to do so on its own initiative. PBGC may end the plan if:
The plan has not met the minimum funding requirements; The plan cannot pay current benefits when due; A lump-sum payment has been made to a participant who is a substantial owner of the sponsoring company; or The loss to the PBGC is expected to increase unreasonably if the plan is not ended.
section_title: D. Employer Liability to the PBGC306
paragraphs: In a distress termination, or in an involuntary termination initiated by the PBGC, a pension plan sponsor is liable to the PBGC for any unfunded benefit liabilities. The plan sponsor and members of the controlled group are jointly and severally liable for such obligation, so each member can be held responsible for the entire liability. Each contributing sponsor also would be liable to the PBGC if the plan had an accumulated funding deficiency or a waived funding deficiency. The employer liability to the PBGC is due on the termination date, except that the PBGC can prescribe commercially reasonable terms for payment of employer liability that exceeds 30 percent of the net worth of the employer. If a company sells or transfers a business with an underfunded pension plan for the purpose of evading pension liabilities and the plan is ended within five years of the sale or transfer, the firm can be held liable for unfunded liabilities existing at the time of sale.
section_title: E. Reportable Events
paragraphs: The PBGC must be notified of certain events, including: (1) if the plan is deemed not in compliance with the law; (2) if an amendment has been adopted decreasing benefits; (3) if there has been a substantial drop in the number of active participants; (4) if the plan does not meet the minimum funding standards or is unable to pay benefits; or (5) if there is a distribution of $10,000 or more to a substantial owner. The PBGC also must be notified if a controlled group member leaves the group, liquidates, declares an extraordinary dividend, or redeems 10% or more of total voting stock.
section_title: F. Notice Requirements
paragraphs: As amended by the PPA, ERISA requires that if a defined benefit plan terminates while it is underfunded through a distress termination under ERISA §4041(c), or is subject to an involuntary termination under ERISA §4042, the plan sponsor must provide to plan participants the same information that the plan is required to submit to the PBGC—subject to confidentiality limitations—within 15 days of the PBGC filing. This requirement applies to notices of intent to terminate and involuntary termination determinations.
section_title: G. Premiums for Multiemployer Pension Plans308
paragraphs: Multiemployer pension plans were covered by PBGC insurance by the Multiemployer Pension Plan Amendments Act of 1980 ( P.L. 96-364 ). The rules for multiemployer plans differ from those applicable to single-employer plans because of the special nature of these arrangements. The PBGC is required to provide financial assistance to insolvent multiemployer plans, whether or not they are terminated, when the assistance is needed to enable the plan to pay guaranteed benefits. The PBGC guarantees 100% of the first $11 of monthly benefits earned per year of service plus 75% of the next $33 of monthly benefits per year of service. The 75% guarantee is reduced to 65% if the plan does not meet specified funding requirements. The annual insurance premium charged for each plan participant in a multiemployer plan is $9 in 2009 and is indexed to wage growth in future years.
section_title: H. Withdrawal Liability309
paragraphs: Employers who leave a multiemployer plan for any reason continue to be liable for a portion of any underfunding. The purpose of the withdrawal liability is to protect the remaining contributing employers and the PBGC from having to assume the burden of funding the pension obligations of employers who cease contributing to the plan. The withdrawal liability is imposed at the time of withdrawal and does not depend on the actual termination of the plan. This rule is designed to discourage withdrawals by requiring each employer to continue funding its share of the plan's unfunded vested liability. Withdrawal liability is equal to an employer's share of the plan's unfunded vested liability determined under one of several rules that may be adopted by the plan, and is payable to the plan in annual installments for a period of up to 20 years. An employer first entering a multiemployer plan is allowed a six-year "free look" during which it can participate in the plan without incurring withdrawal liability. This provision is not available if the employer would account for 2% or more of total contributions to the plan.
This glossary contains terms used within ERISA and the Internal Revenue Code. It also contains certain abbreviations used within this report.