PEO Advisory

Entering or leaving a PEO is a mid-course plan change, and the calendar decides what it costs.

A PEO move changes who sponsors your plan, who files what and when deductibles restart. Planned against the right dates, most of that is routine. Left to the renewal, it lands on employees in the middle of a plan year. We help you plan the transition in either direction before notice is given.

Send Us Your Renewal

The Calendar

Three calendars have to line up: the PEO contract, the plan year and the reporting year.

When they do not, someone pays twice or goes without. We help coordinate the move around the date that costs the most to miss.

The Contract Notice

PEO agreements usually require written notice before exit, and some charge fees for leaving off-cycle. We read that clause first, because it sets the earliest workable date. The contract notice clause sets the timing of any PEO exit and the fees that come with leaving.

The Plan Year

Leaving mid-year restarts deductibles and out-of-pocket accumulators unless the new carrier agrees to credit them. We ask for that credit where it is available, so employees do not pay twice in one year. Deductible credit protects employees in a mid-year move.

Spending Accounts

Health FSA balances, elections and run-out rules belong to the PEO’s plan. We map what happens to each account on the transfer date, which is why nobody learns about a forfeiture after the fact. Mapping FSA balances prevents surprise forfeitures.

The Reporting Year

A year split between a PEO and your own plan still needs complete 1095-C reporting for every month. We agree up front who reports which months, and we can help you with the filing for yours. Clear reporting splits keep 1095-C filings complete.

The comparison that should come before the move →

The full guide: PEO pros, pitfalls and what leaving takes →

The Rule That Bites

Moving out of a PEO makes you the plan sponsor on day one.

Every obligation the PEO carried for its plan needs an owner inside your company from the first day of the new plan.

Plan Documents and Notices

Your own plan needs a plan document, a summary plan description, a Summary of Benefits and Coverage and the annual notices. We set those up before the effective date, because the first open enrollment is when employees actually read them.

COBRA for People Already Out

Former employees on the PEO’s continuation coverage do not automatically follow you, and the contract and the rules decide where they land. We settle that in writing before exit, with counsel where needed, so no one is left without a plan.

Form 5500 for Your Own Plan

Whether your new plan files its own Form 5500 depends on how many participants it covers and how it is funded. We confirm that from the first plan year, and we can help you with the filing. Confirming Form 5500 duties early keeps a new plan compliant.

The compliance calendar a new plan sponsor takes on →

Moving Into a PEO

Going in is simpler on paper and just as easy to get wrong on timing.

Joining a PEO hands your benefits to the PEO’s calendar. We make sure what you give up is closed out properly.

Ending Your Own Plan

A plan that ends mid-year still leaves claims run-out, spending account deadlines and possibly a final Form 5500 behind. We close those out on a schedule, because a terminated plan keeps its obligations until they are met. Closing out obligations keeps a terminated plan compliant.

People Already on COBRA

Qualified beneficiaries on your plan need somewhere to continue. We help confirm where they land before your plan ends, so the move does not cut anyone off. Planning COBRA continuity protects qualified beneficiaries when an employer moves into a PEO.

Employees in Treatment

Someone mid-pregnancy or mid-treatment may face a new network. We identify them early and request transition-of-care arrangements, which is where a smooth move is actually judged. Transition-of-care requests protect employees in treatment when a PEO move changes their network. Identify them early.

How we advise on the PEO decision as a whole →

Common Questions

What employers ask when a PEO move is on the table.

When is the best time to move?

Usually at a plan year boundary that also clears the PEO’s notice period. When those cannot line up, we price the cost of moving off-cycle, so the decision is made with that number in view. Aligning plan year and notice period keeps PEO moves cost-effective.

Will employees notice?

They will notice new ID cards, possibly a new network and a new enrollment. We write the communication and staff the enrollment support, so questions come to us rather than piling up at HR. Clear communication and enrollment support keep a PEO transition smooth for employees.

What replaces the PEO’s HR and payroll platform?

You will need systems of your own. We help you choose them and connect them to benefits; we do not run payroll ourselves, and we tell you plainly what you will need to staff or buy. Planning replacement systems is part of leaving a PEO.

How we help choose the systems that replace a PEO →

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 Continuation Coverage (29 U.S.C. 1161)

Requires many group health plans to offer temporary continuation coverage after a qualifying event.

Read the Text

ACA Reporting (26 U.S.C. 6056)

The statute behind employer reporting of offers of coverage on Forms 1094-C and 1095-C.

Read the Text

Plan Reporting (29 CFR Part 2520)

The Department of Labor rules for annual plan reports, including Form 5500.

Read the Text

Keep Reading

Leaving a PEO: Tax and Checklist

Wage base restarts and the exit checklist.

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.

CFH Insurance Consultants

An independent employee benefits consulting firm. We look at the entire benefits program — cost, plan performance, risk and administration.

Switch to CFH. Unhappy with your broker? Your employees won’t notice. You will. →

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248.370.8853
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Houston, TX 77084
281.404.5670

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