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30 Cards in this Set
- Front
- Back
ERISA
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- 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. |
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ERISA Covered plan types
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1) Pension plans
2) Welfare benefit plans |
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§510 of ERISA (discrimination)
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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. |
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§510 of ERISA (discrimination) - Showing
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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 |
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§510 of ERISA (discrimination) - Outsourcing
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- 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 |
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ERISA Preemption
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- Gives BROAD preemption of “any and all state laws insofar as they may now or hereafter relate to any employee benefit plan”
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Employment Benefits - Eligibility Standards
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(Zambrano v Reinert):
Determined by the states |
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Employment Benefits - Administrative standards
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These are how the benefits are paid.
- These are subject to the “when Due” clause of the social securities act. |
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Reasonable factor other than age (RFOA)
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- 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. |
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Defined Contribution Plans (Def)
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This is where employee (and maybe employer) make contributions to the plan and then they are invested.
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Defined Contribution Plans (Duties) - Owed to
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- The plan administrator owes a duty to the individual employees, and their accounts.
- So an employee can sue for effects to their account alone. |
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Parties in Interest
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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. |
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Defined Contribution Plans (Duties) - Owed by
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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. |
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Defined Contribution Plans (Duties) - Duty Owed
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- 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. |
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Exclusive beneficiary Rule
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Fiduciaries have to make decisions only with an eye to the beneficiaries of the plan
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Defined Contribution Plans (Duties) - Duty Owed - Co-fiduciary (3)
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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 |
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Defined Benefit Plans (Duties) - Duty Owed
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- 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. |
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Defined Benefit Plans (Duties) - Owed by
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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. |
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Defined Benefit Plans (def)
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This is where the benefits are defined regardless of the pay in
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Defined Benefit Plans (duties) - owed to
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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. |
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ADEA Retirement Discrimination - Early Retirement incentive plans (2)
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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. |
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ADEA Retirement Discrimination - Exception types (3)
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1) Safe Harbor (ADEA §4(f)(2))
2) Waiver 3) Reasonable Factor Other than Age (RFOA) |
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ADEA Retirement Discrimination - Exception - Safe Harbor (ADEA §4(f)(2))
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Can discriminate based on age as long as they are giving the same amount of $ even if the older employees get less benefits.
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ADEA Retirement Discrimination - Exception - Waiver (4)
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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 |
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ADEA Retirement Discrimination - Exception - Reasonable Factor Other than Age (RFOA)
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If there is a reasonable factor other than age then it will be ok to discriminate
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ERISA Changes
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Employers are generally free under ERISA to modify, or terminate welfare plans at any time for any reason.
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ERISA Changes Exception types (3)
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1) Estoppel
2) Breach of Fiduciary Duty 3) Vesting |
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ERISA Change Estoppel Exception (4)
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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 |
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ERISA Change Breach of Fiduciary Duty Exception
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An employer only breaches its fiduciary duty by lying to the employees to induce them to surrender their benefits.
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ERISA Change Vesting Exception
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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. |