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Acme · Plan year starting 2027-01-01
Section 1 of 11 · ERISA/5500
Saved 3:11 PM
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Plan facts
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ERISA/5500
9/9
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ACA
8/8
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Medicare / MSP Rules
2/2
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COBRA
5/5
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Section 125
4/4
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HIPAA
3/3
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CAA
7/7
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Non-Discrimination Rules
5/5
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Notices/ Disclosures
2/2
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State Requirements
7/7
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ICHRA
4/4
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Report
56 answered
11 of 11 sections done
Section 1 of 11
ERISA/5500
Fiduciary Responsibility & Participant Protection
Q1
Choose all that apply
Select all of the documents currently on file for the employer:
ERISA wrap document
and
Summary Plan Description (SPD)
Self-insured medical plan document (provided by the TPA)
Fully-insured carrier medical policy (aka- certificate of coverage, cert, policy booklet)
None
Not sure
Warning
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Q2
What is the
ERISA plan year
listed on the ERISA wrap document?
ERISA plan year date:
Because you answered
"ERISA plan year date:"
, 7 more questions in this section apply.
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Q3
When the wrap was first adopted, was the wrap distributed to plan participants within 120 days?
No
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Q4
Ongoing: Is the Wrap SPD provided to new plan participants within 90 days of plan enrollment?
No
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Q5
Does the employer have 100 or more participants (includes active employees, retirees or COBRA QBs) enrolled on any of their current benefit plans as of the first day of the plan year, including employer-paid life or disability?
Yes
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Q6
Has the employer filed a
Form 5500
with the Department of Labor for the health and welfare benefits 7 months following the end of the plan year (or up to 2.5 months on extension)?
Yes
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Q7
Does the employer distribute the
Summary Annual Report (SAR)
to all plan participants within 9 months of the end of the plan year or within 2 months of filing Form 5500 on extension?
Yes
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Q8
Are ERISA recordkeeping rules followed, requiring plan sponsors to maintain ERISA documents for not less than 6 years after the filing date of a Form 5500 (or the date it would be filed but for an exemption)?
Yes
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Q9
Is the
electronic disclosure safe harbor
being met for electronic delivery of ERISA documents and required notices?
Yes