Small Plans

The Form 5500 small plan exemption: who does not file and what is still required.

Many small employers do not have to file a Form 5500, but the exemption is narrower than it sounds. This page explains the test and the paperwork that still applies. It is general information, not legal or tax advice.

Talk Through Your Filings

What To Know

Three things to know first.

Fewer Than 100 Participants

A welfare plan with fewer than 100 participants at the start of the plan year that is fully insured, unfunded, or a combination of the two does not have to file. To check whether your plan files and when, use our Form 5500 filing calculator.

The Exemption Covers The Filing Only

The plan document and the summary plan description are still required. A carrier booklet or benefits guide is not a substitute for either one.

The Count Is Taken On Day One

Participants include covered employees, COBRA participants and covered retirees, but not dependents. The count is taken at the start of each plan year.

What To Do

Three steps to take next.

Count Your Participants

Count employees, COBRA participants and covered retirees on the first day of the plan year, and write the number down for the file.

Confirm How The Plan Is Funded

Check that the plan is fully insured or unfunded. A plan paid through a trust is not treated as unfunded, and a change in funding can change the answer.

Put The Documents In Place

Make sure there is a plan document and a summary plan description that match what you actually offer.

Summary Annual Report and Form 5500-SF →

What To Ask

Three questions to ask first.

Did We Count COBRA And Retirees?

Ask whether COBRA participants and covered retirees were included in the count.

Is Anything Held In A Trust?

Ask whether any employee contributions or plan assets are held in a trust.

Do We Have A Plan Document And SPD?

Ask to see both documents, and the date each one was last updated.

Sources

Where these figures come from.

29 CFR 2520.104-20: Small Welfare Plan Exemption

The fewer than 100 participants test, the insured and unfunded structures, and the continuing summary plan description duty.

The Detail

The Small-Plan Exemption: The Detail

Many small welfare plans do not need to file a Form 5500. The exemption has conditions that are easy to overlook.

Under 100 Participants at the Start of the Year

The exemption applies to welfare plans with fewer than 100 participants at the beginning of the plan year. Count participants on the first day of the plan year, not at year end. Because the count is a snapshot, record it each year so the filing decision rests on a documented number, and confirm borderline cases with your filing professional.

Funding Method Matters

The plan must be fully insured, unfunded, or a combination of the two. A plan that holds employee contributions in a trust does not qualify. Because the answer depends on how the plan is funded and how contributions are handled, review the arrangement with your adviser each year. A change in funding can change the filing status, even when headcount stays the same.

The 80 to 120 Participant Rule

A plan with 80 to 120 participants may file the same type of return as the prior year, which can keep a plan in the small category through modest growth. Growth near the upper end is worth watching early, so the filing path is chosen deliberately instead of discovered at the deadline. Check how the current rule applies to your plan with your filing professional or counsel.

Exempt Does Not Mean Unregulated

ERISA duties still apply, including a written plan document, a summary plan description, and fiduciary responsibilities. Treat the exemption as relief from a filing, not from the plan’s obligations. Keep the plan document current, make sure employees receive the summary description, and have counsel confirm how fiduciary duties apply to your plan.

Common Questions

Common Questions About the Small-Plan Exemption

Which plans qualify for the exemption?

Welfare benefit plans with fewer than 100 participants at the beginning of the plan year that are fully insured, unfunded, or both.

Does it cover retirement plans?

No. Retirement plans have their own Form 5500 rules, including Form 5500-SF or 5500-EZ for some.

What counts as a participant?

Generally, active employees covered by the plan and former employees with benefits still due. Count carefully at the beginning of the plan year.

What if we cross 100 participants?

Then you file starting with that plan year, subject to the 80 to 120 rule.

What is an unfunded plan?

One paid from the employer’s general assets, with benefits not paid from a trust.

Does a cafeteria plan qualify?

Often yes if it is funded only through payroll reduction and employer general assets, but the facts matter. We can review yours.

What if we are exempt but still want to file?

Voluntary filing is not required. Most exempt plans do not file.

Do we still need a plan document?

Yes. ERISA requires a written plan document and a summary plan description whether or not a Form 5500 is required.

How can we confirm our status?

Send us the plan list, the participant counts, and how each benefit is funded. We will confirm which plans file and which are exempt.

Ask us one we did not answer →

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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