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.
When they do not, someone pays twice or goes without. We help coordinate the move around the date that costs the most to miss.
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.
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.
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.
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.
Every obligation the PEO carried for its plan needs an owner inside your company from the first day of the new plan.
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.
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.
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.
Joining a PEO hands your benefits to the PEO’s calendar. We make sure what you give up is closed out properly.
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.
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.
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.
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.
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.
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.
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.
Requires many group health plans to offer temporary continuation coverage after a qualifying event.
The statute behind employer reporting of offers of coverage on Forms 1094-C and 1095-C.
The Department of Labor rules for annual plan reports, including Form 5500.
Wage base restarts and the exit checklist.
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.
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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