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Employee Benefits Answer Book, Eleventh Edition by Dorinda D. DeScherer

Employee Benefits Answer Book, Eleventh Edition
List Price: $349.00  
Eligible for Free Standard Shipping on U.S. Prepaid Orders
Imprint: Aspen Publishers
ISBN: 9781454825470
Hardcover: 480 pages
Publication Cycle: Updated annually
Last Updated: 6/21/2013
Available: Item ships in 3-5 Business Days

Employee Benefits Answer Book provides comprehensive guidance for those involved in the design and administration of employee benefit plans.

The Q&A format is ideal for probing key topics such as:

  • Health care reform
  • COBRA continuation coverage
  • Retiree health care coverage
  • Health coverage portability requirements
  • Group long-term care insurance
  • Dependent care assistance
  • Adoption assistance
  • Vacation and severance pay plans
  • Death benefits
  • Financing employee benefits
  • Financial accounting for employee benefits
  • And more!

Employee Benefits Answer Book will help you:

  • Set the best Health Care Reform strategy for your company and your clients
  • Keep in compliance with current and coming requirements
  • Find clear answers to hundreds of employee benefits questions
  • Avoid costly errors related to employee benefits administration
  • Resolve employee benefits issues quickly and effectively
  • And much more!

In addition to discussing the latest health care reform developments, as well as explaining the what's, why's, and how's to keep employer health plans in compliance with the sweeping new changes, Employee Benefits Answer Book provides extensive and up-to-date guidance on:

  • Important new regulations under the Age Discrimination in Employment Act (ADEA)
  • Cost-sharing parity requirements for mental health and addiction benefits
  • Expanded FMLA coverage for military family members
  • Updated rules for parking and transit benefits
  • Key changes to the Uniformed Services Employment and Reemployment Rights Act
  • FMLA rules for airline flight crews
  • Ground rules for employer-provided adoption assistance
  • Revised rules for counting intermittent FMLA leave
  • And more!



