The Employee Retirement Income Security Act (ERISA) requires plan administrators, the people who administer the plans, to provide plan participants in writing with the most important facts they need to know about their plans. retirement and health benefits, including plan rules, financial information, and documents on the operation and management of the plan. some of this data must be provided to participants on a regular and automatic basis by the plan administrator. others are available upon request, free of charge, or for a copying fee. the request must be made in writing.
One of the most important documents that participants are automatically entitled to receive when they become a participant in an erisa-covered health or retirement benefits plan, or a beneficiary receiving benefits under such a plan, is a summary of the plan, called summary plan description or vel. The Plan Administrator is legally required to provide participants, free of charge, with the SPD. The Summary Plan Description is an important document that tells participants what the plan provides and how it works. provides information on when an employee can begin participating in the plan and how to file a claim for benefits. if a plan is changed, participants must be informed, either through a revised summary plan description or in a separate document, called a summary of significant changes, which must also be provided to participants free of charge.
Plans must also provide a Summary of Benefits and Coverage (SBC) that accurately describes the benefits and coverage of the applicable plan. The SBC is a uniform template that uses clear, plain language to summarize key plan features, such as covered benefits, cost-sharing provisions, and coverage limitations. plans and issuers must provide the sbc to participants and beneficiaries at certain times (including written application materials, at renewal, at special enrollment, and upon request).
If participants are unable to obtain the annual report from the plan administrator, they may be able to obtain a copy by writing to us. uu. Department of Labor, EBSA, Public Disclosure Room, Room N-1513, 200 Constitution Ave NW, Washington, DC 20210, for a nominal copying fee. Participants must provide their name, address, and phone number to allow ebsa to contact them to follow up on the application.
web pages on this topic
Compliance Assistance provides publications and other materials to help employers and employee benefit plan professionals understand and comply with ERISA requirements for the administration of retirement and health plans.
Consumer Information on Health Plans provides fact sheets, brochures, and other information on health plans from the department’s Employee Benefits Security Administration (EBSA).
erisa file acceptance system (efast2) efast2 is a completely electronic system designed by the us. uu. Department of Labor, Internal Revenue Service, and Pension Benefits Guaranty Corporation to simplify and expedite the filing, receipt, and processing of Form 5500 and Form 5500-sf.
questions & Answers: The Erisa File Acceptance System (efast2) provides answers to frequently asked questions about the efast2 system.
An Employee’s Guide to Cobra Health Benefits Cobra provides workers and their family members who lose their health benefits in certain circumstances the right to choose to continue the group health benefits provided by their health plan. this post provides a detailed overview of the law.
Filing a Claim for Your Disability Benefits provides information to participants on how to file a claim for benefits and what to do if the claim is denied.
Filing a Claim for Your Health Benefits provides information to participants on how to file a claim for benefits and what to do if the claim is denied.
How to Obtain Employee Benefit Plan Documents from the Department of Labor describes the documents and materials available through the EBSA Public Disclosure Room and how you can obtain the documents from them.
retirement and health care coverage…questions & Answers for Dislocated Workers provides answers to frequently asked questions by dislocated workers.
Form M-1 Filing FAQs provides questions and answers about the Form M-1 annual report for multiemployer welfare arrangements and certain entities claiming an exception.
Top 10 Ways to Make Your Health Benefits Work for You provides ten tips to help make your health benefits work better for you.
women’s health & Cancer Rights Act (WHRCA): Questions & Answers (Spanish) provides answers to frequently asked questions about enrollment and annual notice requirements under whcra.
Changes at Work Require Health Choices provides information on how to make health care decisions when your work life changes.
Your Employer’s Bankruptcy: How Will It Affect Your Employees’ Benefits? provides information on the effect of bankruptcy on retirement plans and group health plans.
Disaster Relief Employee Benefits Security Administration, Internal Revenue Service, and Pension Benefits Guaranty Corporation Extend Deadline to File Form 5500 and Form 5500-ez in Disaster Response . This webpage provides information on filing and other aid issued in response to identified disasters.