The Handbook of Employee Benefits

by
Edition: 4th
Format: Hardcover
Pub. Date: 1996-06-01
Publisher(s): Richard d Irwin
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Table of Contents

1996 Legislative Changes xxvii
PART ONE THE ENVIRONMENT OF EMPLOYEE BENEFIT PLANS 1(72)
The Environment of Employee Benefit Plans
3(12)
Employee Benefits Defined
3(2)
Reasons for the Growth of Employee Benefit Plans
5(4)
Group Technique
9(2)
Overall Employee Benefit Concerns
11(4)
Functional Approach to Designing and Evaluating Employee Benefits
15(24)
The Functional Approach in Concept
15(1)
Need for the Functional Approach
16(1)
Consistency with an Employer's Total Compensation Philosophy
17(3)
Application of the Functional Approach
20(19)
Risk Concepts and Employee Benefit Planning
39(18)
Risk and Employee Benefits
39(7)
Insurance and Insurable Risk
46(8)
Summary
54(3)
Regulatory Environment of Employee Benefit Plans
57(16)
Private Pension and Welfare Plans
57(2)
ERISA Title I: Protection of Employee Benefit Rights
59(1)
ERISA Title II: Minimum Standards
60(2)
ERISA Title IV: Plan Termination Insurance
62(4)
Additional Regulatory Agencies
66(1)
The Regulation of Insurance
67(2)
Federal, State, and Local Government Pension Plans
69(1)
Disability Programs
70(1)
Conclusion
71(2)
PART TWO MEDICAL AND OTHER HEALTH BENEFITS 73(254)
The Environment of Health Plans in the 1990s
75(26)
Introduction
75(4)
History of Health Insurance as an Employee Benefit
79(10)
Players and Their Roles in Health Care
89(2)
Changes in the Market Environment
91(2)
Public Policy Issues
93(6)
Conclusions
99(2)
Health Plan Designs and Strategies
101(26)
Introduction
101(1)
Hospital/Medical Plan Designs---Then and Now
102(8)
Managed Care Plan Design
110(6)
Variation in Plan Design
116(1)
Underwriting and Funding Approaches
117(2)
Provider Reimbursement Approaches
119(5)
Summary and Conclusions
124(3)
Understanding Managed Care Health Plans: The Managed Care Spectrum
127(34)
Introduction
127(1)
Economic Trends Facing the Employer
128(4)
The Development and Growth of Managed Care
132(4)
Types of Managed Care Plans
136(25)
Understanding Managed Care Health Plans: The Cost Equation
161(38)
Expected Savings from Managed Care
162(16)
Evaluating Managed Care
178(13)
Conclusion
191(8)
Dental Plan Design
199(18)
Introduction
199(1)
Differences between Medicine and Dentistry Drive Plan Design
199(2)
Providers of Dental Benefits
201(1)
Covered Dental Expenses
202(1)
Types of Plans
203(5)
Orthodontic Expenses
208(1)
Factors Affecting the Cost of the Dental Plan
209(8)
Prescription Drug, Vision, and Hearing Care Plans
217(16)
Prescription Drugs
217(9)
Vision Care
226(4)
Hearing Care
230(1)
Conclusion
231(2)
Preventive Health Care Strategies: An Overview for Employers
233(34)
Background
234(1)
Health Promotion/Wellness
235(16)
Clinical Preventive Services (CPSs)
251(7)
Demand Management
258(8)
Conclusion
266(1)
Health Care Quality: Are We Getting Our Money's Worth?
267(22)
Introduction
267(1)
Is Quality of Care Important?
268(4)
Defining Quality
272(1)
Evaluating Quality
273(14)
Conclusion
287(2)
Long-Term Care
289(18)
What is Long-Term Care?
