Employers today have more responsibility than ever of the management of their workplace. Establishing an effective employee relations program is crucial for managing your most valuable asset, your employees.
The annual Managing Labor & Employee Seminar will specifically addresses the issues facing employers.
The half-day seminar will provide information to better equip you in dealing with workplace management issues including managing employee technology access, preparing employees for Obamacare and the potential pitfalls of FLSA.
9. What Are We Talking About?
» The wall between work and personal time is gone.
» Mobile devices enter the work realm in two ways:
o Company provides devices or pays for work use
o Employees use their own personal devices for work
purposes (BYOD)
» Work on mobile devices creates two categories of
potential liability:
» Data and Security
» Employee Behavior
11. What I Want You to Do
» Acknowledge the potential problems.
» Make informed business decisions.
o Should you provide devices or encourage
employees to work on personal devices?
o How can you limit your liability?
» Revise and enforce your policies.
12. The Skinny
» Use of mobile devices to work is a risk no matter
what.
» The only way to guarantee your ability to access
and control information on a device is to own it.
» BUT you can manage risks by adopting policies
and agreements that fit your risk tolerance, trust
assessment, and regulatory context.
14. Data Security
» Protection against third parties
o Independent Contractors
o Lost or stolen devices
o Malicious software
o Gateway to the Cloud
» Protection within the company
o Employee access
15. Preserving & Collecting Data from Devices
» Litigation holds, record retention, and
investigations
» Terminated employees
» Wiping information
» Employee Privacy
o Evidence of a disability
o GPS tracking
16. Data-Related Liability
» Government enforcement actions
» Civil penalties
» Litigation
o Third-party rights in the data
» Breach of contractual obligations
» Breach of statutory obligations
18. Wage and Hour Issues
» Nonexempt Employees
o Off-the-clock work
» Work during unpaid leave
19. Acceptable Use
» Harassment
» Discrimination
» Distracted driving
o Liability for damages to persons injured
» Verdicts and settlements in the $15-25 million range
22. Important Questions
» What issues already exist in the company?
» What data is mobilized in your workplace?
o Do third parties have rights in this data?
» Who needs mobile access to what?
23. To Buy or Not to Buy?
» Company purchases and owns the device
» Compensate employees for the work use of a
personal device
o Stipends
o Reimbursement
» Employee use their own device (BYOD)
o Less security
o Less control over use
24. Company-Issued Devices
Pros – Control Cons – Monitoring
Company owns the phone number, Choosing the right provider and plan
software, and data transmitted
Can deactivate or wipe the device Monitoring use
remotely
More monitoring acceptable Setting a precedent
GPS tracking
Financial responsibility for lost or
damaged devices?
Tech support?
25. Devices Are Not Appropriate
for All Employees.
» Does the employee work with sensitive
information?
» Is availability of the employee critical?
» Is the employee organized and responsible?
26. High Risk Employees
» Senior executives whose data is more likely to be
relevant in litigation
» Those who handle trade secret/sensitive information
» Sales staff who have a hold on the goodwill of
customers and who will continue to use the phone
number if they leave
» Nonexempt staff who could claim “off the clock” work
» Contractors or other contingent workers who may be
performing work on their personal device for other
customers
28. Agreements as a Precondition to Use
» Reduce expectations of privacy
» Notify employees of risks
» Require consent to reasonable access, such as:
o Install security software
o Copy data to meet litigation hold demands and
record retention obligations
o Remotely wipe the device of company
information
29. Data Security
» Limit types of data accessible from mobile
devices
o Passwords and encryption
o “Sandbox”
» Limit use of cloud-based storage to company data
» Report lost/stolen devices
» No friends or family
» Provide IT support
30. Acceptable Use
» Company liable for use during the course of
employment
o All other company policies apply to use
» Harassment, discrimination, etc.
o Address mobile issues
» Distracted Driving – explain what to do
31. Limit Wage and Hour Liability
» If working outside of work hours, consider:
o Managers and supervisors may be the problem
o Employees must record all time worked
o Prior written authorization to work remotely via
mobile devices
32. Revise Exit Interview Process
» What devices has employee used?
