April 7, 2021
COVID-19 Legislative Updates: March 2020 – April 2021
Donna Wilkinson
General Counsel
As we monitor the spread of COVID-19, we want to assure you that Ameriflex will continue to deliver the excellent service you expect from us. Our service teams are operating at full capacity and are equipped to handle increased inquiries over the coming weeks and months.
IRS approved PPE as 213(d)
The IRS issued new guidance clarifying that the purchase of personal protective equipment, such as masks, hand sanitizer and sanitizing wipes, are qualified medical expenses if used for the primary purpose of preventing the spread of coronavirus. The announcement applies to expenses incurred on or after January 1, 2020. This will permit these expenses to be paid tax-free with HSAs, Archer MSAs, health FSAs, and HRAs. The announcement also allows employers and plan administrators to amend their plans to include these expenses. Announcement 2021-7 will appear in IRB 2021-15, dated April 12, 2021. The IRS and the Treasury Department also announced that the 2020 federal income tax filing and payment due date is extended to May 17, 2021. The IRS also clarified that this date is the deadline for making HSA contributions for 2020.American Rescue Plan Act of 2021 (ARPA)
On March 11, 2021, President Joe Biden signed into law the American Rescue Plan Act of 2021 (ARPA). The legislation goes into effect April 1, 2021 and contains provisions for a COBRA subsidy and an increase to the annual dependent care FSA contribution limit for 2021. COBRA Premium Subsidy The ARPA includes a 100% COBRA premium subsidy for eligible individuals and their family members. Details about the subsidy and criteria are included below.- The subsidy will cover 100% of the COBRA premiums for employees and family members who are losing group health coverage as a result of an involuntary termination of employment or reduction in work hours.
- The subsidy will begin on April 1, 2021 and end on September 30, 2021.
- Any eligible individual who is enrolled in COBRA or will enroll in COBRA on or after April 1, 2021, and before September 30, 2021, will have the subsidy available to them.
- The subsidy is not available for individuals who voluntarily end employment or become eligible for group health plan coverage elsewhere.
- Employers will receive a credit for the COBRA subsidy through a payroll tax credit against their quarterly taxes.
- Ameriflex is unable to determine if a previously-terminated employee was terminated voluntarily or involuntarily without the employer providing and confirming such information. As the custodian of employment records, the employer is responsible for reporting this information accurately; therefore, it is crucial employers review their COBRA records to ensure those employees who were terminated beginning November 1, 2019 to present were marked correctly as involuntary or voluntary.
- Review COBRA records and confirm that individuals who were terminated involuntarily or had a reduction in hours are marked as Termination-Involuntary or Reduction in Hours under Event Type. View instructions for this here.
- If there are any changes that need to be made to an individual’s status in the COBRA system, contact your Client Relationship Team. You can access their contact information in the Ameriflex Employer Portal.
- To ensure all individuals who are eligible for the subsidy receive their notices in the required timeframe, please notify your Client Relationship Team of any changes by April 30.
- Election model notice will be issued (within 30 days of ARPA enactment date)
- Ameriflex will mail the special COBRA election notice to individuals who have been involuntarily terminated or had a reduction in hours and who are still in their 18-month COBRA coverage period at no additional cost. Qualified Beneficiaries must elect within 60 days of being provided the new election notice. *Date subject to change pending DOL-provided notice.
- Subsidy Expiration model notice will be issued (within 45 days of ARPA enactment date)
- Ameriflex will mail the Subsidy Expiration Notice to enrolled Qualified Beneficiaries no more than 45 days, and no less than 15 days, prior to the premium subsidy expiration date at no additional cost. *Date subject to change pending DOL-provided notice.
- For calendar year 2021, the dependent care FSA limit is increased to $10,500 or $5,250 for married individuals filing separately.
- ARPA automatically sunsets this increase at the end of the 2021 calendar year.
