Tuesday, June 5, 2012

FSA Limits & Tax Credits

Are you concerned how the  laws surrounding Flexible Spending Accounts will affect you in the years to come? Don't worry... we've got the answers for you! We've worked with our partners at UBA to bring you latest updates in Health Care Reform:


The IRS on Wednesday provided regulatory relief for health care flexible spending account (FSA) participants and also said it is reconsidering its longtime use-it-or-lose-it rule for FSAs! 


Employer benefits lobbying groups, including the American Benefits Council (ABC) had complained that the new $2,500 annual limit set to go into effect on January 1, 2013 would effectively force noncalendar-year plans to comply with the rule before the statutory effective date. 


Let's break it down: If an employee has an FSA with a fiscal year that begins on July 1, 2012, elects to contribute $3,600 during that plan year, making contributions of $300 a month from July 1, 2012 through June 30, 2013, the employee would violate the $2,500 annual limitation for 2013, the ABC noted, because the employee would have contributed $300 a month for the first six months of 2013 and $208.33 for the last six months of 2013 (a total of $3,050 during 2013).



In Notice 2012-40, the IRS said participants in noncalendar-year plans can still make the maximum contributions to their FSAs during the first year that a mandated FSA contribution cutback goes into effect under the health care reform law.


In addition, the IRS made clear that amounts that remain in so-called grace period FSAs can be rolled over to the next year without those funds counting against the $2,500 limit.  Grace period FSAs -- allowed by the IRS under a 2005 rule -- are those in which unused balances from the prior plan year can be used to pay expenses that are incurred during the first 2.5 months of the next plan year.


The guidance also addresses plan grace periods and provides relief for "certain salary reduction contributions exceeding the $2,500 limit that are due to a reasonable mistake and not willful neglect and that are corrected by the employer."  Further, the notice clearly establishes that the limit in PPACA does not does not apply to certain employer nonelective contributions (sometimes called flex credits), nor does it apply to non-healthcare FSA contributions, HSAs, HRAs or health plan premium payments made under a Section 125 plan.


Finally, in a development that stunned benefit experts, the IRS also disclosed that it considering "modifying" its 28-year-old use-it-or-lose-it rule.  If use it or lose it were eliminated, FSAs would become even more popular.  The fear of losing unused contributions is a disincentive for some employees to participate, and others contribute less than they would in the absence of the requirement, experts said.


Few small employers claim small employer tax credit 


Few of the estimated 1.4 million to 4 million eligible small employers claimed the Small Employer Health Insurance Tax Credit in tax year 2010, according to a recent report from the Government Accountability Office (GAO).  The GAO noted that only 170,300 small employers claimed the tax credit, which represents only 7 percent (plus or minus 3 percent) of the estimated eligible small employers. 


The cost of credits claimed was $468 million, and most claims were limited to partial rather than full percentage credits because of the average wage or full-time equivalent (FTE) requirements.  The report noted that only 28,100 employers claimed the full credit percentage in 2010.   In addition, 30 percent of claims had the base premium limited by the state premium average


The report, "Small Employer Health Tax Credit: Factors Contributing to Low Use and Complexity," noted that employer representatives, tax preparers and insurance brokers that GAO interviewed identified a number of factors limiting the credit's use:

  • Approximately 83 percent of small employers do not offer health insurance, and the tax credit was not large enough to incentivize these employers to begin offering insurance
  • Rules on FTEs and average wages are too complex
  • Calculating and filing a claim for the credit is too complex
The GAO noted that options to address these factors (such as expanded eligibility requirements) have trade-offs, including less precise targeting of employers and higher costs to the federal government.

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