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Plan Documents – Why Do They Matter?

Brokers play a vital role in helping clients manage their employee benefit plans, and because of this, staying ahead of regulatory changes in the employee benefits world is essential. One big part of helping your clients stay compliant is to make sure plan documents, like wrap plans and cafeteria plans, are updated regularly.

Plan Documents are an important compliance tool that serves as a snapshot of an employer's benefit plan. They should be reviewed annually to ensure that they accurately represent the current plan and comply with regulations.

So why is it important to regularly update Plan Documents? Let’s talk about it.

  1. Staying Current with Legal Requirements
    Laws and regulations governing employee benefits are constantly evolving, so keeping plan documents helps employers comply with the latest ERISA and IRS guidelines, which reduces the risk of penalties.
  2. Consolidating Changes
    If the employer’s structure, the benefits offered, or regulatory requirements change, the plan documents will need to be updated. Restating your plan documents brings all these changes together into a single, coherent framework, enhancing clarity and consistency for both administrators and employees.
  3. Enhancing Clarity and Communication
    Updated documents provide a clear, current overview of benefits and responsibilities. This transparency reduces misunderstandings and disputes and enhances employee satisfaction by ensuring they fully understand their entitlements.
  4. Facilitating Audits and Reviews
    Regulatory agencies like the Department of Labor (DOL), the Internal Revenue Service (IRS), and the Department of Health and Human Services (HHS) often audit benefit plans. Well-documented and up-to-date plans make audits smoother, demonstrating robust management practices and proactive compliance.
  5. Adapting to Organizational Changes
    Business dynamics such as mergers or shifts in strategy require adjustments to benefit plans. Regular updates ensure these changes are promptly reflected, aligning your benefits with the evolving needs of your workforce.
  6. Mitigating Legal Risks and Penalties
    Non-compliance with ERISA or IRS requirements can lead to substantial fines and legal challenges. For example, a Wrap Document can fill in compliance gaps left by carrier-provided documents and consolidate multiple lines of coverage under a single ERISA plan. This reduces the quantity of required Form 5500 filings and sets clear parameters for the plan, helping the employer be audit-ready and minimizing compliance risks.
  7. Building Trust and Satisfaction
    Outdated documents can lead to misunderstandings and unintended obligations. If plan documents are not current, the plan might be forced to allow provisions the employer did not intend, creating potential conflicts and dissatisfaction. Clear, updated plan documents foster trust among employees by clearly outlining their benefits. Regular updates also provide opportunities to communicate changes effectively, enhancing overall employee satisfaction.

So, keeping plan documents current isn't just about checking a box for regulations; it's about ensuring a well-managed benefits program that works for everyone involved. As brokers, your expertise is crucial in guiding clients to maintain accurate and current plan documents. This proactive approach not only helps them stay compliant but also enhances the effectiveness of their employee benefits programs, reducing risks and improving communication.

At Medcom Benefit Solutions, we specialize in providing comprehensive, ERISA-compliant plan documents for Section 125 Premium Only Plans, Flexible Spending Accounts, and Health Reimbursement Arrangements. We also offer timely amendments and summaries of material modifications to keep your clients compliant and informed. Want more info? Contact us.


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