Compliance

Keep Records for Compliance Protection

Records are what turn a problem into a claim that can be reviewed. Dated copies of what each side sent protect the employer whichever way the facts fall.

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The Short Version

What to know.

Keep the agreement and any schedule, your service list, the data you sent, the provider’s confirmations, notices and agency letters. Organize them by plan year so they are easy to find.

Store them where more than one person can reach them. A record that exists only on one laptop is not a record.

Keep Going

Where to look next.

Keep Dated Records of Notices

See what to keep.

Agency Letters

See how to handle them.

Keep What You Sent

See the data records.

Going Deeper

Setting up a records folder you can rely on.

A workable structure is one folder per plan year, with subfolders for the agreement and schedules, data sent to providers, confirmations received, notices and filings, and agency correspondence. Use a consistent file name that begins with the date, so records sort themselves in order.

Two habits make the folder useful. First, save a record at the moment of sending, not later: the email, the upload receipt or the confirmation page. Second, review the folder once a year to confirm it is complete and that two people can find what is in it. A record that is easy to find is the one that gets used.

Questions we get

Common questions on this topic.

Four questions to settle before you rely on it.

How long should we keep records?

Ask your counsel. Keep them at least as long as the agreement and the law require.

Where should they be stored?

In a shared, backed-up location.

Do electronic records count?

Yes. Keep them with their dates.

Who keeps them?

Name an owner and a backup.

Should email be part of the record?

Yes. Messages to and from the provider are often the best evidence of what was sent and when. Save them to the folder rather than leaving them in a mailbox.

What happens to records when someone leaves?

Make sure the folder lives in a shared location, not a personal drive, and name a successor owner. Losing the records is one of the most avoidable causes of a failed claim.

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Talk to an Expert

General information about compliance service protections, not legal or tax advice. Plan-specific questions belong with your counsel, and we will bring them in.

Sources

Where the Rules Come From.

The laws and rules named on this page link to the statute or regulation they come from. This is general information, not legal or tax advice, and rules change, so check the current text.

COBRA Excise Tax (26 U.S.C. 4980B)

The tax on failures to meet COBRA continuation coverage requirements.

Read the Text

ERISA Civil Enforcement (29 U.S.C. 1132)

Includes the daily amounts a court may assess for failing to provide required notices.

Read the Text

Let’s Get to Work

Send us your renewal.

We’ll tell you whether it looks competitive, where we see opportunity, and the five questions we’d put to your carrier. No cost, and no obligation to move anything.

What to send

The renewal letter
Your current plan summary
Contribution split by tier
Enrolled counts by tier

Four documents, two more if your group is 50 or more. Nothing else; every extra one is a reason to postpone.

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