Which State-Law Reporting, Record-Keeping, and Disclosure Mandates Does ERISA Permit that Relate to State Criminal Laws, Insurance Laws, Healthcare Laws, Tax Laws, Domestic Relations Laws, Labor Laws, Or Other State Laws?

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Book Synopsis Which State-Law Reporting, Record-Keeping, and Disclosure Mandates Does ERISA Permit that Relate to State Criminal Laws, Insurance Laws, Healthcare Laws, Tax Laws, Domestic Relations Laws, Labor Laws, Or Other State Laws? by : Albert Feuer

Download or read book Which State-Law Reporting, Record-Keeping, and Disclosure Mandates Does ERISA Permit that Relate to State Criminal Laws, Insurance Laws, Healthcare Laws, Tax Laws, Domestic Relations Laws, Labor Laws, Or Other State Laws? written by Albert Feuer and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This article discusses when a pension or welfare plan governed by ERISA must comply with state law reporting, record-keeping and disclosure mandates. Any such mandate directed at an ERISA plan, a plan participant or beneficiary, a plan sponsor or contributing employer, or a third party's interaction with an ERISA plan, would seem prima facie to relate to an ERISA plan. Thus, at first blush, any such mandate would appear to be preempted. However, this approach is obviously incorrect. It would preclude a state from compelling a pension plan or its participants from filing tax reports about benefit distributions. On the other hand, such plan mandates do not affect plan benefit structures or the administration of those structures other than requiring such reports, record-keeping, or disclosure, and imposing cost burdens on the plan. Thus, at second blush, all such mandates seem permissible. However, this approach is obviously incorrect. It would permit a state to compel plans to provide reports so that the state could regulate plan fiduciary conduct or to make large expenditures to generate and keep records with little utility. This article argues for a common sense approach. ERISA permits a state-law reporting or disclosure mandate directed at an ERISA plan, a plan participant or beneficiary, a plan sponsor or contributing employer, or a third party interacting with an ERISA plan, such as a service provider, that implements a state law that ERISA does not otherwise preempt, but only to the extent the mandate is needed for the effective administration of such state law. If ERISA preempted a mandate needed to implement a state law not otherwise preempted, the state law would in practice be preempted. The effective administration requirement prevents undue interference with ERISA's benefit protections other than the reporting, record-keeping and disclosure mandate. If the state mandate is generally applicable, rather than principally applicable to ERISA plans, there would be a rebuttable presumption that the mandate is so limited. ERISA preempts all other reporting and disclosure mandates directed at an ERISA plan, a plan participant or beneficiary, a plan sponsor or contributing employer, or a third party interacting with an ERISA plan, such as a third party administrator, even if the compliance burdens are slight. Preemption is unaffected by whether the mandate arises from a law that explicitly refers to ERISA. Plan sponsors must comply with all state-law mandates that ERISA does not preempt regardless of plan terms. On the other hand, plan administrators must comply with all state-law mandates with which plan terms require compliance. This approach recognizes that the preemption of a state-law reporting and disclosing mandates is determined by whether it unduly interferes with the other ERISA benefit protections. Thus, states may require employers to report their contributions to ERISA plans needed to show compliance with those prevailing wage laws that ERISA permits. Thus, state courts considering contract claims by a supplier to an ERISA plan may require the plan to respond to discovery requests with respect to the claim. Thus, states may require those plans subject to the QDRO rules to disclose, to an individual eligible to use a QDRO, the information that may be needed to have a state court prepare and issue a QDRO granting the individual plan benefit rights, but not other information that is not so needed. Thus, states may require ERISA plans to file reports and respond to audit request with respect to the healthcare, if any, they provide that the states may regulate. Thus, states may require ERISA health reimbursement plans, their insurers, or their third party administrators to report claims experience, including price data, if ERISA permits the states to assemble, maintain, and perhaps publicize, such a data base, but only to the extent the mandate is needed for the effective administration of the permitted activities.

State Law Reporting and Disclosure Mandates Under ERISA.

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Book Synopsis State Law Reporting and Disclosure Mandates Under ERISA. by : Albert Feuer

