J Simmons
May 17 2008, 10:10 PM
ER pays insurance salesman a negotiated sum as a 'brokers fee' for arranging and facilitating the set up of a self-insured medical plan, and the hiring of a claims TPA. No policy was placed by this salesman.
Q1: Should that brokers fee be reported on Schedule A, Schedule C, elsewhere or not at all on the Form 5500?
The claims TPA places a stop-loss policy for the self-insured plan. The premium is paid to the stop-loss carrier which does not pay the claims TPA a commission. Instead, the claims TPA charged the ER for the stop-loss coverage an amount greater than the premium, and the claims TPA kept the excess over what the commissionless premium cost.
Q2: Should that excess collected by the claims TPA who placed the policy be reported on Schedule A, Schedule C, elsewhere or not at all on the Form 5500?
JanetM
May 19 2008, 12:48 PM
Q1 I would put it on C since you don't have a specific contract to refer to. I use 19 on line 2g on the C.
Q2 How can the TPA take out stop loss on behalf of the self insured plan? But assuming they can, I again would put the TPAs cut on the C and use code 19. The stop loss would go on an A and show the actual premium for the policy.
Bill Presson
May 19 2008, 01:01 PM
Q1 At this point, I wouldn't report it at all. Since it wasn't paid by the plan, I don't think it should be on Schedule C.
JanetM
May 19 2008, 01:13 PM
Good catch Bill - I should have been reading closer. And if TPA really holds the stop loss that would not be reported either.
J Simmons
May 19 2008, 03:25 PM
So if I understand your interpretation and an employer has a self-funded plan, there would be no need to report anything on Schedules A and C because the employer pays the costs directly rather than first into a fund? Or are payments from the employer's general assets for plan related expenses reportable on those Schedules because those payments come from the same funding source as the payment of claims--the employer's general assets?
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