289(2)
Long-Term Care as an Employee Benefit
291(1)
The State Plans
292(1)
Coordination of Long-Term Care with Other Benefits
293(5)
The Insurance Companies' View
298(3)
Communication---The Make-or-Break Element in LTC Programs
301(1)
Caregivers---Also in Need of Assistance
302(2)
Conclusion
304(3)
Disability Income Benefits
307(20)
Disability Risk
307(1)
Early History
308(1)
The Modern Era of Disability Income Benefits
309(1)
Types of Disability Income in the Public and Private Sectors
310(15)
Summary
325(2)
PART THREE DEATH BENEFITS 327(62)
Group Life Insurance: Term and Permanent
329(26)
Introduction
329(1)
Group Mechanism
330(1)
Group Term Life Insurance
331(11)
Permanent Forms of Group Life Insurance
342(1)
Group Paid-Up Life Insurance
342(6)
Group Ordinary Life Insurance
348(2)
Future of Permanent Group Life Insurance
350(2)
Retired-Lives Reserve
352(1)
Accidental Death and Dismemberment (AD&D) Insurance
352(1)
Supplemental Group Life Insurance
352(1)
Group Carve-Out Plans
353(1)
Group Universal Life Programs
353(2)
Group Universal Life Programs
355(16)
Background
355(1)
About GULP
356(1)
Specific GULP Features
356(4)
Tax and Legal Issues
360(5)
Advantages and Disadvantages
365(2)
Administration Design Checklist
367(3)
The Future
370(1)
Corporate-Owned Life Insurance
371(18)
Corporate-Owned Life Insurance
371(3)
Split-Dollar Life Insurance
374(2)
Analyzing Proposals: General Issues
376(13)
PART FOUR OTHER WELFARE BENEFIT PLANS 389(92)
Dependent Care Programs
391(30)
Employee Problem
392(1)
Challenge for Employer
393(1)
Types of Employer Dependent Care Benefits
393(13)
Tax Policy
406(4)
Employer Objectives
410(3)
Issues
413(3)
Design of Benefits
416(3)
Conclusion
419(2)
Family and Medical Leave Programs
421(20)
Introduction
421(2)
The Development of Family Leave as a Benefit
423(2)
Compliance with the FMLA
425(7)
Design of Family Leave Benefits
432(9)
Group Legal Services Plans
441(8)
Introduction
441(1)
What Is a Group Legal Services Plan?
441(1)
Group Legal Services Plans as an Employee Benefit
442(1)
IRC Section 120
443(1)
Current Tax Status
444(1)
Choosing a Group Legal Services Plan
444(3)
Reporting and Recordkeeping Requirements
447(1)
Summary
447(2)
Educational Assistance Programs (Section 127 Plans)
449(6)
Introduction
449(1)
Job-Related vs. Nonjob-Related Educational Assistance
450(1)
Educational Assistance Program Requirements
451(3)
Summary
454(1)
Financial Planning as an Employee Benefit
455(16)
Financial Planning
455(9)
Financial Planning as an Employee Benefit
464(5)
Conclusion
469(2)
Property and Liability Insurance as an Employee Benefit
471(10)
Kinds of Benefits
471(2)
Kinds of Programs
473(1)
Advantages for Employees
474(1)
Disadvantages for Employees
475(1)
Role of Employer
475(1)
Federal Income Tax Consequences
476(1)
U. S. Labor Code
477(1)
State Regulation
477(3)
Summary and Conclusions
480(1)
PART FIVE FLEXIBLE BENEFIT PLANS 481(60)
Cafeteria Approaches to Benefit Planning
483(22)
Introduction
483(2)
Types of Plans
485(4)
Reasons for Employer Interest
489(1)
Potential Barriers
490(6)
Consideration and Plan Design
496(6)
Conclusion
502(3)
Cafeteria Plans in Operation
505(36)
How Cafeteria Plans Operate
506(11)
Using Cafeteria Plans to Control Costs
517(5)
Administration of a Cafeteria Plan
522(8)
Special Rules for Cafeteria Plans
530(7)
Impact of a Cafeteria Plan on Other Plans and Policies
537(2)
Summary
539(2)
PART SIX SOCIAL INSURANCE PROGRAMS 541(70)
Social Security and Medicare
543(36)
Old-Age Survivors and Disability Insurance Program
544(18)
Supplemental Security Income Program (SSI)
562(1)
Medicare Program
563(6)
Medicaid
569(2)
Computation of Average Indexed Monthly Earnings
571(1)
Application of Windfall Elimination Provision
572(7)
Workers' Compensation Insurance
579(18)
Financing Workers' Compensation
583(2)
Workers' Compensation Prices
585(4)
Claims and Benefits
589(5)
Workers' Compensation in the 1990s
594(1)
Summary
595(2)
Unemployment Compensation Programs
597(14)
Objectives of Unemployment Compensation
598(1)
State Unemployment Compensation Provisions
599(4)
Extended Benefits Program
603(2)
Financing Unemployment Compensation
605(1)
Administration of Unemployment Compensation
606(1)
Unemployment Compensation Problems and Issues
607(4)
PART SEVEN RETIREMENT AND CAPITAL ACCUMULATION PLANS 611(274)
Retirement Plan Design
613(26)
Employer Objectives
614(4)
Plan Provisions
618(16)
Defined Contribution versus Defined Benefit Plans
634(5)
Profit-Sharing Plans
639(34)
Definition of Profit Sharing
639(2)
Importance of Profit-Sharing Plans
641(1)
Employer Objectives in Establishing a Deferred Profit-Sharing Plan
642(4)
Qualification Requirement Applicable to Deferred Profit-Sharing Plans
646(3)
Contributions to Deferred Profit-Sharing Plans
649(11)
Allocation of Investment Earnings and Forfeitures
660(2)
Loan and Withdrawal Provisions
662(4)
Additional Features of Deferred Profit-Sharing Plans
666(4)
Distributions
670(3)
Section 401(k) Plans (Cash or Deferred Arrangements) and Thrift Plans
673(22)
Contributions Under a Thrift Plan
674(2)
Legislative History of CODAs
676(1)
Technical Requirements for CODAs
677(12)
Other Considerations for CODAs
689(3)
Advantages and Disadvantages of CODAs
692(3)
Employee Stock Ownership Plans (ESOPs)
695(62)
Introduction and Overview
695(6)
Corporate Objectives in Establishing ESOPs
701(13)
Special Fiduciary Liability Rules under ERISA for ESOPs
714(5)
Plan Design Considerations
719(34)
Comparison of ESOPs with Other Employee Stock Ownership Arrangements
753(1)
Conclusion
754(3)
Cash Balance Pension Plans and Other Evolving Hybrid Pension Plans
757(20)
One Employer's Story
757(3)
What Is a Cash Balance Plan?
