/>iNotifying participants and beneficiaries about your employee benefits is an important part of compliance and getting the most out of your benefits by ensuring employees know what their options are. We have outlined below what disclosures and notices are required, who needs to receive them, and when to send them out. It does not include documents that are filed with governmental entities, such as Form 5500 or documents and notices that are rarely distributed (such as the plan document) or have very complicated requirements (such as domestic relations orders). Many of these disclosures and notices are prepared or sent out (or both) by your service providers. We have summarized the requirements for the two most common types of plans (401(k) retirement plans and health and welfare plans). If you have a cash-balance, ESOP, or defined benefit plan, contact us for assistance with those requirements.
401(k) Retirement Plans
Download a printer-friendly summary of 401(k) Retirement Plans.
Summary Plan Description (SPD)
When to Give it
- Within 30 days of receiving a written request
- Within 90 days of an employee becoming a participant
- Within 90 days of a beneficiary receiving a benefit, if the beneficiary has not yet received an SPD
- Within 120 days after the adoption of a new plan
- The earlier of every five years for an amended plan and ten years for a plan that has not been amended
Who to Give it to
- Participants (including former employees with account balances)
- Beneficiaries receiving benefits
- Alternate payees receiving benefits
What it is
An accurate and readily understandable summary of the key terms, rights, features, and benefits of the plan.
Summary of Material Modifications (SMM)
When to Give it
- Within 210 days after the end of the plan year in which the plan is materially amended
Who to Give it to
- Participants (including former employees with account balances, if the change affects them)
- Beneficiaries receiving benefits
- Alternate payees receiving benefits
What it is
A summary of the changes made to an existing plan.
Summary Annual Report (SAR)
When to Give it
- The later of nine months after the end of the plan year or two months after the Form 5500 is due (including extensions)
Who to Give it to
- Participants (including former employees with account balances)
- Beneficiaries receiving benefits
- Alternate payees receiving benefits
What it is
A narrative summary of the key information included in the Form 5500.
Benefit Statement
When to Give it
- Quarterly, if the plan permits participants to direct investments
- Annually, if the plan does not permit participants to direct investments
Who to Give it to
- Anyone with an account balance.
What it is
A statement or report of the value of the benefit, the amount that is nonforfeitable, the underlying investments (and their value), and examples of benefit payments; and for plans permitting participants to direct investments, the election process, the importance of diversification, and where to get additional information.
Section 404(c) Notice
When to Give it
- Before the participant, beneficiary, or alternate payee makes investment decisions or elections
- Upon request
Who to Give it to
- Participants
- Beneficiaries
- Alternate payees
When to Give it
Investment-related information such as fees, performance, and black-out periods.
Black-Out Period Notice
When to Give it
- 30-60 days before a black-out period
Who to Give it to
- Those impacted by the black-out period
When to Give it
A summary of the features that will be unavailable for three or more business days, such as the ability to make investment elections, choose diversification, obtain a distribution, or request a loan.
Qualified Default Investment Alternative (QDIA) Notice
When to Give it
- At least 30 days before plan eligibility (or the date of eligibility if contributions can be withdrawn within 90 days of plan entry)
- At least 30 days before an investment into a QDIA is made
- At least 30 days before each plan year
Who to Give it to
- Participants and beneficiaries who may have an investment in a QDIA made on their behalf
When to Give it
A summary of what a QDIA is, what its objectives are, and the right to move assets from a QDIA into another permissible investment option.
Automatic Contribution Arrangement (ACA) Notice
When to Give it
- A reasonable amount of time before each plan year starts (generally 30 days)
Who to Give it to
- Any participant subject to automatic contributions
When to Give it
A summary of the participant’s rights, obligations, and options regarding automatic contributions.
Notice of the Right to Divest
When to Give it
- Within the 30 days before a participant is eligible to divest
Who to Give it to
- Participants
- Alternate payees
- Beneficiaries of deceased participants or alternate payees
When to Give it
Information about when company stock can be sold and diversified, including information about the importance of diversification.
Notice of Automatic Rollover of Amounts over $1,000
When to Give it
- Before the rollover occurs
Who to Give it to
- Participants subject to mandatory distribution after termination of employment
When to Give it
A summary of the mandatory distribution rules, explaining that if the participant fails to make a distribution election within 30 days, the participant’s account balance will be transferred to an IRA of the employer’s choice.
Plan Termination Notice
When to Give it
- During the plan termination process
Who to Give it to
- Participants
- Beneficiaries
- Alternate payees with account balances
When to Give it
Information about the plan termination process, distribution options, account balance, fees, and where to obtain more information.
W-2
When to Give it
- Annually by January 31st
Who to Give it to
- All employees
When to Give it
In additional to reporting income, contributions to the plan should be reported on this form.
Health and Welfare Plans
Download a printer-friendly summary of Health and Welfare Plans.
Summary Plan Description (SPD)
When to Give it
- Within 30 days of receiving a written request
- Within 90 days of an employee becoming a participant
- Within 90 days of a beneficiary receiving a benefit, if the beneficiary has not yet received an SPD
- Within 120 days after the adoption of a new plan
- The earlier of every five years for an amended plan and ten years for a plan that has not been amended
Who to Give it to
- Participants
- Beneficiaries receiving benefits
When to Give it
An accurate and readily understandable summary of the key terms, rights, features, and benefits of the plan.
Summary of Material Modifications (SMM)
When to Give it
- Within 210 days after the end of the plan year in which the plan is materially amended
Who to Give it to
- Participants
- Beneficiaries receiving benefits
When to Give it
A summary of the changes made to an existing plan.
Summary Annual Report (SAR)
When to Give it
- The later of nine months after the end of the plan year or two months after the Form 5500 is due (including extensions)
Who to Give it to
- Participants
- Beneficiaries receiving benefits
When to Give it
A narrative summary of the key information included in the Form 5500.
Explanation of Benefits (EOB)
When to Give it
- Varies depending on the type of claim
Who to Give it to
- Any individual making a claim for benefits
When to Give it
A summary of the claim decision.
Summary of Material Reduction in Covered Services or Benefits
When to Give it
- Within 60 days of adopting the material reduction
Who to Give it to
- Participants
When to Give it
A summary of any change to information that would be in an SPD and is also a material reduction in services or benefits.
COBRA General Notice
When to Give it
- When an individual’s health insurance starts
Who to Give it to
- Those receiving health insurance
When to Give it
Information about when and how health benefits can be extended or continued when eligibility ceases.
COBRA Election Notice
When to Give it
- Within 14 days after the employer notifies the plan administrator that eligibility for benefits has stopped (within 44 days where the employer is also the plan administrator)
Who to Give it to
- Those eligible to make a COBRA election because of a qualifying event resulting in loss of coverage
When to Give it
A summary of how to make a COBRA election and other alternatives, such as the Health Insurance Marketplace.
COBRA Unavailability Notice
When to Give it
- Within 14 days of being informed of the potential qualifying event
Who to Give it to
- The individual who notifies the plan administrator of a potential qualifying event
When to Give it
An explanation that the individual is not eligible for COBRA continuation coverage and why.
COBRA Early Termination Notice
When to Give it
- As soon as practical after determining COBRA continuation coverage should terminate early
Who to Give it to
- Those whose COBRA continuation coverage will be ending early
When to Give it
An explanation of why the COBRA continuation coverage is terminating early.
Special Enrollment Rights Notice
When to Give it
- Before or at the time the individual is eligible to enroll in plan benefits
Who to Give it to
- Employees eligible for health benefits
When to Give it
Information about the 30-day period in which to enroll if the employee experiences an event permitting special enrollment.
CHIPRA Notice
When to Give it
- Annually
Who to Give it to
- All employees
When to Give it
A list of state assistance options for health insurance.
Women's Health and Cancer Rights Act (WHCRA) Notice
When to Give it
- When first providing health benefits
- Annually
Who to Give it to
- Participants
When to Give it
A summary of the mastectomy-related benefits provided by the plan.
Mental Health Parity and Addiction Equity Act (MHPAEA) Criteria for Medically Necessary Determination Notice
When to Give it
- Upon request
Who to Give it to
- Participants
- Eligible employees
- Beneficiaries
- Providers
When to Give it
A summary of the requirements for medically necessary determinations.
MHPAEA Claim Denial Notice
When to Give it
- Upon request
- When required by other laws
Who to Give it to
- Participants
- Beneficiaries
When to Give it
An explanation of any denial of reimbursement or payment for benefits covered by MHPAEA.
MHPAEA Increased Cost Exception Notice
When to Give it
- When a cost exception is being used
Who to Give it to
- Participants
- Beneficiaries
- DOL
- State agencies
When to Give it
A summary of the increased costs and statement that an exception to mental health parity is being applied to benefit payments.
Summary of Benefits and Coverage (SBC)
When to Give it
- Annually with open enrollment
- Within 90 days of when an individual first enrolls in the plan
- Within 7 days of a request
Who to Give it to
- Participants
- Beneficiaries
When to Give it
A summary of key terms used by the plan and the coverage provided by the plan.
Notice of Modification to Summary of Benefits and Coverage (SBC)
When to Give it
- Within 60 days before the change will be effective
Who to Give it to
- Participants
- Beneficiaries
When to Give it
A summary of changes made to terms or coverage described in an SBC.
Claims and Appeals Review Notice
When to Give it
- Depends on the type of claim and review process being done
Who to Give it to
- Claimant
When to Give it
Information about the denial of a claim for benefits, including the process, appeal rights and other key features.
Notice of Coverage Options
When to Give it
- Upon hiring a new employee
Who to Give it to
- Any employee who is hired, regardless of hours worked or eligibility for health benefits
When to Give it
Information about the availability of marketplaces for health insurance, associated credits, and the impacts on credits of electing employer-provided coverage.
Individual Coverage Health Reimbursement Arrangement (ICHRA)
When to Give it
- When an employee is first eligible to participate
- At least 90 days before the beginning of the plan year
Who to Give it to
- Participants
When to Give it
A summary of what an ICHRA is, the availability of marketplaces for health insurance, explanation that tax credits are sometimes available and that participating in an ICHRA could impact tax credit availability.
Transparency in Coverage Notice
When to Give it
- Annually
Who to Give it to
- Participants
- Beneficiaries
When to Give it
A comparison tool for the total cost of health services and the portion the individual will be responsible for paying.
W-2
When to Give it
- Annually by January 31st
Who to Give it to
- All employees
When to Give it
In additional to reporting income, contributions and benefits should be reported on this form.
1095
When to Give it
- Annually by March 1st
Who to Give it to
- All employees working 30 or more hours per week.
When to Give it
This provides an overview of Affordable Care Act (ACA) compliance for use by the employee in filing their personal taxes.