Download or read book State Law Reporting and Disclosure Mandates Under ERISA. written by Albert Feuer and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: ERISA preemption of state laws is determined using the following three rules. First, ERISA permits state laws that do not diminish or enhance any of the ERISA basic benefit protections. Second, ERISA preempts any state law that diminishes or enhances any of the three ERISA basic benefit protections unless the diminution or enhancement was needed to implement a state law that is not otherwise preempted, in which case the law is not preempted if the diminution or enhancement is limited to the extent needed for the effective administration of such state law. Third, a law is not otherwise preempted if the law (1) is described in an explicit or implicit exclusion from the rule that ERISA preempts all state laws that relate to an ERISA plan, or (2) does not diminish or enhance any of the ERISA basic benefit protections other than by imposing a reporting or disclosure mandate to the extent needed for the effective administration of such state law. Thus, ERISA permits a state-law reporting or disclosure mandate that implements a state law that is not otherwise preempted, but only to the extent the mandate is needed for the effective administration of such state law. ERISA preempts all other reporting and disclosure mandates. This article uses those principles to answer the question, "Which State-Law Reporting and Disclosure Mandates Does ERISA Permit that Relate to State Criminal Laws, Insurance Laws, Health Care Laws, Tax Laws, Domestic Relations Laws, Labor Laws, or Other State Laws?" ERISA permits generally applicable state criminal laws. Thus, states may compel plans to provide reports to show that their loan programs comply with state criminal usury laws, but not with respect to compliance with civil usury laws, which ERISA preempts. ERISA permits states to regulate insurance providers. Thus, states may compel insurers to file extensive reports about the policies they issue to ERISA plans. ERISA permits states to regulate the provision of health care. Thus, states may compel ERISA plans to file reports and respond to audit request with respect to the health care, if any, they provide. ERISA permits some, but not all, state-law taxes. Thus, states may compel ERISA plans to file tax returns and respond to audit requests for permissible taxes such as the tax on health care providers. ERISA requires most ERISA pension plans to follow the terms of state domestic relations orders known as QDROs. Thus, states may compel those plans to disclose to a permissible user of a QDRO the benefit information of a participant that may be needed to prepare a QDRO. ERISA permits some prevailing wage statutes that take into account contributions to ERISA plans. Thus, states may compel employers to report their contributions to ERISA plans needed to show compliance with such laws. ERISA permits states to assemble and make available to the public data bases describing the prices of health care providers because such data bases do not affect any of ERISA basic benefit protections other than with a reporting or disclosure mandate used to implement the law. Thus, states may compel ERISA plans and their insurers to report claims experience with such price data. ERISA permits states to enforce claims that do not affect the ERISA basic benefit protections other than with a reporting or disclosure mandate used to implement the law. Thus, state courts considering contract claims by supplier to an ERISA plan may compel the plan to comply with discovery requests with respect to the contract claim, but not with respect to requests unrelated to such claim such as the plan's claims procedures.

Model Rules of Professional Conduct

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Publisher : American Bar Association
ISBN 13 : 9781590318737
Total Pages : 216 pages
Book Rating : 4.3/5 (187 download)

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Book Synopsis Model Rules of Professional Conduct by : American Bar Association. House of Delegates

Download or read book Model Rules of Professional Conduct written by American Bar Association. House of Delegates and published by American Bar Association. This book was released on 2007 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.

Health Benefits Coverage Under Federal Law--.

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ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis Health Benefits Coverage Under Federal Law--. by :

Download or read book Health Benefits Coverage Under Federal Law--. written by and published by . This book was released on 2010 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:

MEWAs, multiple employer welfare arrangements under the Employee Retirement Income Security Act (ERISA)

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ISBN 13 :
Total Pages : 80 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis MEWAs, multiple employer welfare arrangements under the Employee Retirement Income Security Act (ERISA) by :

Download or read book MEWAs, multiple employer welfare arrangements under the Employee Retirement Income Security Act (ERISA) written by and published by . This book was released on 2003 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

State Tax Laws Withstand Most ERISA Preemption Challenges After 'Gobeille' and 'Self-Insurance Institute of America'

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Book Synopsis State Tax Laws Withstand Most ERISA Preemption Challenges After 'Gobeille' and 'Self-Insurance Institute of America' by : Albert Feuer

Download or read book State Tax Laws Withstand Most ERISA Preemption Challenges After 'Gobeille' and 'Self-Insurance Institute of America' written by Albert Feuer and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: On March 1, 2016, the Supreme Court held, in Gobeille v. Liberty Mut. Ins. Co., (“Gobeille”), that ERISA preempted a Vermont law to the extent the Vermont law requires an ERISA plan, its third party administrator, or its insurer to report benefit payments and other information relating to healthcare services to a state agency so that Vermont may compile an all-inclusive healthcare database. On March 6, 2016, the Supreme Court, in Self-Insurance Institute of America v. Snyder, vacated a Sixth Circuit decision that ERISA did not preempt either a Michigan state tax of one-percent of the benefits paid by a group health plan, its third party administrator or its insurer, or the law's reporting and record-keeping compliance requirements. On July 1, 2016, the Sixth Circuit reaffirmed its approval of the state law. Gobeille and the Sixth Circuit reaffirmance suggest that ERISA permits a wide variety of state tax laws to be applied to ERISA plans including the reporting and record-keeping requirements used to enforce those laws. In particular, ERISA will not preempt the state tax law if the law is not in effect a mandate of a benefit structure, substantive coverage, or choice of an insurer. Thus, ERISA permits states to tax all, some, or none of (1) the gross receipts of an ERISA plan; (2) the gross benefit payments of an ERISA plan; (3) the loans of an ERISA plan; (4) the net income of an ERISA plan, although it is unclear whether any ERISA plan may be taxed more favorably than other income earners; and (5) the property owned by an ERISA plan, although it is unclear whether any ERISA plan may be taxed more favorably than other property holders. Incidental reporting and record-keeping requirements to enforce these state tax laws are preempted only to the extent the requirements intrude upon relations among the traditional ERISA plan entities, including the principals, the employer, the plan, the plan fiduciaries, and the beneficiaries.