760(2)
Comparison with Traditional Plans
762(5)
Plan Funding
767(1)
Conversion of an Existing Plan
767(2)
Legal Considerations
769(1)
Other Nontraditional Qualified Plan Designs
770(7)
Individual Retirement Arrangements (IRAs), Simplified Employee Pensions (SEPs), and HR-10 (Keogh) Plans
777(24)
Individual Retirement Accounts
777(15)
Simplified Employee Pensions
792(2)
HR-10 (Keogh) Plans
794(4)
Trends and the Legislative Environment
798(3)
Executive Retirement Benefit Plans
801(18)
Why Executive Retirement Benefits?
801(2)
Total Planning Context
803(1)
Supplemental Executive Retirement Plans
804(3)
Deferred Compensation Agreements
807(3)
Legal, Accounting, and Related Background Considerations
810(8)
Summary
818(1)
Section 403(b) Plans for Non-Profit Organizations
819(22)
Introduction
819(1)
Eligible Non-Profit Organizations
819(1)
History of the 403(b) Tax-Sheltered Account
820(1)
Uses of 403(b) Plans
821(1)
Distinguishing Characteristics of 403(b) Plans
822(1)
Limits on Contributions to 403(b) Plans
823(3)
Sequential Calculations of Limits
826(14)
Summary
840(1)
Section 457 Deferred Compensation Plans
841(16)
Background
841(1)
Introduction to Section 457 Plans
842(1)
Eligible Plan Requirements
843(5)
Ineligible Plan Requirements
848(1)
Plan Availability among Employee Groups
849(1)
457 Plan Reporting and Disclosure
850(1)
Investment of Unfunded 457 Plan Assets
850(1)
Deferred Arrangements Not Considered Deferred Compensation Plans
851(1)
Deferred Compensation Plans Not Subject to Section 457
852(2)
Taxation of Nonelective Deferred Compensation Subject to Section 457
854(1)
Conclusion
855(2)
Retirement Preparation Programs
857(28)
Factors Affecting Growth of Retirement Preparation Programs
858(3)
Rationale for Retirement Preparation Programs
861(5)
Independent Planning Steps by Employees
866(1)
Extent of Retirement Preparation Programs
867(1)
Personal Computers and Retirement Preparation
867(2)
Characteristics of Programs
869(7)
Establishing a Program
876(2)
Benefits of Retirement Preparation Programs
878(3)
Program Evaluation
881(2)
Conclusion
883(2)
PART EIGHT ACCOUNTING, FUNDING, AND TAXATION OF EMPLOYEE BENEFIT PLANS 885(198)
Employers' Accounting for Pension Costs
887(34)
Defined Benefit Pension Plans: Annual Provision for Pension Cost
889(15)
Multiemployer Pension Plan
904(1)
Disclosure
904(2)
Funding and Plan Administration
906(2)
Accounting for Settlements and Curtailments of Defined Benefit Plans and Termination Benefits
908(8)
Other Issues
916(5)
Employee Benefit Plan Accounting and Reporting
921(28)
Financial Reporting Requirements
922(1)
Accounting Literature
922(1)
Accounting Records
923(1)
Employee Benefit Plan Financial Statements
924(8)
Defined Benefit Plans
932(2)
Defined Contribution Plans
934(2)
Health and Welfare Plans
936(1)
Auditor's Report
937(2)
Summary
939(10)
Accounting and Financial Reporting for Health and Welfare Benefit Plans
949(10)
Nature of the Plans
949(1)
Plan Accounting and Reporting
950(3)
Summary
953(6)
Costing and Funding Retirement Benefits
959(38)
Introduction
959(1)
Funding Media
959(7)
Factors Affecting Funding
966(3)
Actuarial Costs
969(7)
Actuarial Cost Methods
976(10)
Minimum Funding Requirements
986(4)
Tax Deduction of Employer Contributions
990(2)
Deduction of Employee Contributions
992(1)
Accounting for Pension Plan Liabilities and Costs
992(5)
Funding Retirement Plans-Investment Objectives
