{"id":389,"date":"2019-05-29T08:21:49","date_gmt":"2019-05-29T08:21:49","guid":{"rendered":"http:\/\/cdhp.sourceitmarketing.com\/wordpress\/?p=389"},"modified":"2019-08-30T20:17:33","modified_gmt":"2019-08-30T20:17:33","slug":"its-tricky-fsas-carryover-cobra-2","status":"publish","type":"post","link":"https:\/\/www.flexiblebenefit.com\/cdhp\/its-tricky-fsas-carryover-cobra-2\/","title":{"rendered":"It\u2019s Tricky: FSAs + Carryover + COBRA"},"content":{"rendered":"<p>Two things happened in 1986. Run-D.M.C released their hit song, \u201cIt\u2019s Tricky,\u201d and COBRA became effective. Thirty-two years later, Run-D.M.C.\u2019s music is still popular, and COBRA administration is still tricky\u2014especially when it comes to Flexible Spending Account (FSAs). Add FSA carryover to the mix, and it gets even trickier.<\/p>\n<p>COBRA only applies to FSAs which are said to be <strong>underspent<\/strong>.* This means that the amount available for reimbursement for the remainder of the plan year exceeds the COBRA premium for that same time period. Figuring out if the FSA is underspent involves a bit of math, so it\u2019s best illustrated with an example.<\/p>\n<p><strong>How to determine the amount available for reimbursement for the remainder of the plan year:<\/strong><br \/>v<\/p>\n<ul>\n<li>Jay has elected to put $2,500 into his FSA, which runs on a calendar year\n<ul>\n<li>He also has $500 in carryover funds from the previous year, for a total balance of $3,000 for the plan year<\/li>\n<\/ul>\n<\/li>\n<li>Jay terminates employment on May 31.\u00a0 At that time, he had been reimbursed for $1,100 in healthcare expenses.<\/li>\n<li>The maximum amount available for reimbursement for the remainder of the plan year is: $3,000 &#8211; $1,100 = <strong>$1,900\u00a0<\/strong><\/li>\n<\/ul>\n<p><strong>How to determine the COBRA premium:<\/strong><\/p>\n<ul>\n<li>The maximum monthly COBRA premium is 1\/12 of the employee\u2019s election, plus a 2% administrative fee.<\/li>\n<li>The carryover balance should <strong><u>not<\/u><\/strong> be factored into setting the COBRA premium\n<ul>\n<li>The employee would have already paid for the carryover amount with the previous year&#8217;s contribution<\/li>\n<\/ul>\n<\/li>\n<li>The maximum monthly COBRA premium for Jay is ($2,500 \u00f7 12) X 102% =\u00a0 <strong>$212.50<\/strong><\/li>\n<\/ul>\n<p><strong>How to determine if the FSA is underspent:<\/strong><\/p>\n<ul>\n<li>Jay terminated employment on May 31, which leaves 7 months left in the plan year<\/li>\n<li>The total premium for the remainder of the plan year is: $212.50 X 7 = <strong>$1,487.50<\/strong><\/li>\n<li>Since the amount available for reimbursement for the remainder of the plan year exceeds the premium for the same time period, the FSA is considered underspent, and COBRA would need to be offered\n<ul>\n<li>If the opposite were true, then COBRA would not have to be offered.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>If COBRA applies to the FSA, then COBRA beneficiaries must be given the same carryover rights as current employees. Using the above example, Jay could elect COBRA for a maximum monthly premium of $212.50. Jay\u2019s<br \/>\nemployer can only change him a premium for the remainder of the plan year, which is 7 months.<\/p>\n<p>If Jay has unused funds at the end of the plan year, then he must be allowed to carry over up to $500 for the maximum time period permitted under COBRA law. In this case, it would be an additional 11 months, since the termination of employment allows for 18 months of continuation coverage.<\/p>\n<p>Jay\u2019s employer is prohibited from charging him a premium for the additional 11 months of access to the carryover amount, as Jay would\u2019ve already paid for this amount. Additionally, Jay\u2019s employer does <strong><u>not<\/u><\/strong> need to give him the ability to make a new election to the FSA for the new plan year.<\/p>\n<p>Employers can place restrictions on the carryover amounts. For example, they can structure their FSA so that carryover is only available to employees who make new elections in the following plan year. If Jay\u2019s employer had this provision in place, then he would not be entitled to any carryover amount after the plan year was over. In other words, he\u2019d only need to be offered COBRA for 7 months.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Two things happened in 1986. Run-D.M.C released their hit song, \u201cIt\u2019s Tricky,\u201d and COBRA became effective. Thirty-two years later, Run-D.M.C.\u2019s music is still popular, and COBRA administration is still tricky\u2014especially when it comes to Flexible Spending Account (FSAs). Add FSA carryover to the mix, and it gets even trickier.<\/p>\n","protected":false},"author":1,"featured_media":303,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-389","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>It\u2019s Tricky: FSAs + Carryover + COBRA - Flexible Benefit Service LLC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.flexiblebenefit.com\/cdhp\/its-tricky-fsas-carryover-cobra-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"It\u2019s Tricky: FSAs + Carryover + COBRA - Flexible Benefit Service LLC\" \/>\n<meta property=\"og:description\" content=\"Two things happened in 1986. Run-D.M.C released their hit song, \u201cIt\u2019s Tricky,\u201d and COBRA became effective. Thirty-two years later, Run-D.M.C.\u2019s music is still popular, and COBRA administration is still tricky\u2014especially when it comes to Flexible Spending Account (FSAs). 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