- Nondiscrimination Testing: An employer must amend the DCAs by 12/31/2021 if implementing the increase and must administer the plan consistently from the intended effective date through the amendment adoption date. Most DCAs annually fail their Internal Revenue Code nondiscrimination requirements. This may be more likely for 2021, since the ARPA also improves the competing dependent care tax credit. Adopting the increased $10,500 maximum for 2021 may result in larger corrections for highly compensated DCA participant employees. Please click here for additional guidance on how to complete nondiscrimination testing for your DCA plan.
U.S. Department of Labor Guidance Regarding COVID-19 Related Extensions
On February 26, 2021, the Department of Labor, Department of the Treasury, and Internal Revenue Service (the “Agencies”) released EBSA Disaster Relief Notice 2021-01, which provides new information regarding COVID-19 related COBRA extensions. Rewind to 2020: National Emergency Declaration As we communicated in early 2020, the COVID-19 pandemic was declared a “National Emergency,” effective March 1, 2020. As a result of the National Emergency declaration, the Department of Labor, Internal Revenue Service, and Department of the Treasury extended certain COBRA continuation coverage timeframes and benefit claim timeframes in order to assist Americans during the pandemic. What Was the Initial Guidance? Under ERISA, the deadline extensions had a legal limit of one year, from March 1, 2020 to February 28, 2021. The initial guidance extended the following deadlines: For Participants:- The 60-day COBRA election period
- The 45-day timeframe for making the initial COBRA premium payment
- The 30-day timeframe for making ongoing COBRA monthly premium payments (as well as the 30-day grace period)
- The timeframes for individuals to notify the plan of a qualifying event
- The timeframe for individuals to notify the plan of a determination of disability
- The timeframe for individuals to file a benefit claim
- The 30/14 day period for providing a COBRA election notice to the qualified beneficiary
- If an individual would have been required to make a COBRA election by March 1, 2020, under the new notice, they had until February 28, 2021 to make their election, which is the earlier of one year from March 1, 2020 or the end of the Outbreak Period (which is still ongoing).
- If an individual would have been required to make a COBRA election by March 1, 2021, under the new notice, this requirement is delayed until the earlier of one year from that date (i.e., March 1, 2022) or the end of the Outbreak Period.
Reminder About COVID-19-Related Claims Run-Out Extension
In 2020, the Department of Labor (DOL), the Employee Benefits Security Administration (EBSA), and the Internal Revenue Service (IRS) issued a joint notice providing emergency relief specifically to those employee benefit plans which are subject to the Employee Retirement Income Security Act (ERISA). The notice applies to flexible spending accounts (FSA) and health reimbursement arrangements (HRA), as well as some Individual Coverage HRAs (ICHRA), giving participants enrolled in those plans additional time to file claims past the standard run-out period. Reminder: A run-out is a period of time after the end of a plan year during which participants can submit claims to get reimbursed for expenses incurred during the previous plan year. How long is the claims run-out extension? For any FSA and HRA plans with a claims run-out period that ended on or after March 1, 2020, the run-out period is extended until 60 days after the end of the National COVID-19 Emergency (the IRS, EBSA and DOL will announce this date). The extension is retroactive back to March 1, 2020. Does this only apply to plans subject to ERISA? Yes. The extension does NOT apply to governmental entities, churches or plans which are maintained solely to comply with applicable workers comp, unemployment or disability laws. Are there any steps Ameriflex clients need to take? No, Ameriflex has updated our administrative process to accommodate the claims run-out extension. For more details about the claims runout extension, go here.Consolidated Appropriations Act, 2021
On Sunday, December 27, President Trump signed a COVID-19 relief and government spending package called the Consolidated Appropriations Act, 2021. As part of the relief bill, the government has expanded upon earlier-provided relief for flexible spending accounts (FSA) and dependent care flexible spending accounts (DCA). Employers may choose to adopt any or all of the following provisions; however they are not mandatory. These provisions do require plan amendments, which Ameriflex is prepared to accommodate.- Rollovers – Allow employees to carry over all unused amounts in a FSA and/or DCA from the 2020 or 2021 plan year to the next plan year.