997(24)
Four Fundamental Elements of Successful Investing
998(1)
The Prudent Fiduciary
999(3)
Characteristics of the Three Favored Classes of Investments
1002(8)
Identification of Appropriate Investment Objectives
1010(4)
Evaluation and Selection of the Investment Facility
1014(1)
Development and Documentation of Investment Policy
1015(6)
Alternative Insured and Self-Funded Arrangements
1021(44)
Conventional Insurance Arrangement
1021(2)
Alternative Funding Arrangements
1023(2)
Insured Alternative Funding Arrangements
1025(29)
Noninsured (Self-Funding) Arrangements
1054(10)
Conclusion
1064(1)
Federal Tax Law Requirements for Welfare Benefit Plans
1065(18)
General Tax Law Requirements
1066(10)
Taxation of Contribution and Benefits
1076(6)
The Future
1082(1)
PART NINE EMPLOYEE BENEFIT PLAN ADMINISTRATION AND COMMUNICATION 1083(54)
Benefits Plan Administration: A Changing Organizational Function
1085(30)
Introduction
1085(1)
Focus of Benefits Management Activity
1086(25)
The Outsourcing Alternative
1111(2)
Summary and Conclusion
1113(2)
Employee Benefit Communications
1115(22)
Introduction
1115(1)
The Role of Benefit Communications
1116(6)
Who Is Responsible for Benefit Communications
1122(1)
Benefit Communication Events
1122(1)
Types of Employee Benefit Communications
1123(1)
The Benefit Communications Program
1124(12)
Conclusion
1136(1)
PART TEN EMPLOYEE BENEFIT PLAN ISSUES 1137(2)
Fiduciary Liability Issues under ERISA
1139(1)
Fiduciary Duties under the Common Law of Trusts
1139(2)
Exclusive Benefit Rule under the Internal Revenue Code
1141(1)
Fiduciary Standards under ERISA
1142(7)
Who Is a Fiduciary?
1149(1)
Liability for Fiduciary Breaches Under ERISA
1150(3)
Allocation of Fiduciary Responsibilities
1153(1)
Summary
1153
Plan Termination Insurance for Single-Employer Pension Plans
1155(1)
Plans Covered
1156(2)
Plan Termination Defined
1158(6)
Benefits Guaranteed
1164(3)
Allocation of Assets on Plan Termination
1167(3)
Liabilities on Plan Termination
1170(3)
Premiums
1173(1)
Security Rules for Underfunded Plans
1174(1)
Welfare Benefits for Retirees
1175(1)
Current Trends and Issues
1176(1)
Life Insurance
1177(1)
Health Benefits
1178(9)
Financing
1187
Multiemployer Plans
1193(1)
Multiemployer Plan Defined
1194(1)
The Taft-Hartley Connection
1195(1)
``Built In'' Portability of Benefits
1196(1)
Joint Board of Trustees
1197(1)
Withdrawal Liability
1198(2)
Plan Termination and Insolvency
1200(1)
Plan Qualification
1201(3)
COBRA
1204(2)
Conclusion
1206(1)
State and Local Pension Plans
1207(1)
Benefit Provisions of Public Sector Pension Plans
1208(4)
Financing Public Pensions
1212(4)
Public Pension Plan Investment Performance
1216(2)
Forces Driving Change
1218(2)
Conclusions
1220(3)
International Employee Benefits
1223(1)
Background Considerations
1224(2)
Understanding the Local Environment
1224(12)
Global Benefit Objectives and Plan Design
1236(5)
Administration and Financial Management of International Benefit Plans
1241(6)
Summary
1247(2)
The Future of Employee Benefit Plans
1249(1)
Pre-ERISA Predictions about Employee Benefit Plans (1970)
1249(3)
Social Security/Medicare
1252(1)
The Employee's Decision to Retire
1253(1)
Demographic Change
1254(1)
Economic Change
1255(1)
Government Regulation
1256(1)
Employee Benefit Trends
1257(3)
Conclusion
1260

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