» What information may be stored on
employee’s own devices?
» Can you preserve personal information during
wipe of company information?
» Disable all employee’s devices’ access to
company systems.
33. Evaluate Insurance Coverage
» Does your insurance cover additional “cyber-
risks” that mitigate the data-related risks?
» Verify incidents arising form employees’ use of
their personal devices are covered by
company insurance policies.
34. Parting Thoughts
» A multi-disciplinary solution
is best.
» Analyze existing policies to
determine how they relate
to and impact employees’
use of personal devices.
37. Relationship Problems
» Three Main Types of Employees Facing
Discipline:
1) Currently incompetent but can become competent.
2) Currently incompetent and will not ever become
competent.
3) Self-gratification focused. They are more concerned
with benefitting themselves, which causes
misfeasance and nonfeasance.
38. I’m Telling You,
I’m Telling You
The Importance of Communication
41. What to Document
» Performance Problems
» Misconduct, Workplace Rule Violations,
Employee Disputes
» Absenteeism and Tardiness
42. How to Document
» Be factual, not conclusory
» Be accurate
» Never consider or mention protected classes or
protected activities
» Avoid sugarcoating
» Give details and examples
» State consequences clearly
» Write as a neutral observer,
without emotion
43. Employee Evaluations
» Make them Count!
o Be Honest
o Be Comprehensive
o Be Accurate
o Be Specific
o Evaluate Performance, not Personality
o Provide Deadlines
45. Documentation Must Be Accurate
» Jaszcyszyn v. Advantage Health Physician
Network
o A fairly simple case of Facebook idiocy that might
not have been filed but for the employer’s
inaccurate information.
46. Consistency in Application
» Brown v. Ryder Sys. Inc.
o A black employee was terminated allegedly for
tardiness and failure to meet performance goals.
49. Additional Considerations During the
Termination Process
» Officer or Director?
» Fiduciary?
» Non-Compete Agreement?
» Triggering Benefit Plan Language
» Firing out of kindness
» Immediately secure all personnel files & evidence
50. Cushion the Blow
» Ways to make an exit easier on the employee
» Ways to make an exit easier on the company
» Ways to make termination easier on the
person doing the terminating
52. Thank You!
Jeffrey C. Miller, Director
jmiller@keglerbrown.com
(216) 586-6651
53.
54. Patient Protection and
Affordable Care Act (PPACA)
Presented By:
Ralph E. Breitfeller
Stefan Thomas
Kegler, Brown, Hill & Ritter
A Legal Professional Association
55. AFTER
12/31/13
TBD 2013
Liability
12/31/13 Noticeability
10/1/31 Group
Health Plans
1/31/13 Exchange
1/1/13 W-2
HAS/FSA
Health Care Reform Timeline
IMPORTANT EVENTS IN 2013
58. Notices to Employees for the
Exchange & Premium Tax Credits
Notice of Exchange Notice of Premium Credits
Availability & Cost-Sharing Subsidies
Employer contribution < 60% = Employee
Existence of Health Benefit Exchange may be eligible for premium tax credits and
cost-sharing subsidies
Employee purchases through Exchange =
How the Exchanges operate Employee will lose employer contributions
and employer contributions are excludable
from income tax
Under what circumstances employees may
receive coverage
Employees purchase QHP through Exchange may lose
employer contribution and all or portion of employer
contribution to employer-provided coverage may be
excludable for federal income tax purposes
Contact information for customer service
resources within Exchange and explanation of
appeal rights
62. EXAMPLE 1: Hourly-paid employee
(i) Employer K’s taxable year is the calendar year. Employer K's payroll
records indicate that Employee A was an hourly employee who worked
173 hours per month for January through November of 2014, worked 93
hours in December of 2014 and was paid for 80 hours of annual leave in
December of 2014 (for a total of 173 hours for December of 2014).
(ii) Employee A had more than 130 hours of service in each month in
calendar Year
(iii) Employee A was a full-time employee of Employer K for each month
during calendar year 2014.