- Grace Periods – Extend the FSA grace period from 2 1/2 months to 12 months following the end of the plan years for those plan years that end in 2020 or 2021.
- Qualifying Dependent Age – Allow reimbursement for expenses incurred for a child through the 2021 plan year where the child attains age 14 (this helps address a situation where a child attained age 13 during the pandemic, therefore, the parent may not have been able to use the funds because school or daycare was closed).
- Election Changes – Permit prospective mid-year election changes without regard to a change in status in order to accommodate these updates.
- Reimbursements Post-Termination – Allow reimbursements through the end of 2020 or 2021 plan year in which participation ends, including any grace period or extended grace period even if those reimbursements were incurred after the employee was employed with the employer.
FAQ
How do we amend our company’s plan documents to allow for the FSA/DCA provisions included in the relief bill? To make this process easier for you, Ameriflex will be providing a one-page amendment document shortly. Is there a fee associated with the amendments? There is a $150 charge for the amendments. How do I make use of the amendment pages? The amendment should be signed off on, known as adoption, by the Plan Sponsor and communicated timely via the regular means of plan document delivery to all participants. Does the relief bill impact commuter reimbursement accounts? The relief bill does not affect commuter reimbursement accounts. Can a participant transfer funds from a transit/parking account to a dependent care account? At this time, a participant may not transfer funds from a transit/parking account to another account; however, the participant may be able to modify the contribution into a transit/parking account while not commuting to and from work.DOL COBRA Final Rule – Impact on CDH Accounts
The Department of Labor (DOL) Employee Benefits Security Administration (EBSA) issued a COVID-19 relief rule which extends the time periods in which individuals can submit claims for coverage, elect and pay for COBRA continuation coverage, enroll in group health plan coverage, and file appeals for benefit determinations. The extensions are known as the “Outbreak Period” which is defined as the period beginning March 1, 2020 and ending 60 days after the date on which the federal government declares the COVID-19 National Emergency has ended. The rule specifies that the Outbreak Period may not be longer than one year. The extension the rule provides for applies to employee benefit plans subject to ERISA. The following FAQ provides the impact of this new rule on those benefit plans Ameriflex administers. How does the rule apply to Flexible Spending Accounts (FSA) and Health Reimbursement Arrangements (HRA)?- COBRA is available for an FSA if the account is underspent as of the time of termination. The deadline to elect and pay for COBRA continuation coverage is extended. Any days within the Outbreak Period are disregarded when calculating the deadlines to elect or pay.
- The deadline to: (1) submit claims, (2) file appeals of adverse benefit determination, and (3) file external requests to review adverse benefit determinations, is extended. Any days within the Outbreak Period are disregarded when calculating the above deadlines.
- Ameriflex is awaiting further guidance from the IRS and DOL as it relates to FSA grace periods and carryover amounts. Additional information will be provided once available.
- The rule only applies to employee benefit plans subject to ERISA. DCAs are not subject to ERISA.
- The rule only applies to employee benefit plans subject to ERISA. Commuter and/or Transit Accounts are not subject to ERISA.
- If the Retiree Plan is maintained by an employer, it is subject to ERISA and therefore the rule will apply. If the rule applies to the Retiree Plan then the deadline to elect and pay for COBRA continuation coverage is extended. Any days within the Outbreak Period are disregarded when calculating deadlines to elect or pay
- State Continuation coverage is not subject to ERISA. Several states have issued guidance similar to the DOL’s final rule extending similar deadlines for State Continuation coverage. You should consult with your legal counsel to determine if your state has issued such guidance.
