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Grace Period Extension Explanation Letter

Many of you have heard about the U.S. Treasury Department’s recent announcement which affects the "use it or lose it" requirement of Flexible Spending Arrangements (FSAs). The "use it or lose it" rule requires FSA participants to forfeit any plan contributions made during a Plan Year to the extent eligible expenses do not meet or exceed those contributions during their particular plan’s Plan Year. The Treasury Department’s announcement allows FSA plans to permit participants to incur eligible expenses for up to 2 ½ months after the end of a Plan Year before the contributions made during such Plan Year are subject to forfeiture. From the employee’s perspective, the "use it or lose it rule" has always been the biggest downside to participating in FSA’s. Therefore, this announcement of this increased flexibility has been met with a great deal of enthusiasm by both employers and employee alike. Unfortunately, the Treasury Department’s announcement raised a few potential problems that require further consideration before employer’s decide whether to incorporate the grace period provisions into their plan or not. Fortunately, we now have some guidance on how those issues will be resolved.

Before describing potential problems with utilizing the grace period, it is important to emphasize that the grace period is not automatic but must be adopted by Plan Sponsors through a plan amendment prior to the end of the Plan Year for which the grace period will apply. Some Plan Sponsors will choose not to offer the grace period for reasons running from administrative simplicity to financial considerations.

Even if a Plan Sponsor decides that implementing the grace period is a desirable option for its plan, there were three main issues raised by implementing the grace period which were unclear. First, implementing the grace period may cause some participants to violate the $5,000 annual reimbursement limit for dependent care reimbursements. If funds from a previous plan year are used to reimburse expenses incurred during the grace period and then another full $5,000 of dependent care expenses are incurred during the plan year in which the grace period occurred, a Participant could be deemed to be receiving benefits for more dependent care expenses in one year than allowed under federal statute. Fortunately, the IRS released Notice 2005-61 on September 7, 2005 which essentially eliminates this concern by re-confirming that the limit is based on the timing of a Participant’s contributions to their Dependent Care Flexible Spending Arrangement, not when the reimbursements are made.

The second issue is that implementing the grace period may cause a Health FSA to lose its status as an excepted benefit under HIPAA’s portability rules. The loss of this excepted benefit status would require FSA Plan Sponsors to issue HIPAA Certificates of Creditable Coverage to all covered individuals under the FSA plan when they lose eligibility for coverage. Even more problematic, the loss of the HIPAA excepted benefit status would cause Health FSAs to be subject to the full coverage periods other health plans are subject to under COBRA. Health FSAs that are excepted benefits under HIPAA are only subject to continuing coverage periods through the end of the current FSA plan year. If the excepted benefits status is lost, participants who lose their coverage under a health FSA would be entitled to continuation coverage for as long as 36 months (for example individuals who divorce a current participant).

At a recent conference of Section 125 Administrators in Reno, Nevada, high ranking IRS officials informally indicated that the issue of the loss of excepted benefit status will not be a problem for Plan Administrators as a result of implementing the grace period. This potential for this problem was described as an unintended consequence of the implementation of the grace period rule. The IRS officials indicated that Plans would not lose their excepted benefit status under HIPAA due to the implementation of the grace period.

Finally, for individuals who wish to make contributions to an HSA, if they are participants in an unrestricted Health FSA during a Plan Year for which a grace period applies, the existence of the grace period could disqualify that Participant (and their spouses) from making contributions to an HSA for any month which begins during the grace period even if that particular Participant did not take advantage of the grace period. This issue remains unresolved.

Based on this latest information, Admin America now believes that it is okay for Plan Sponsors to amend their plans to permit the grace period if they so desire although if the Plan Sponsor believes that any current Participants will begin utilizing HSAs next year, those participants should be warned of the potential limitations the grace period might impose on them.

If you would like to have your Plan amended for this purpose, please send an e-mail request to trey@adminamerica.com. In that e-mail, it is imperative to include the following three pieces of information:

1) Whether you want the grace period to apply for the current plan year or only future plan years,

2) How long do you want the grace period to run (1-75 days), and

3) Finally, how long after the grace period do you want to give all participants to file claims (1 to 3 months).

If you have any questions about the grace period or how it operates, please contact Trey Tompkins at Admin America.


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