63. EXAMPLE 2 : Non-Hourly Employee
(i) Same facts as Example 1, except that in calendar year 2014, Employee B
is a non-hourly employee who worked for Employer K five days per week for
50 weeks, and was paid 80 hours of vacation leave for two weeks (40 hours
per week). Employer K applies the days worked equivalency for Employee
B.
(ii) Employee B is credited with 40 hours of service for each week in the 2014
calendar year (50 weeks worked and 2 weeks for which payment was
made).
(iii) Employee B averaged at least 30 hours of service per week during each
month in calendar year 2014.
(iv) Employee B is a full-time employee of Employer K in each month in
calendar year 2014.
64. EXAMPLE 3: Applicable Large Employer
(i) In each month in calendar year 2014, Employer L has 20 full-time
employees, 30 FTEs, and no seasonal employees.
(ii) Because Employer L has 50 FT employees (20 full-time
employees + 30 FTEs) during each month of 2014 and the seasonal
employee exception is not applicable, Employer L is an applicable
large employer for calendar year 2015.
65. EXAMPLE 4: Seasonal Employees
(i) In calendar year 2014, Employer N has 40 full-time employees for January
through December none of whom are seasonal employees. In addition,
Employer N also has 80 seasonal full-time employees that work for Employer N
from September through December. Employer N has no FTEs.
(ii) Before applying the seasonal employee exemption, Employer N has 40
fulltime
employees during each of eight calendar months of 2014, and 120 full-time
employees during each of four calendar months of 2014, resulting in an average
of 66.5 employees for the year (rounded down to 66 full-time employees), an
average greater than the average of at least 50 full-time employees required
for applicable large employer status. However, in this example, Employer N’s
workforce exceeded 50 fulltime employees (counting seasonal employees) for
no more than four calendar months (treated as the equivalent of 120 days) in
calendar year 2014, and the employees in excess of 50 during those months
were seasonal workers.
(iii) Accordingly, because of the seasonal employee exemption, Employer N is
not an applicable large employer for calendar year 2015.
66. EXAMPLE 5: Seasonal and Other FTEs
(i) Same facts as in Example 4, except that Employer N has 20 FTEs in
August, some of whom are seasonal employees.
(ii) The seasonal employee exemption is not available if the number of an
employer’s FT employees (including seasonal employees) exceeds 50
employees for more than 120 days during the calendar year. Employer N
has at least 50 FT employees for a period greater than four calendar
months (treated as the equivalent of 120 days) in calendar year 2014.
Therefore, Employer N is not eligible for the seasonal employee exception.
As a result, Employer N averages 68 FT employees in 2014: [(40 x 7) + (60 x 1)
+ (120 x 4)] ÷ 12 = 68.33, rounded down to 68.
(iii) Accordingly, Employer N is an applicable large employer for calendar
year 2014
68. Affordability Test
Coverage is considered “unaffordable” if the required employee
contribution towards the cost of self-only coverage exceeds 9.5% of the
employee’s household income.
69. 1. What is the Employee’s contribution for single coverage?
2. Does it exceed 9.5% of employee’s wages reported in Box 1 of the W-2?
If yes, then not affordable and look to the safe harbor.
If no, then it is “affordable”.
Safe Harbor 1 (rate of pay):
Does employee contribution exceed 9.5% of computed monthly
wage? If not, then fit into safe harbor.
For hourly employee, hourly wage x 130. For salaried employee,
monthly wage as of January 1, 2014.
Safe Harbor 2 (Federal Poverty Level):
Does employee contribution exceed 9.5% of the most recently
published Federal Poverty Level ($11,490 in lower 48 states)? If
not, fit into the safe harbor.
74. Medical Loss Ratio Rebates
Employer’s
Distribution Duty
Distribution Plan
Document
Plans Subject to Non-Federal Group Plans; Neither ERISA
ERISA Health Plans nor Governmental
77. Not
Permissible
Permissible
Eligibility
Waiting Period Conditions Based
Exceeding 90 Solely on Lapse of
Days a Time Period of
No More Than 90
Days
Other Eligibility
Conditions Unless
Designed to Avoid
90-Day
Compliance
Waiting Periods
EMPLOYERS’ SHARED RESPONSIBILITY
78. Other Miscellaneous Summary Items
1. 1/1/14, no annual limits on dollar amount of essential
coverage.
