Many benefits questions sit on the edge of law or tax: whether related companies count as one employer, how a benefit is taxed, what a plan document must say. When a question crosses that line, we bring in the CPAs and attorneys available through us, frame the question and carry their answer back into the plan.
Our role is to recognize the question, gather the facts and put the answer to work. The conclusion belongs to the professional licensed to give it.
Related companies under common ownership may be treated as one employer for ACA, COBRA and testing purposes. Ownership structures are rarely simple, so the determination goes to a CPA or attorney, and we apply the result across your plans. Controlled group rules affect benefits eligibility and testing.
Whether a benefit, reimbursement or employer contribution is taxable depends on facts and rules that change. We flag the question and a CPA answers it, which is why payroll setup follows the answer rather than the other way around. Tax questions go to a CPA before payroll is set up.
Wrap documents, cafeteria plan documents and arrangements shared among unrelated employers raise drafting and structural questions. Counsel decides what the document must say; we make sure it matches how the plan runs. Plan documents should match plan operations. Mismatches become compliance findings.
A penalty letter or agency inquiry carries deadlines of its own. We gather the records while counsel or a CPA decides the response, so the reply is complete and on time. Coordinated responses help meet agency deadlines on penalty letters and inquiries.
Professional time is expensive when it is spent collecting facts. We do that part, so the time goes to judgment.
Before a CPA or attorney sees the question, we assemble plan documents, census data, contracts and the history that matters. That shortens the path to an answer and keeps it grounded in your actual plan. Organized facts lead to faster, better professional answers.
We write the question precisely and share it with you first, because a vague question gets a hedged answer and a precise one gets a usable answer. A precise question gets a precise answer. We also note what facts the answer depends on.
An answer only helps if it changes something. We carry it into documents, payroll setup, notices and next year’s calendar, and record in the plan file who advised and when. Applying the answer across documents, payroll and notices is where CPA and attorney coordination pays off.
Most legal and tax issues in benefits are cheaper to prevent than to fix. These are the moments we recommend asking first.
Acquisitions, new entities, a move to self funding or a new executive arrangement can change which rules apply to whom. We raise the question while the design is still open, so the answer can shape it. Early legal review shapes structural benefits changes.
A late filing, a missed notice or a failed test often has a correction path that works best when used early. We help you find it quickly, and counsel decides the approach. Early correction is often the least costly path, and many benefits compliance programs reward coming forward first.
Arrangements for owners and executives touch tax rules ordinary benefits do not. A CPA or attorney reviews the design before it is offered, since the tax consequence lands on the person you meant to reward. Executive benefit design needs professional tax review.
Often not; we work with your counsel. The professionals available through us help when your counsel does not practice in benefits or when you need a benefits-specific answer quickly. We coordinate with your existing counsel on every benefits question that needs a legal answer.
Confidentiality and privilege depend on who engages whom and how. That is itself a question for counsel, so we raise it before sensitive facts are shared. Ask counsel about privilege before sharing sensitive facts about a benefits matter. Timing matters here.
No. We are a benefits consulting firm. We explain how rules work in practice and when a question needs a professional answer, and we make sure that answer gets applied. We coordinate with CPAs and attorneys when a question needs their answer.
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 2010 health reform law, with later amendments, behind employer coverage, reporting and market rules.
The tax code section that lets employees pay certain benefit premiums before tax.
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.
An independent employee benefits consulting firm. We look at the entire benefits program — cost, plan performance, risk and administration.
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