5500

Acronyms
Self-Funded vs. Fully Insured
Plan Design Concepts
HSA's
100

This form is filed annually for employee benefit plans subject to ERISA.

What is Form 5500?

100

HIPAA

Health Insurance Portability and Accountability Act

100

In this type of plan, the employer assumes the financial risk.

What is a self-funded plan?

100

This type of health plan must meet IRS minimum deductible requirements and is HSA-compatible.

What is a High Deductible Health Plan (HDHP)?

100

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)?

200

The deadline to file a Form 5500 is this many months after the plan year ends.

What is seven months?

200

EDGE

 Efficient Document Generation Engine

200

This type of plan pays a fixed premium to an insurance carrier.

What is a fully insured plan?

200

These compensation ranges are often used to segment benefit eligibility or contribution strategies.

What are salary bands?

200

This is the maximum annual HSA contribution for an individual in 2025, excluding catch-up contributions.

What is $4,150?

300

These types of benefit arrangements, which cover employees of multiple unrelated employers, must meet special Form 5500 filing requirements.

What are Multiple Employer Welfare Arrangements (MEWAs)?

300

ERISA

Employee Retirement Income Security Act

300

Stop-loss insurance is commonly associated with this type of plan.

What is a self-funded plan?

300

This type of health plan offers in-network coverage only and does not require referrals.

What is an Exclusive Provider Organization (EPO)?

300

This age allows HSA holders to make an additional $1,000 catch-up contribution annually.

What is age 55?

400

This ERISA requirement mandates that plan administrators retain records supporting the 5500 filing for this many years.

What is six years?

400

COBRA

Consolidated Omnibus Budget Reconciliation Act

400

This type of plan is typically subject to state insurance mandates.

What is a fully insured plan?

400

This funding model gives employees a fixed amount to spend on benefits.

What is a defined contribution model?

400

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?

500

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)?

500

PCORI

Patient-Centered Outcomes Research Institute

500

This federal law generally governs self-funded plans.

What is ERISA?

500

This percentage represents the average share of healthcare costs a plan is expected to cover for a standard population.

What is actuarial value?

500

This IRS form is used to report HSA contributions and distributions.

What is Form 8889?