2. 1/1/14, no preexisting coverage exclusions.
3. Individual shared responsibility.
4. Anti-Retaliation Provisions:
Employee reporting alleged violations
Employee going to exchange
79. Contact
Ralph Breitfeller Tom Sigmund Stefan Thomas
rbreitfeller@keglerbrown.com tsigmund@keglerbrown.com sthomas@keglerbrown.com
(614) 462-5427 (614) 462-5462 (614) 462-5484
81. Introduction
For a weddin present Ledbetter gave his son Amos two
hundred dollars. Two weeks later he asked him, "Watcha do
with the money, son?" "Ah bought me a wristwatch, Pappy!"
answered the boy. "Yew dumb ignoramous!" yelled his
father. "Yew should av bought yoreself a rifle!" "A rifle? What
fer?" "Supposn one day yew cum home and find some guy
sleepin wid yore wife," explained the older redneck. "Watcha
gonna do? Wake him up and ask him what time it is?“
» Keeping time and compensating employees for
time “worked.”
82. A penny a day…
» Feb. 12, 2013: kgb USA Inc. agrees to $1.3 million
dollar settlement of claims relating to minimum
wage violations for misclassified workers working on
piece rates.
» January 16, 2013: The Children’s Place agrees to pay
$1.5 Million relating to off-the-clock claims.
» January 8, 2013: Rite-Aid agrees to pay $21 Million
settlement relating to claims of allegedly
misclassified assistant store managers and co-
managers
» May 2012: Columbus, Ohio Bar/Restaurant Group
owners pay $250,000.00 to settle claims alleging
illegal tip pool.
83. We’re all Professionals Here
2 possible problems
#1. “We pay him on salary, he can work as many hours as we want.”
NO!!!!!!!!!!!!!!
» In order to be Exempt must meet TWO criteria
o Must be paid a salary of $455.00 per week
o Must also have duties that meet one of the 5 exemptions
» Executive
» Administrative
» Professional/Creative
» Computer
» Outside Sales
84. We’re all Professionals Here
#2 Misclassification of Employees
Most problems occur with outside sales and administrative exemptions.
» Administrative exemption:
o whether the employee has authority to formulate, affect, interpret, or implement management policies or
operating practices; whether the employee carries out major assignments in conducting the operations of
the business; . . . whether the employee has authority to commit the employer in matters that have
significant financial impact; . . . whether the employee provides consultation or expert advice to
management; . . . [and] whether the employee investigates and resolves matters of significance on behalf of
management
o Rules and Parameters that govern job are less likely to be considered Administrative
» Blotzer v. L-3 Communs. Corp., 2012 U.S. Dist. LEXIS 173126 (D. Ariz. Dec. 5, 2012)
o Field Inspectors not covered by administrative or executive exemption.
» Christopher v. SmithKline Beecham Corp., 635 F. 3d 383 (Sup. Ct. June 18, 2012)
o Pharmaceutical Sales Reps are outside sales people, thus exempt!
» Petitioners obtain nonbinding commitments from physicians to prescribe respondent’s drugs. This kind of arrangement, in the unique regulatory
environment within which pharmaceutical companies operate, comfortably falls within the catchall category of “other disposition.”
85. There Aint No Free Lunch
» Meal periods
o Employee chooses to sit at desk during lunch and eat...
» The employee must be completely relieved from duty for the purposes of
eating regular meals. Ordinarily 30 minutes or more is long enough for a bona
fide meal period.
» The employee is not relieved if he is required to perform any duties, whether
active or inactive, while eating. For example, an office employee who is
required to eat at his desk or a factory worker who is required to be at his
machine is working while eating.
o Automatic lunch breaks in computer system are MAJOR problem.
» Break times
o You offer 2 15-minute breaks per day (unpaid of course)
» Employee chooses to take 3 10 minute breaks.
