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  WANADA

Employee Benefits Programs

Insurance coverage

with the new car dealership

in mind!

  

5301 Wisconsin Avenue, N.W.,

Suite 210

 Washington, DC 20015

Phone: 202-237-7200

Fax: 202-237-9090

Email: John O'Donnell,

Martha Kowalski, or

Charles Spiridopoulos

  

WANADA is a member of the National Association of Health Underwriters. Serving the public by promoting ethical conduct of insurance professionals through education, legislative representation and communication.

  RECENT NEWS

Women's Health and Cancer Rights Act (WHCRA)
Compliance Alert

The Women's Health and Cancer Rights Act (WHCRA) requires Health Plan Sponsors to annually provide each plan participant an explanation of the Act.  The explanation also needs to include a statement that your company is in compliance with the Act's requirements.

Click on the link below to view a sample form letter that your attorney may review for your use to be compliant with the annual requirement of the Act.

This communication is not intended to be legal advice and should not be construed as legal advice. If you have any legal questions or concerns about your plan, we recommend seeking counsel from an ERISA attorney.

[Click here] to view a sample of the notice for your employees.

Important Notice to those Covered under Sponsor Plans
About Prescription Drug Coverage and Medicare

Each year prior to November 15th employers are required by CMS (Centers for Medicare and Medicaid Services) to provide creditable coverage status to Part D eligible members. This information is also required to be given to each person enrolling in your group’s health insurance plan at time of enrollment and also at any time upon request by the employee or a dependent.

It is advisable to provide this information to all of your employees as you cannot make the determination whether or not they or any of their dependents are eligible or may become eligible in the coming year for Medicare Part D.

This notice does not need to be a separate mailing and you may include it with other information you give to your employees.

Also, you are required to annually provide CMS with your plan’s creditable or non-creditable coverage status. To complete the form required, please go to: www.cms.hhs.gov/apps/ccdisclosure/

Please contact WANADA with any questions you may have.

[Click here] to view a sample of the notice for your employees.

  New Flex Plan “Use-it-or-Lose-It” Rule

  The Internal Revenue Service released IRS Notice 2005-42 modifying the application of the rule prohibiting deferred compensation under a 125 plan. This notice permits a grace period immediately after a cafeteria plan year ends, during which time Medical and Dependent Care Flexible Spending Account (FSA) participants can continue to incur expenses (receive services) and be reimbursed for such expenses out of the monies elected for the plan year which ended. (Please note that while the IRS Notice “permits” such a grace period, the institution of such a period is at the employer’s option.)

The grace period, if instituted by a plan, cannot extend beyond the 15th day of the third month after the plan year ends (the “2 and ½ month” rule) and must apply to all plan participants. For calendar plan years ending December 31, 2005, the 2 and ½ month grace period would end on March 15, 2006. (Thus a participant in a plan which runs on January 1, 2005 through December 31, 2005 would have until March 15, 2006 to incur expenses (receive services) which can be reimbursed from his/her 2005 annual election amount as if those expenses had in fact been incurred in 2005.) The grace period for any given plan year would apply to any participant in an FSA as of the last day of the plan year.

Plan documents must be amended prior to the end of a plan year in order to take advantage of the grace period for that plan year (and subsequent plan years). Any monies not used prior to the end of the grace period are subject to the “use-it-or-lose-it” rule and would be forfeited. (Funds remaining after the grace period cannot be cashed out or carried over to the next plan year.) Under the IRS Notice 2005-42, the employer can continue to provide a “run-out” period during which participants can be reimbursed for claims incurred during the plan year and the grace period.

As mentioned, the grace period is optional. For plan years ending July 31, 2005 or later, HFS customers can amend their current plan to permit a 2.5 month grace period with a 45 day “run-out” period. There will be a $5.00 per participant charge per plan year for this service ($125 minimum), which will be billed upon implementing this change and at the beginning of each plan year.

Please contact us for further information or to initiate this change.

The Treasury news release which contains a hyperlink to IRS Notice 2005-42 can be accessed at http://www.treas.gov/press/releases/js2456.htm.

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