Compliance
This form is filed annually for employee benefit plans subject to ERISA.
What is Form 5500?
HIPAA
Health Insurance Portability and Accountability Act
In this funding type, the employer assumes the financial risk.
What is a self-funded plan?
This type of health plan must meet IRS minimum deductible requirements and is HSA-compatible.
What is a Qualified High-Deductible Health Plan (QHDHP)?
This type of account allows unused funds to roll over year to year and earns interest tax-free.
What is a Health Savings Account (HSA)?
The deadline to file a Form 5500 is this many months after the plan year ends.
What is seven months?
ERISA
Employee Retirement Income Security Act
This funding type pays a fixed premium to an insurance carrier.
What is a fully insured plan?
These compensation ranges are often used to segment benefit eligibility or contribution strategies.
What are salary bands?
This is the maximum annual HSA contribution for an individual in 2025, excluding catch-up contributions.
What is $4,150?
Benefit plans that include employees from different companies have special rules for filing Form 5500.
What are Multiple Employer Welfare Arrangements (MEWAs)?
COBRA
Consolidated Omnibus Budget Reconciliation Act
Stop-loss insurance is commonly associated with this funding type.
What is a self-funded plan?
This type of health plan offers in-network coverage only and does not require referrals.
What is an Exclusive Provider Organization (EPO)?
This age allows HSA holders to make an additional $1,000 catch-up contribution annually.
What is age 55?
This ERISA requirement mandates that plan administrators retain records supporting the 5500 filing for this many years.
What is six years?
PCORI
Patient-Centered Outcomes Research Institute
This funding type is typically subject to state insurance mandates.
What is a fully insured plan?
This funding model gives employees a fixed amount paid off of their total premium.
What is a defined contribution model?
HSA funds can be used tax-free for qualified medical expenses, but withdrawals for non-medical use before this age incur a penalty.
What is age 65?
These three federal agencies jointly oversee the Form 5500 filing process.
What are the Department of Labor (DOL), the Internal Revenue Service (IRS), and the Pension Benefit Guaranty Corporation (PBGC)?
EDGE
Efficient Document Generation Engine
This federal law generally governs self-funded plans.
What is ERISA?
The percentage of total average healthcare costs that a health insurance plan is expected to cover for a standard population.
What is actuarial value?
This IRS form is used to report HSA contributions and distributions.
What is Form 8889?