» Problem?
o Affordable Care Act
» Nursing Mother Break
86. Hours worked
» “I’m really glad you got that new iPhone. Now you and
Siri can keep on working all night long.”
o Don’t rely on lack of knowledge
» Phone bills
» E-mail records
o Be careful about reliance on “de-minimus” exception
» Only applies on small increments of time (not half hour phone
calls).
» Electronic technology issues
o Who has access?
o On what devices?
» If employees have access you should assume they’re using it.
87. Improper Deductions (from your revenue)
» Uniforms
o You can make employees pay for their uniforms,
but...
» Can’t take the employees wages below minimum.
» Need in writing in Ohio.
» Pro-rata deduction is ok.
» Remember laundry and maintenance costs.
» Other Deductions
o “For the Benefit of the Employer”
88. Deductions
» Other Deductions
o Tools used in the employee's work
o Damages to the employer's property by the employee or
any other individuals
o Financial losses due to clients/customers not paying bills,
and theft of the employer's property by the employee or
other individuals.
» Even if an economic loss suffered by the employer is due to the
employee's negligence.
o Employers may not avoid FLSA minimum wage and
overtime requirements by having the employee reimburse
the employer in cash for the cost of such items in lieu of
deducting the cost from the employee's wages.
89. Deductions from Salaried Employees
» Most times, can’t do it.
o If employee works at all during the workday they need to be paid.
» What happens when they exhaust paid leave and need to miss a half day?
o Still get paid, absence still an absence.
» When can you deduct pay?
o When an employee is absent from work for one or more full days for personal reasons (not
sickness or disability);
o For absences of one or more full days due to sickness or disability (have to have a policy or
practice of providing compensation for salary lost due to illness);
o To offset amounts employees receive as jury or witness fees, or for temporary military duty
pay;
o For penalties imposed in good faith for infractions of safety rules of major significance;
o For unpaid disciplinary suspensions of one or more full days imposed in good faith for
workplace conduct rule infractions;
o In the employee's initial or terminal week of employment if the employee does not work the
full week; or
o For unpaid leave taken by the employee under the federal Family and Medical Leave Act.
90. Independent Contractor
» Test
1. The extent to which the services rendered are an integral part of the
principal's business.
2. The permanency of the relationship.
3. The amount of the alleged contractor's investment in facilities and
equipment.
4. The nature and degree of control by the principal.
5. The alleged contractor's opportunities for profit and loss.
6. The amount of initiative, judgment, or foresight in open market competition
with others required for the success of the claimed independent contractor.
7. The degree of independent business organization and operation.
» Certain factors which are immaterial
o the place where work is performed,
o the absence of a formal employment agreement,
o or whether an alleged independent contractor is licensed by state/local
government.
91. Independent Contractor
» Tips
o Is the individual doing what another employee is
or would be doing in a full-time capacity?
o How long is the relationship expected to last?
o Is the individual holding themselves out to other
businesses?
o One individual or many?
o Incorporated?
92. Comp Time.
» First, comp time cannot be provided in lieu of overtime pay by a
private employer. 29 U.S.C. § 207(o).
» Second, under the limited circumstances where a public employer
may award compensatory time off instead of paying overtime
wages, the comp time must be 1.5 hours off for every one hour of
overtime worked.
» Also a problem for exempt employees
o Salary is a mark of executive status because the salaried employee
must decide for himself the number of hours to devote to a particular
task. In other words, the salaried employee decides for himself how
much a particular task is worth, measured in the number of hours he
devotes to it.
o ????
93. Training, Testing & Orientation
o Orientation
» Pay employees for time!
» Employees subject to the FLSA must be paid for all time
spent "in physical or mental exertion (whether burdensome
or not) controlled or required by the employer and pursued
necessarily and primarily for the benefit of the employer and
his business." Tennessee Coal, Iron & R.R. Co. vs. Muscoda
Local 123, 321 U.S._590, 598 (1944)
o Testing:
» Pre-employment drug testing: NOT COMPENSABLE
» On-Job testing: 6 factors
o Training: Depends on who is benefitting from training
and whether it’s mandatory.
