WORKING FAMILIES TAX
RELIEF ACT CHANGES DEPENDENT ELIGIBILITY
The Working Families Tax Relief Act (WFTRA) changes Section 152 of
the Internal Revenue Code beginning January 1, 2005. It is intended to
create a consistent definition of a dependent for tax purposes.
WFTRA redefines which dependents are eligible to participate in employer
sponsored benefit plans on a pre-tax basis.
This issue of Insight provides a summary of the requirements and
what employers must do to comply with the new requirements.
What Do Employers Need to Know?
Section 152 of the Internal Revenue Code determines which dependents
can be claimed on an employee’s tax return and are eligible to be covered
in a tax-favored manner
under certain employee benefit plans. WFTRA changes the Section 152
definition. The revised definition means that some dependents may lose
eligibility for pre-tax benefits, while other dependents may gain
eligibility for pre-tax benefits. The revised definition does not
prevent dependents from participating in most employee benefit plans; it
only affects the taxability of the benefits. Dependents that do not meet
the Section 152 requirements are not eligible to receive reimbursement
for expenses in tax favored plans such as health care and dependent care
spending accounts.
What Do Employers Need to Do?
Employers must review their plan
documents, identify individuals that gain or lose eligibility for
pre-tax benefits, and determine how to treat individuals that experience
a change in eligibility.
- Section 125 Plan Documents -
No action is necessary if your Section 125 plan document eligibility
language currently refers to section 152 and section 21 (as modified
by section 105(b), section 125(e)(1)(D), and section 129(c)(2) as
applicable). The documents were updated automatically when the tax
code changed. However, if your Section 125 plan documents currently
do not reference section 152 (as modified), but instead define the
eligibility, then you may need to update the language. You should
review the eligibility requirements to make sure that the plan
includes only those individuals that are eligible to participate on
a pre-tax basis. Additionally, if your Section 125 plan document
just refers to section 152 without including the changes for benefit
purposes, you should take the opportunity to correct the language
now.
- Dependents Losing Eligibility -
Identify which individuals can no longer participate in the plan on
a pre-tax basis. The most common occurrences are:
- A dependent child (who is not
away at school) that does not live with his/her parent, unless
there is a prior written agreement.
- Children of domestic partners
The employer must decide how to treat
individuals that are no longer eligible to participate in the plan on
a pre-tax basis. An employer’s options include:
- Allow the dependents to continue
to participate in the benefit plans. If this option is elected,
the employer must either:
- Report as imputed income to
the employee the value of coverage that is either paid for by
the employer or paid for by the employee with pre-tax income;
or
- Have the employee pay for the
benefits with post-tax dollars.
- Do not allow the individuals to
remain in the benefit plans. The eligibility provisions of the
health plan documents should be amended to exclude these
dependents from coverage. If these individuals are eligible for
COBRA, they should be provided the opportunity to enroll in COBRA.
- Dependents Gaining Eligibility
-
Identify which individuals may gain eligibility from the changes to
Section 152. While these individuals are permitted to participate in
the employee benefit plans on a pre-tax basis, an employer must
decide whether they want to allow these individuals to participate.
An employer should also work with their insurance carriers to make
sure they are allowed to enroll in the plans. The most common
example of an individual gaining eligibility for the plan is:
- A child that lives with the
participant and is the participant’s child, grandchild, niece,
nephew or sibling, but who is supported by someone else.
- Open Enrollment Opportunity -
Employers must decide how to communicate the revised requirements to
employees. Employers must consider whether an open enrollment
opportunity should be permitted for employees to adjust their
elections.
- Employee Certification
-
Employers may want to begin using election forms that require
employees to certify that all dependents covered under the benefit
plans are qualified as tax dependents. The signed election form
limits the employer’s liability for improper tax reporting that
results from covering ineligible participants under the Section 125
plan.
Additional Information
This document is not intended to provide any legal advice or analysis. Please
consult your own legal counsel for further information on the topics discussed in this
issue of Insight.
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