IRS issues guidance on FSAs, HDHPs, mid-year changes, and more
In response to the unexpected challenges Americans have faced due to COVID-19, the IRS announced temporary changes to section 125 (aka cafeteria) plans. These changes apply to flexible spending accounts (FSA), dependent care accounts (DCA), individual coverage HRAs (ICHRA), and high deductible health plans (HDHP). It is up to the employer to decide whether to allow these changes. Here’s what’s changing: The temporary changes issued under Notice 2020-29 and Notice 2020-33 include: FSA & DCA Grace Period Extension (TEMPORARY) An employer, although not required to do so, may amend their plans to allow employees to use unused amounts in their FSAs and DCAs to pay for expenses incurred before December 31, 2020 – thereby extending the grace period a full year. The extension for incurring claims is available to both cafeteria plans that have a grace period and plans that also provide a carryover. Note: This extension may impact an individual’s HSA eligibility during the extended period. Mid-Year FSA & DCA Election Changes (TEMPORARY) An employer, although not required to do so, may amend its plan to allow employees to revoke an election, make a new election, or increase or decrease an election to an FSA or DCA. FSA Carryover (PERMANENT) The maximum amount of unused funds that may be carried over in FSA increased from $500 to $550. Employers must adopt a plan amendment by December 31, 2021, and this can be retroactive to the 2020 plan year. ICHRA Reimbursements (PERMANENT) Allows ICHRA to treat healthcare premiums as incurred on:- The first day of each month of coverage
- The first day of the period of coverage
- The date the premium is paid
COBRA Deadlines Extended
On March 13, 2020, President Trump declared the COVID-19 pandemic a National Emergency. The National Emergency declaration resulted in emergency declarations for every state and territory of the United States effective March 1, 2020. The U.S. Department of Labor, Internal Revenue Service, and Department of Treasury have jointly issued a final rule extending certain COBRA continuation coverage timeframes in order to assist Americans during this time. What Relief Is Being Provided? The following time period is disregarded for purposes of determining the standard COBRA timeframes:- The period from March 1, 2020 until 60 days after the announced end of the National Emergency (the ‘‘Outbreak Period’’)
- The 30/14 day period for providing a COBRA election notice to the qualified beneficiary (QB)
- The 60-day COBRA election period
- The 45-day timeframe for making the initial COBRA premium payment
- The 30-day timeframe for making ongoing COBRA monthly premium payments (as well as the 30-day grace period)
- The timeframes for individuals to notify the plan of a qualifying event, which are as follows:
- 60 days from the date of the qualifying event or the loss of coverage date (whichever is later)
- 60 days from the date of a second qualifying event
- The timeframe for individuals to notify the plan of a determination of disability, defined as follows:
- 60 days from the date of SSA disability determination, the date of the qualifying event, or the date that loss of coverage occurs (whichever is later), and within 18 months from the date of the qualifying event
List of FSA Eligible Over-the-Counter Items Expanded During COVID-19 Crisis
On March 27, 2020, President Trump signed into law two permanent changes that will affect the way you use your FSA card. These changes are retroactive to January 1, 2020. One amazing change that has been implemented due to the CARES Act allows Over-The-Counter (OTC) drugs and medications to be purchased using your FSA account. During the Affordable Care Act, OTC drugs and medications required a prescription from your healthcare provider. This new act removes the requirement for a prescription and puts you in control and relieves the added pressure of going into the doctor’s office, while they are overwhelmed with other healthcare needs. Another awesome benefit of the CARES Act is women can utilize their FSA funds to purchase menstrual products. This means the pads, tampons, liners, cups, sponges or similar products can be purchased with pre-tax dollars withheld from your check. Some of the acceptable items now include, diagnostic products like thermometers, blood pressure monitors, cholesterol testing and oximeters. They have also included items such as diabetic care products, juvenile diapers, incontinence protection, night mouth guards, nasal medications, washes and sleep apnea nasal strips, prenatal vitamins, reading glasses, sunscreen with UVA/UVB protection and SPF 15+, acid controllers, acne medications, allergy & sinus products, cold sore remedies, contraceptives, baby rash ointments/creams, eye drops, food care treatments, hemorrhoid creams, laxatives, smoking deterrents and medicated respiratory treatments. This is just a sampling of the newly added list. During a transition period, this will require that you