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30 Cards in this Set

  • Front
  • Back
ERISA
- this is the primary federal law related to employee benefits
- enacted mainly to combat abuses in the administration and investment of private pensions
- Applies to other employer sponsored/employer provided benefits
- Does not require employers to provide pensions/other benefits, however if they do provide them there are certain minimum standards that need to be satisfied.
ERISA Covered plan types
1) Pension plans
2) Welfare benefit plans
§510 of ERISA (discrimination)
prohibits the discharge of an employee to prevent benefit accrual and discrimination against any beneficiary for:
1) asserting their rights under ERISA or
2) retaliating against an employee for exercising their rights under the statute.
§510 of ERISA (discrimination) - Showing
must show the employer acted with the intent to deprive the employee of health benefits.
Genearally requires:
1) Discharge shortly after notifying employer of disease
2) Failure to follow normal termination procedures
3) Incentive to avoid high medical costs
§510 of ERISA (discrimination) - Outsourcing
- The employer’s sole motivation must be to avoid paying for employees’ ERISA benefit plans.
- VERY HARD for employees to be successful with outsourcing claims (under §510) because it is relatively easy for employers to articulate a legitimate, nondiscriminatory reason for outsourcing.
- These claims are analyzed under the McDonnell Douglas Framework
ERISA Preemption
- Gives BROAD preemption of “any and all state laws insofar as they may now or hereafter relate to any employee benefit plan”
Employment Benefits - Eligibility Standards
(Zambrano v Reinert):
Determined by the states
Employment Benefits - Administrative standards
These are how the benefits are paid.
- These are subject to the “when Due” clause of the social securities act.
Reasonable factor other than age (RFOA)
- Defense to age discrimination.
- If there is a reasonable factor other than age then it will be ok to discriminate.
- Not a hard burden to meet.
Defined Contribution Plans (Def)
This is where employee (and maybe employer) make contributions to the plan and then they are invested.
Defined Contribution Plans (Duties) - Owed to
- The plan administrator owes a duty to the individual employees, and their accounts.
- So an employee can sue for effects to their account alone.
Parties in Interest
These are anyone who have an interest in the plan (e.g. professional service providers, plan beneficiaries, etc.).
- They are not liable for plan losses.
Defined Contribution Plans (Duties) - Owed by
Owed by Fiduciaries of the plan.
- Corporation: Not fiduciaries unless they are names as the administrator
- Officers: Not fiduciaries unless
1) officially designated as an administrator AND
2) officially given individual discretion.
Defined Contribution Plans (Duties) - Duty Owed
- Exclusive beneficiary Rule :
Fiduciaries have to make decisions only with an eye to the beneficiaries of the plan
- Deference (arb &cap) (Firestone):
Absent a breach of loyalty, fiduciaries’ actions will be upheld as long as they are not arbitrary and capricious.
Exclusive beneficiary Rule
Fiduciaries have to make decisions only with an eye to the beneficiaries of the plan
Defined Contribution Plans (Duties) - Duty Owed - Co-fiduciary (3)
fiduciary can be liable of a breach by a co-fiduciary if she:
1. Knowingly participates in or conceals the breach
2. Enables the co-fiduciaries breach by her own breach; OR
3. Has knowledge of the co’s breach and does not make reasonable efforts to remedy it
Defined Benefit Plans (Duties) - Duty Owed
- Exclusive beneficiary Rule :
Fiduciaries have to make decisions only with an eye to the beneficiaries of the plan
- Deference (arb &cap) (Firestone):
Absent a breach of loyalty, fiduciaries’ actions will be upheld as long as they are not arbitrary and capricious.
Defined Benefit Plans (Duties) - Owed by
Owed by Fiduciaries of the plan.
- Corporation: Not fiduciaries unless they are names as the administrator
- Officers: Not fiduciaries unless
1) officially designated as an administrator AND
2) officially given individual discretion.
Defined Benefit Plans (def)
This is where the benefits are defined regardless of the pay in
Defined Benefit Plans (duties) - owed to
Plan administrator only owes a duty to the plan as a whole, not to the individual accounts.
- So an employee can’t bring a suit based solely on their account, they have to allege an effect on the entire plan.
ADEA Retirement Discrimination - Early Retirement incentive plans (2)
Ok if
1) Not based solely on age:
Cannot make an incentive plan based on age alone (e.g. if you retire at a certain age you get more/less).
- However it can correlate (e.g. if you retire after a certain # of years of service)
2) Voluntary:
not voluntary if there is fraud, threats of termination, or other forms of coercion, or if under the circumstances a reasonable person would have concluded that there is no choice but to accept the offer.
ADEA Retirement Discrimination - Exception types (3)
1) Safe Harbor (ADEA §4(f)(2))
2) Waiver
3) Reasonable Factor Other than Age (RFOA)
ADEA Retirement Discrimination - Exception - Safe Harbor (ADEA §4(f)(2))
Can discriminate based on age as long as they are giving the same amount of $ even if the older employees get less benefits.
ADEA Retirement Discrimination - Exception - Waiver (4)
Can waive ADEA rights if:
1) Free and voluntary choice
2) 21 days to decide and 7 day rescission period
3) Understandable to a lay person
4) Recommends that they consult council
ADEA Retirement Discrimination - Exception - Reasonable Factor Other than Age (RFOA)
If there is a reasonable factor other than age then it will be ok to discriminate
ERISA Changes
Employers are generally free under ERISA to modify, or terminate welfare plans at any time for any reason.
ERISA Changes Exception types (3)
1) Estoppel
2) Breach of Fiduciary Duty
3) Vesting
ERISA Change Estoppel Exception (4)
Must show:
1) Knowing misrepresentation
2) that was made in writing
3) that employees reasonably relied on: If they are presented with information to the contrary in another document then their reliance is not reasonable.
4) To their detriment
ERISA Change Breach of Fiduciary Duty Exception
An employer only breaches its fiduciary duty by lying to the employees to induce them to surrender their benefits.
ERISA Change Vesting Exception
Once a right to a benefit has been vested it cannot be taken away uness the business ends.

- Ways to vest: A right will vest in one of two ways:
1) 100% after 5 years; OR
2) 20% each year starting the 3rd year.