Employment and Health Benefits

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Publisher : National Academies Press
ISBN 13 : 0309048273
Total Pages : 381 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Employment and Health Benefits by : Institute of Medicine

Download or read book Employment and Health Benefits written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is unique among economically advanced nations in its reliance on employers to provide health benefits voluntarily for workers and their families. Although it is well known that this system fails to reach millions of these individuals as well as others who have no connection to the work place, the system has other weaknesses. It also has many advantages. Because most proposals for health care reform assume some continued role for employers, this book makes an important contribution by describing the strength and limitations of the current system of employment-based health benefits. It provides the data and analysis needed to understand the historical, social, and economic dynamics that have shaped present-day arrangements and outlines what might be done to overcome some of the access, value, and equity problems associated with current employer, insurer, and government policies and practices. Health insurance terminology is often perplexing, and this volume defines essential concepts clearly and carefully. Using an array of primary sources, it provides a store of information on who is covered for what services at what costs, on how programs vary by employer size and industry, and on what governments doâ€"and do not doâ€"to oversee employment-based health programs. A case study adapted from real organizations' experiences illustrates some of the practical challenges in designing, managing, and revising benefit programs. The sometimes unintended and unwanted consequences of employer practices for workers and health care providers are explored. Understanding the concepts of risk, biased risk selection, and risk segmentation is fundamental to sound health care reform. This volume thoroughly examines these key concepts and how they complicate efforts to achieve efficiency and equity in health coverage and health care. With health care reform at the forefront of public attention, this volume will be important to policymakers and regulators, employee benefit managers and other executives, trade associations, and decisionmakers in the health insurance industry, as well as analysts, researchers, and students of health policy.

When Do State Laws Determine ERISA Plan Benefit Rights?

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Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis When Do State Laws Determine ERISA Plan Benefit Rights? by : Albert Feuer

Download or read book When Do State Laws Determine ERISA Plan Benefit Rights? written by Albert Feuer and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The article supplements the two classic legislative histories of ERISA: (1) James A. Wooten, the Employee Retirement Income Security Act of 1974 -- A Political History (2004) and (2) Staff of S. Comm. on Labor and Public Welfare, Leg. History of the Employee Retirement Income Security Act of 1974 (1976). The article, however, also focuses on the development and evolution of the ERISA preemption principles in interpretations of the Supreme Court, and the major amendments to ERISA, particularly the Retirement Equity Act of 1984. The article seeks to give the reader the tools to reaches his or her own conclusions about the issues discussed, particularly the significance of the ERISA General Preemption Rule (the "Rule" that ERISA preempts all state laws that relate to any ERISA plan, and the explicit and implicit exclusions from the Rule. Thus, the reader may answer the essential question that arises about any federal preemption provision for ERISA preemption. What undue interference with the ERISA regulatory regime does ERISA preemption seek to prevent, and which interference is, in fact, prevented? The article proposes that three principles may be used to decide when state benefit laws determine ERISA benefit rights. First, ERISA permits state laws that do not diminish or enhance (a) ERISA benefit entitlements; (b) ERISA enforcement mechanisms; or (c) ERISA mandates. Second, ERISA preempts any state law that diminishes or enhances any of these ERISA protections unless the diminution or enhancement was needed to implement a state law that is not otherwise preempted, in which case the law is not preempted if the diminution or enhancement is limited to the extent needed for the effective administration of such state law. Third, a law is not otherwise preempted if the law (1) is described in an implicit or explicit exclusion from the ERISA General Preemption Rule, or (2) does not diminish or enhance any of the three above benefit protections other than with a reporting or disclosure mandate that is used to implement the law. Neither the courts nor other commentators have thoroughly explored these principles. The article applies these three principles to five kinds of state laws: (1) generally applicable criminal laws, which are explicitly excluded from the Rule;(2) tax laws, which are explicitly included in the Rule, but to a large extent are implicitly excluded from the Rule;(3) creditor laws, which are explicitly and implicitly preempted by specific provisions of ERISA, unless plan terms provide for their inclusion, as may be done, to some extent, for certain plans;(4) domestic relations laws, some of which are explicitly excluded from the ERISA General Preemption Rule, and some of which are implicitly included in the Rule; and(5) transfer on death laws, all of which ERISA preempts, unless plan terms provide for their inclusion, as may be done, to some extent, for certain plans. The article also discusses (1) the definition of a plan for purposes of determining whether an arrangement is an ERISA plan; and (2) the extent to which ERISA, the Employee Retirement Income Security Act of 1974, as amended, whose dominating purpose is the protection of ERISA plan participants and beneficiaries rather than the protection of ERISA plans and their sponsors, protects the benefit entitlements of a plan participant or beneficiary from state-law claims after the participant or beneficiary has received a distribution of their benefit entitlements.