submit a claim in order to be reimbursed while merchants are working diligently to get their systems updated with the newly eligible codes. SIGIS provided this list to merchants on April 15, 2020. If you attempt to use your card and are unable to purchase an item, please review the list of eligible products attached to this message to see if it is an eligible item. Along with the acceptable products, there are also items that are not eligible, these include dual use products such as cosmetics, personal hygiene, weight loss supplements, vitamins (except glucosamine, prenatal and those that treat a medical condition), gloves, air purifiers, hand sanitizer and baby products (diapers and formula). Other items not covered include products used for cold, cough and flu that are coded as dietary supplements/support the immune system; however, those that lessen the severity or reduce the duration are covered. If you have any questions, please don’t hesitate to contact us, Ameriflex is here to help.Plan Amendment Required to Accommodate OTC Products
Now that expenses for menstrual care products and over-the-counter (OTC) drugs and medications can be purchased with a flexible spending account (FSA) or health reimbursement arrangement (HRA) without a prescription, employers will need to adopt a plan document amendment to accommodate this change. Below are helpful questions and answers regarding the plan document amendment process. How do we amend our company’s FSA or HRA Plan Document and Summary Plan Description to allow for the reimbursement of OTC drugs and femine products? To make this process easier for you, Ameriflex has provided one-page amendment documents, which can be found on our website here for FSA plans, and here for HRAs. Is there a fee associated with the amendments? No. These amendment pages have no additional cost. How do I make use of the amendment pages? Simply sign the Plan Document amendment page and keep it on file along with your signed Plan Document. Next, sign the Summary Plan Description amendment page and forward a signed copy of that page to all employees participating in your company’s FSA and/or HRA plan. Once the amendment pages are signed, do I need to return them to Ameriflex? No. You are not required to return a copy to Ameriflex. However, please be sure to maintain your originals on file along with your existing plan documents. Our company administers an HRA. Must we change our plan or can we continue to exclude OTC items? No, your plan will continue to exclude OTC items at your discretion. However, if you wish to include OTC items as an eligible expense due to these recent changes, please reach out to your dedicated Client Relationship Specialist for more information. How do we amend our company’s FSA or HRA Plan Document and Summary Plan Description to allow for the reimbursement of OTC drugs and femine products? To make this process easier for you, Ameriflex has provided one-page amendment documents, which can be found on our website here for FSA plans, and here for HRAs. Is there a fee associated with the amendments? No. These amendment pages have no additional cost. How do I make use of the amendment pages? Simply sign the Plan Document amendment page and keep it on file along with your signed Plan Document. Next, sign the Summary Plan Description amendment page and forward a signed copy of that page to all employees participating in your company’s FSA and/or HRA plan. Once the amendment pages are signed, do I need to return them to Ameriflex? No. You are not required to return a copy to Ameriflex. However, please be sure to maintain your originals on file along with your existing plan documents. Our company administers an HRA. Must we change our plan or can we continue to exclude OTC items? You may continue to exclude OTC items at your discretion. However, if you wish to include OTC items as an eligible expense under the HRA, we suggest adopting the amendment. If you have any questions, please contact your Ameriflex Client Relationship Manager or visit our COVID-19 Resource Center.Extending FSA or HRA “Run-Out” Period Could Provide Employees Needed Relief
With more businesses restricting or limiting hours due to COVID-19, we’ve heard many participants are struggling to get receipts for submitting claims for reimbursement. To assist with this need, we are suggesting extending your 2019 flexible spending account (FSA) and/or health reimbursement arrangement (HRA) claim run-out period. This will provide some breathing room for employees to obtain receipts and better utilize their FSA or HRA benefits over the coming months. Please note:- The ability to extend the deadline applies to the claim run-out period only. We cannot change grace periods.
- You will need to notify your employees of the change.
- PEPM fees will apply, as per our standard contract.
- You will need to complete the plan document amendments for FSA/HRA and add these to your plan documents & summary plan documents
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