Monday, March 30, 2009

New FMLA Regulations for PEO

New joint employer coverage regulation changes the way PEOs and their clients will be treated under the Family Medical Leave Act (FMLA). Prior to the new rules effective January 16, 2009, clients and administrative employers, such as Professional Employer Organizations (PEO), were considered joint employers for purposes of determining coverage under the federal leave law. This joint employer status required that employers use the aggregate employee number of their administrative employer (in this case, the PEO). Because Xenium has an aggregate employee number much higher than the threshold for FMLA coverage (minimum of 50 employees in the U.S.), our smaller PEO clients were also required to comply with the federal law and offer protected leave to eligible employees.

Whether or not the PEO has a joint employer relationship for FMLA with the client will first be subject to an “economic realities” test. In those circumstances where there is joint employer status, the client, rather than the PEO, will generally be deemed to be the primary employer.

Under Section 825.106 regarding Joint Employer Coverage:

A PEO does not enter into a joint employment relationship with the employees of its client companies when it merely performs such administrative functions such as payroll, benefits, regulatory paperwork, and updating employment policies. On the other hand, if in a particular fact situation, a PEO has the right to hire, fire, assign, or direct and control the client's employees, or benefits from the work that the employees perform, such rights may lead to a determination that the PEO would be a joint employer with the client employer, depending upon all the facts and circumstances.
The interpretation of the new joint employer regulations is that Xenium PEO clients are no longer required to include employees not employed at their own worksites (such as the total number of employees co-employed by Xenium) for purposes of determining FMLA coverage. However, it is important to note that clients may still be covered under the state leave law (OFLA), which applies to employers with 25 employees in Oregon. BOLI has not yet adopted (and may not adopt) the new FMLA regulations regarding joint employers.
We will continue to keep our clients updated on any state and federal legislative developments. PEO clients with questions about how the new rules impact their business operations may consult with their Xenium Human Resource Account Manager.

The entire FMLA administrative rule is available at:
www.dol.gov/federalregister/HtmlDisplay.aspx?DocId=21763&Month=
11&Year=2008


Source: NAPEO E Source, Volume 8, Issue 43, November 25, 2008



Full text of regulation changes:

Sec. 825.106 Joint employer coverage.
(a) Where two or more businesses exercise some control over the work or working conditions of the employee, the businesses may be joint employers under FMLA. Joint employers may be separate and distinct entities with separate owners, managers, and facilities. Where the employee performs work which simultaneously benefits two or more employers, or works for two or more employers at different times during the workweek, a joint employment relationship generally will be considered to exist in situations such as:
(1) Where there is an arrangement between employers to share an employee's services or to interchange employees;
(2) Where one employer acts directly or indirectly in the interest of the other employer in relation to the employee; or,
(3) Where the employers are not completely disassociated with respect to the employee's employment and may be deemed to share control of the employee, directly or indirectly, because one employer controls, is controlled by, or is under common control with the other employer.
(b)(1) A determination of whether or not a joint employment relationship exists is not determined by the application of any single criterion, but rather the entire relationship is to be viewed in its totality. For example, joint employment will ordinarily be found to exist when a temporary placement agency supplies employees to a second employer.
(2) A type of company that is often called a ``Professional Employer Organization'' (PEO) contracts with client employers to perform administrative functions such as payroll, benefits, regulatory paperwork, and updating employment policies. The determination of whether a PEO is a joint employer also turns on the economic realities of the situation and must be based upon all the facts and circumstances. A PEO does not enter into a joint employment relationship with the employees of its client companies when it merely performs such administrative functions. On the other hand, if in a particular fact situation, a PEO has the right to hire, fire, assign, or direct and control the client's employees, or benefits from the work that the employees perform, such rights may lead to a determination that the PEO would be a joint employer with the client employer, depending upon all the facts and circumstances.
(c) In joint employment relationships, only the primary employer is responsible for giving required notices to its employees, providing FMLA leave, and maintenance of health benefits. Factors considered in determining which is the ``primary'' employer include authority/ responsibility to hire and fire, assign/place the employee, make payroll, and provide employment benefits. For employees of temporary placement agencies, for example, the placement agency most commonly would be the primary employer. Where a PEO is a joint employer, the client employer most commonly would be the primary employer.
(d) Employees jointly employed by two employers must be counted by both employers, whether or not maintained on one of the employer's payroll, in determining employer coverage and employee eligibility. For example, an employer who jointly employs 15 workers from a temporary placement agency and 40 permanent workers is covered by FMLA. (A special rule applies to employees jointly employed who physically work at a facility of the secondary employer for a period of at least one year. See Sec. 825.111(a)(3).) An employee on leave who is working for a secondary employer is considered employed by the secondary employer, and must be counted for coverage and eligibility purposes, as long as the employer has a reasonable expectation that that employee will return to employment with that employer. In those cases in which a PEO is determined to be a joint employer of a client employer's employees, the client employer would only be required to count employees of the PEO (or employees of other clients of the PEO) if the client employer jointly employed those employees.
(e) Job restoration is the primary responsibility of the primary employer. The secondary employer is responsible for accepting the employee returning from FMLA leave in place of the replacement employee if the secondary employer continues to utilize an employee from the temporary placement agency, and the agency chooses to place the employee with the secondary employer. A secondary employer is also responsible for compliance with the prohibited acts provisions with respect to its jointly employed employees, whether or not the secondary employer is covered by FMLA. See Sec. 825.220(a). The prohibited acts include prohibitions against interfering with an employee's attempt to exercise rights under the Act, or discharging or discriminating against an employee for opposing a practice which is unlawful under FMLA. A covered secondary employer will be responsible for compliance with all the provisions of the FMLA with respect to its regular, permanent workforce.

Thursday, March 26, 2009

Important Employer Update: Changes to COBRA Benefits

The American Recovery and Reinvestment Act of 2009, also known as the Stimulus Package, was signed into law February 17th, 2009. The Act contains significant changes for COBRA including an employer and employee subsidy of COBRA premiums for employees who were involuntarily terminated from September 1st, 2008 through December 31, 2009 and a special election period for qualified individuals who experienced an involuntary termination on or after September 1st, 2008 and were eligible for COBRA but did not elect coverage (and who are not eligible by another group health plan or Medicare).

How the subsidy works: An assistance eligible individual will only be required to pay 35% of his or her COBRA premium. The remaining 65% of the COBRA premium will be paid by the employer and reimbursed by means of a payroll tax credit to the employer on the 941 form.

Who is eligible: An assistance eligible individual is a person who becomes eligible for COBRA between September 1, 2008 and December 31, 2009 due to an involuntary termination of employment. Further guidance on the meaning of involuntary termination is pending from the DOL. The subsidy applies to spouses and dependents who are eligible for COBRA as well.

Duration of subsidy: The subsidy will be available for nine months, but not beyond the maximum period of coverage required under COBRA, or in the event that the individual becomes eligible for other coverage under another group health plan or Medicare.

Special Election Period: Individuals who would have qualified as an eligible individual but had not elected COBRA as of February 17, 2009 have a special 60-day election period under the Act. The election period begins on the date in which the eligible participant receives the new COBRA notice and ends after 60 days of initial receipt. If an employee elects COBRA during this special election period, coverage shall commence on the first period of coverage after February 17, 2009 and will not go beyond the period of COBRA that would have been required if COBRA had been initially elected.

Notice Requirements: The Act requires all the assistance eligible individuals and their qualified beneficiaries to be notified about the availability of the subsidy and other applicable information. The Secretary of Labor is required to have model notices within 30 days of the enactment date. The notice should be customized to include the adjusted subsidy rates and should be sent to all terminated employees currently on COBRA as well as those who are eligible for the Special Election Period.

Requirements if company is paying COBRA with severance: If the employer pays 100% of COBRA premiums under a written or verbal agreement, the subsidy credit does not apply for that timeframe, however the number of months the premium was paid by the employer counts towards the 9 month duration subsidy requirement.

Action Items for Employers:

  1. Create a list of all your terminated employees from September 1, 2008 to current, along with reason for termination. You can use this list to track notification dates, acceptance of COBRA, participant payments, tax credits and 9-month subsidy timeline.
  2. Identify those participants currently on COBRA.
  3. Identify those participants in their 60-day election period.
  4. Determine who is an assistance eligible individual (AEI) based upon involuntary termination and should receive the subsidy notice.
  5. Send the following to the indentified AEI’s:
    • COBRA subsidy notice
    • COBRA Election form
    • COBRA rates effective March 1, 2009
    • Appropriate carrier forms if needed
Plan Sponsors may choose to notify assistance eligible participants prior to the DOL required subsidy notice becoming available. The notice, once available, should be sent regardless of any prior notification and employers should review for eligibility when more guidance is given on the meaning of “involuntary termination”.

Your Xenium HR Account Manager can help you work through this process and answer any questions that you may have.

How the tax credit will work: The “employer” of the plan may take the tax credit on the day they receive the COBRA participant’s premium portion (their 35%). Special Note: If you are paying 100% of the COBRA premium per a severance agreement, you are not eligible for the subsidy reimbursement until the terms of the severance agreement are met (but as stated above, the months covered by the employer count toward the nine month subsidy term).