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Salary non-discrimination of benefits

Note: Implementation of this provision has been delayed until additional regulations are issued. The description of this provision is based on the law itself. Provisions will be clarified under regulations when issued.

Applies to non-grandfathered plans

Requirement overview

  • Employers can't offer better benefits to "highly compensated" employees at the top of the salary schedule.
  • Health plans can require lower dollar or premium percent contribution from employees with lower compensation.
  • Definition of highly compensated employees follows Section 105 of the Internal Revenue Code.
  • Groups that establish simple cafeteria plans are exempt.

What Priority Health is doing

We don't have to do anything to comply with this requirement.

What you need to do

  • Fully funded employers need to understand non-discrimination and what a highly-compensated individual is. It's up to employers to comply with this requirement.
  • Self-funded employers should already comply with salary nondiscrimination rules for benefits.

This Web page provides a general overview of certain aspects of health care reform based on information currently available. It does not cover all of the requirements, and new information is released frequently. Information provided by Priority Health about health care reform is offered as an educational tool and should not be considered legal advice. The effect of reform on your business may differ depending on your circumstances.

Looking for more details about health reform?

 
Last modified: 4/6/2012
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