View the Highlights for this title.
  • 1. Introduction
    • A Road Map to the Eleventh Edition
    • A Thumbnail Guide to Important Regulatory Goals
    • Practical Plan Administration
  • 2. The Regulatory Scheme: ERISA
    • Basic Concepts and Definitions
    • Covered Employers
    • Covered Employees
    • Covered Plans
    • Requirements for Plan Document
    • Fiduciaries
    • Fiduciary Responsibility
    • Mandated Benefit Provisions
    • Plan Development: Adoption, Amendment, and Termination
    • Plan Assets
    • Trustees and Investment Managers
    • Trust Requirement
    • Prohibited Transactions
    • Fiduciary Liability
    • Nonfiduciary Liability
    • Bonding Requirement
    • Claims Procedure Requirement
    • Reporting and Disclosure Requirements
    • Preemption of State Law
    • Penalties and Enforcement
    • Remedies for Breach of Fiduciary Duties
    • Remedies of Plan Participants and Beneficiaries
  • 3. Group Health Plans: Structure and Administration
    • Impact of the Affordable Care Act
    • Grandfathered Health Plans Under the Affordable Care Act
    • Basic Concepts
    • Employer Responsibility for Health Coverage
    • Health Insurance Exchanges and Group Health Insurance
    • Types of Plans
    • Funding Types and Cost Sharing
    • Plan Administration
    • Health Benefit Claim Processing and Review
    • Coordination of Benefits
    • Subrogation
    • Legal Requirements Affecting Health Plans
    • Tax Treatment of Employers
    • Tax Treatment of Participants
    • Health Reimbursement Arrangements
    • Medical Savings Accounts
    • Health Savings Accounts
    • Employee Assistance Programs
    • Workers’ Compensation
  • 4. Group Health Plans: Mandated Benefits and Standards
    • Basic Rules
    • Nondiscrimination Based on Health Status
    • Prohibition of Discrimination in Favor of Highly Compensated Employees
    • Waiting Periods and Preexisting-Condition Exclusions
    • Certificates of Creditable Coverage
    • Coverage Limits and Cost-Sharing Requirements
    • Dependent Coverage Requirements
    • Special Enrollment Rights
    • Mandated Benefits and Patient Protections
    • Mental Health and Substance Use Disorder Benefits
    • Benefits for Maternity, Newborns, and Mothers
    • Benefits Under the Women’s Health and Cancer Rights Act
    • Qualified Medical Child Support Orders
    • Medicare Secondary-Payer Rules
    • Children’s Health Insurance Program
    • Privacy and Security Requirements
  • 5. Retiree Medical Benefits
    • The Affordable Care Act
    • Obligation to Provide Retiree Medical Benefits
    • Tax Treatment of Retiree Health Benefits
    • Cost Containment Design
    • Plan Cutbacks—Legal Issues
    • Coordination with Medicare
    • Retiree Prescription Drug Benefits
    • Trust Requirement
    • Financial Accounting Rules
    • Funding Options
  • 6. COBRA Requirements for Continuation of Coverage Under Group Health Plans
    • Covered Plans
    • Definition of “Plan” for COBRA Purposes
    • Covered Employers
    • Qualified Beneficiaries
    • Qualifying Events
    • Notice to Participants
    • COBRA Election and Enrollment
    • Type and Extent of Required Coverage
    • Duration of Coverage
    • Premiums
    • Mergers and Acquisitions
    • Preemption of State Continuation Laws
    • COBRA Enforcement and Sanctions
    • Plan Year
  • 7. Cafeteria Plans
    • The Affordable Care Act
    • Basic Concepts
    • Written Plan Requirement
    • Eligible Employees
    • Permitted Benefit Choices
    • Use-It-or-Lose-It Rule
    • Salary Reduction
    • Period of Coverage
    • Elections
    • Premium Conversion Plans
    • Flexible Spending Arrangements
    • Trust Requirement
    • Section 125 Nondiscrimination Rules
    • SIMPLE Cafeteria Plan
    • Tax Treatment of Cafeteria Plan Benefits
    • Reporting and Disclosure Requirements
    • Effect of Other Laws
  • 8. Dependent Care Assistance and Adoption Assistance
    • Dependent Care Assistance Programs
    • Adoption Assistance Programs
  • 9. Group Long-Term Care Insurance
    • Basic Concepts
    • Taxation Issues
    • Characterization Under Other Laws
    • Inclusion in Cafeteria Plans
  • 10. Disability Income Plans
    • Basic Concepts
    • Plan Design and Administration
    • Trust Requirement
    • Benefit Calculations
    • Tax Treatment of Employers
    • Tax Treatment of Employees
    • Tax Treatment of Self-Employed Persons and Subchapter S Corporation Shareholder-Employees
  • 11. Group Term Life Insurance Plans
    • Basic Concepts
    • General Death Benefit Requirement
    • “Group of Employees” Requirement
    • Policy Carried Directly or Indirectly by the Employer
    • Benefit Formula Precluding Individual Selection
    • Nondiscrimination Rules
    • Other Plan Design Limitations
    • Preemption of State Insurance Laws
    • Plan Administration Issues
    • Trust Requirement
    • Taxation Issues
  • 12. Death Benefits Other Than Employee Group Term Life Insurance
    • Dependent Group Term Life Insurance
    • Accidental Death Benefits
    • Business Travel Accident Insurance
    • Group Universal Life Insurance
    • Uninsured Death Benefits
    • Split-Dollar Life Insurance
    • Bonus Life Insurance
    • Death Benefits Under Qualified Retirement Plans
    • Accelerated Death Benefits
    • Living Benefits
  • 13. Fringe Benefits
    • No-Additional-Cost Services
    • Employee Discounts
    • Working Condition Fringe Benefits
    • De Minimis Fringe Benefits
    • Qualified Transportation Fringe Benefits
    • Qualified Moving Expense Reimbursements
    • Qualified Retirement Planning Services
    • Meals and Lodging Furnished for the Employer’s Convenience
    • Employee Gifts and Achievement Awards
    • Disaster Relief Assistance
    • Group Legal Services Plans
  • 14. Educational Assistance
    • Educational Assistance Programs
    • Qualified Scholarships and Tuition Reductions
    • Job-Related Educational Benefits
    • Education Savings Plans
  • 15. Vacation and Severance Pay Plans
    • Vacation Pay Plans
    • Severance Pay Plans
    • Golden Parachute Payments
  • 16. Family and Medical Leave
    • Basic Concepts
    • Covered Employers
    • Eligible Employees
    • Qualifying Family and Medical Leave
    • Certification of FMLA Leave Eligibility
    • Substitution of Paid Leave
    • Employee Benefits During Leave
    • Rights upon Return from FMLA Leave
    • Failure to Return from FMLA Leave
    • Relationship to Group Health Plan Rules
    • Relationship to Cafeteria Plan Rules
    • Notice, Disclosure, and Recordkeeping Requirements
    • Relationship to State Laws
    • Penalties and Enforcement
  • 17. Age Discrimination in Employment Act of 1967
    • Basic Concepts
    • Covered Employers
    • Covered Employees
    • Providing Lesser Benefits to Older Workers
    • Bona Fide Plan Requirements
    • Cost-Equivalency Rule
    • Using Retirement Benefits to Reduce Other Benefits
    • Providing Greater Benefits to Older Workers
    • Waiver of ADEA Rights and Claims
    • Arbitration of ADEA Claims
    • Penalties
    • Relationship to State Laws
  • 18. Americans with Disabilities Act of 1990
    • Basic Concepts
    • Covered Employers
    • Covered Employees
    • Covered Disabilities
    • Effect on Welfare Benefits Plan Design
    • Disability Inquiries and Confidentiality
    • Procedures for ADA Claims
    • Penalties
    • Relationship to State Laws
  • 19. Other Federal Laws
    • Labor Laws and Collective Bargaining
    • Title VI of the Civil Rights Act of 1964
    • Title VII of the Civil Rights Act of 1964
    • Equal Pay Act of 1963
    • Rehabilitation Act of 1973
    • Worker Adjustment and Retraining Notification Act of 1988
    • Employee Benefits of Bankrupt Companies
    • Veterans’ Health Care Amendments of 1986
    • Uniformed Services Employment and Reemployment Rights Act of 1994
    • Genetic Information Nondiscrimination Act of 2008
  • 20. Funding and Financing Welfare Benefits
    • Overview of Funding Alternatives
    • Welfare Benefit Fund Rules
    • Voluntary Employees’ Beneficiary Associations
    • Funding Postretirement Medical Benefits Under a Pension Plan
    • Funding Retiree Group-Term Life Insurance Through a Pension Plan
    • Financing Welfare Benefits with Life Insurance
  • 21. Financial Accounting Rules for Nonpension Retiree and Postemployment Benefits
    • Postretirement Welfare Benefits
    • Disclosure Requirements
    • Reducing or Eliminating the Accounting Liability
    • Postemployment Benefits
  • GLOSSARY
  • TABLES
    • Cases
    • Department of Labor Regulations and Pronouncements
    • ERISA Sections
    • Internal Revenue Code Sections

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