Guidelines Manual

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ISBN 13 :
Total Pages : 556 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Guidelines Manual by : United States Sentencing Commission

Download or read book Guidelines Manual written by United States Sentencing Commission and published by . This book was released on 1988 with total page 556 pages. Available in PDF, EPUB and Kindle. Book excerpt:

United States Attorneys' Manual

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (191 download)

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Book Synopsis United States Attorneys' Manual by : United States. Department of Justice

Download or read book United States Attorneys' Manual written by United States. Department of Justice and published by . This book was released on 1988 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

A Guide to Starting a Business in Minnesota

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ISBN 13 :
Total Pages : 112 pages
Book Rating : 4.:/5 (891 download)

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Book Synopsis A Guide to Starting a Business in Minnesota by : Charles A. Schaffer

Download or read book A Guide to Starting a Business in Minnesota written by Charles A. Schaffer and published by . This book was released on 1983 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:

50 Vetoes

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Publisher : Cato Institute
ISBN 13 : 1939709059
Total Pages : 65 pages
Book Rating : 4.9/5 (397 download)

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Book Synopsis 50 Vetoes by : Michael F. Cannon

Download or read book 50 Vetoes written by Michael F. Cannon and published by Cato Institute. This book was released on 2013-03-27 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (PPACA) remains vulnerable to repeal, largely because Congress and the Supreme Court have granted each state the power to veto major provisions of the law before they take effect in 2014. The PPACA itself empowers states to block the employer mandate, to exempt many of their low- and middle-income taxpayers from the individual mandate, and to reduce federal deficit spending, simply by not establishing a health insurance "exchange." To date, 34 states have refused to create Exchanges and some 16 states have announced they would not expand their Medicaid programs. Yet the Obama administration is trying to coerce states into implementing parts of the expansion that the Court rendered optional. This special White Paper provides a comprehensive review of the process now occurring between states and the Obama Administration, underscoring how a critical mass of states exercising their vetoes over Exchanges and the Medicaid expansion can force Congress to reconsider, and hopefully repeal, the rest of the PPACA.

Personal Privacy in an Information Society

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ISBN 13 :
Total Pages : 672 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Personal Privacy in an Information Society by : United States. Privacy Protection Study Commission

Download or read book Personal Privacy in an Information Society written by United States. Privacy Protection Study Commission and published by . This book was released on 1977 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Higher Education Opportunity Act

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ISBN 13 :
Total Pages : 432 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis Higher Education Opportunity Act by : United States

Download or read book Higher Education Opportunity Act written by United States and published by . This book was released on 2008 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Older Workers Benefit Protection Act

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ISBN 13 :
Total Pages : 6 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis Older Workers Benefit Protection Act by : United States

Download or read book Older Workers Benefit Protection Act written by United States and published by . This book was released on 1990 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health and Safety Needs of Older Workers

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Publisher : National Academies Press
ISBN 13 : 030909111X
Total Pages : 319 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Health and Safety Needs of Older Workers by : Institute of Medicine

Download or read book Health and Safety Needs of Older Workers written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-26 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mirroring a worldwide phenomenon in industrialized nations, the U.S. is experiencing a change in its demographic structure known as population aging. Concern about the aging population tends to focus on the adequacy of Medicare and Social Security, retirement of older Americans, and the need to identify policies, programs, and strategies that address the health and safety needs of older workers. Older workers differ from their younger counterparts in a variety of physical, psychological, and social factors. Evaluating the extent, causes, and effects of these factors and improving the research and data systems necessary to address the health and safety needs of older workers may significantly impact both their ability to remain in the workforce and their well being in retirement. Health and Safety Needs of Older Workers provides an image of what is currently known about the health and safety needs of older workers and the research needed to encourage social polices that guarantee older workers a meaningful share of the nation's work opportunities.

Michelle's Law

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ISBN 13 :
Total Pages : 24 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Michelle's Law by : United States. Congress. House. Committee on Energy and Commerce

Download or read book Michelle's Law written by United States. Congress. House. Committee on Energy and Commerce and published by . This book was released on 2008 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: