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Amwins Connect - April 2025 Question of the Month

Apr 02, 2025
Category
Compliance News

Amwins Connect – April 2025 Question of the Month

Questions

  1. Who must receive Summary Plan Documents (SPDs) for ERISA Health and Welfare Plans? 
  2. When must the SPD be provided? 

Answers 

Answer to Question 1 - All participants covered under the ERISA health and welfare plans are to receive SPDs. Participants are not only ‘current employees’. The term participant includes any employee or former employee who is or may become eligible for benefits under the plan or whose beneficiaries may be eligible for benefits. Categories of individuals that would receive the SPD: 

  • Plan participants 
  • Beneficiaries receiving benefits 
  • Employees or former employees covered under the plan 
  • COBRA Qualified Beneficiaries 
  • Alternate recipients under Qualified Medical Child Support Order 
  • Spouses or other dependents of deceased participants 
  • Representatives or guardians of incapacitated persons 

Answer to Question 2 - The SPD must be provided: 

  • To participants within 90 days of becoming covered by the plan; 
  • To beneficiaries within 90 days after first receiving benefits 
  • The plan has 120 days after becoming subject to ERISA to distribute the SPD. 

Resources 

  • Department of Labor Reporting and Disclosure Guide for Employee Benefit Plans 
  • Plan Information | U.S. Department of Labor 
  • Amwins Connect - Webinar Replay - Plan Documents  

 

While every effort has been taken in compiling this information to ensure that its contents are totally accurate, neither the publisher nor the author can accept liability for any inaccuracies or changed circumstances of any information herein or for the consequences of any reliance placed upon it. This publication is distributed on the understanding that the publisher is not engaged in rendering legal, accounting, or other professional advice or services. Readers should always seek professional advice before entering into any commitments.

 

Tags
Department of Labor
ERISA

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