LDH1
May 2 2001, 01:40 PM
Under 105(h) nondiscrimination test as to benefits, is a requirement that some employees pay a higher premium than other employees (newly acquired sub paying full cost, while current participants cost is subsidized) discriminatory?
Mia B
Oct 19 2001, 01:26 PM
Did you ever determine the answer to this?
I ask because I am currently looking for IRS guidance about the point at which a self-insured plan becomes discriminatory when highly compensated employees make a lower contribution than do other employees. Did your research turn up any formula or other implementation material on that?
gaham
Oct 25 2001, 10:54 AM
Yes, I believe you do have a discrimination problem if highly compensated individuals are paying less. See in general Reg. Sec 1.105-11©(3). It is possible that you could break the plan into 2 (one for each contribution rate) and if each satisfies the coverage requirements you would be ok.
LindaRosenzweig
Nov 7 2001, 10:18 AM
Variations in self-insured medical plan premiums
I have been asked whether it is lawful for a self-insured medical plan to charge different premiums to employees on the basis of their incomes: the higher the income, the higher their premiums. It seems to me that nothing prohibits this practice as it discriminates against the highly compensated employees. Any thoughts?
gaham
Nov 7 2001, 11:22 AM
Linda, I agree that should be okay under 105(h). It raises an issue in my mind if you allow employees to pre-tax the premium under Sec. 125 since highly compensated are getting a greater deferral, but it may be okay there too. Just a thought.
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