94. Interns
» 6 Factor test
o The internship, even though it includes actual operation of the facilities of the
employer, is similar to training which would be given in an educational
environment;
o The internship experience is for the benefit of the intern;
o The intern does not displace regular employees, but works under close
supervision of existing staff;
o The employer that provides the training derives no immediate advantage from
the activities of the intern; and on occasion its operations may actually be
impeded;
o The intern is not necessarily entitled to a job at the conclusion of the
internship; and
o The employer and the intern understand that the intern is not entitled to
wages for the time spent in the internship.
» DOL 2010 Fact sheet
o Very Very Narrow interpretation
95. Waiting Time
» Key question: Was employee engaged to wait
or waiting to be engaged?”
o Key is employer control
» Was employee free and clear of duties?
» Do they have to stay on your premises?
» If no, how far can they go, and how quickly have to
return if called?
o Have a policy explaining everything
» Employee initial.
96. Travel Time
» Work Performed While Traveling: Any work that an employee is required
to perform while traveling must be counted as hours worked.
» Home To Work Travel (Commuting): Compensable if (1) the employee
starts their workday before the commute; (2) the employee performs
work while commuting; (3) the employee drives the employer’s vehicle;
(4) the employee is commuting to a special assignment out of town; or, (5)
the employee is commuting in an emergency situation.
» Travel That is All in the Day's Work: Time spent by an employee in travel
as part of his/her principal activity, such as travel from job site to job site
during the workday, is work time and must be counted as hours worked.
» Travel Away from Home Community: Travel that keeps an employee away
from home overnight is travel away from home. Travel away from home is
work time when it cuts across the employee's regular workday or
corresponding hours on nonworking days.
o Normally compensable except time spent in travel away from home outside of
regular working hours as a passenger on an airplane, train, boat, bus, or
automobile.
97. Travel Time Tips
» Give orders day before
o If have to receive in morning... Compensable
» Plan out-of-town travel outside work hours when
possible
o Plane flight between noon and 3 is compensable,
between 7pm and 10pm not compensable.
» Carpooling is good.
» If employee has non-fixed situs then get
agreement on area to be covered.
98. Tips & Tip Credit
» Tipped employees are those who customarily and regularly receive more than $30
per month in tips.
» Tips are the property of the employee. (Regardless of whether the employee is a
“tipped employee”)
» The maximum tip credit that an employer can currently claim under the FLSA is
$5.12 per hour
o (the minimum wage of $7.25 minus the minimum required cash wage of $2.13).
» Tip credit does not apply to any tipped employee unless the employee has been
informed of these tip credit provisions.
o Get in writing
» Sums distributed to employees from service charges cannot be counted as tips
received.
» Credit Card fees: Can only deduct the amount you actually pay in fee.
o So pick lowest amount and automatically deduct that.
» Tip pooling or sharing arrangement only valid when among employees who
customarily and regularly receive tips.
o Can’t include managers or other employees who aren’t “tipped employees”
99. Different Work- Different Wages
» Exempt/Non-Exempt issues
o What is employee’s primary duty?
» Tip Credit problems: Employee employed both as a
maintenance person and a waitperson, the tip credit is
available only for the hours spent by the employee in
the tipped occupation.
» Weighted Average: If employee works two jobs and
works overtime general rule is has to be paid weighted
average of two jobs.
o Unless agreement with employee that overtime will be
paid at the rate paid for the work.
» Get agreement in writing.
100. Bonuses
The following bonus payments are excluded from overtime:
o payments made for gratuitous reasons;
o bonuses made as gifts on special occasions that aren't
measured by, or dependent on, hours worked, production, or
efficiency;
o discretionary bonuses (the payment and amount of the bonus
is solely your discretion and the employee is not entitled to it
under any contract, agreement, or promise);
» Can’t have a formula
» Attendance bonus. Not ok.
o bonuses made as profit-sharing payments from a bona fide
profit-sharing plan, trust, or savings program that conforms to
Department of Labor (DOL) regulations.
» Put a letter in a file with the bonus.
101. Commissions
» "regular rate of pay" includes commissions
o Means overtime often times includes added
payment.
» E.g. Inside sales employee gets paid $200 dollar base
salary plus $500 commission for a week. Employee
works 50 hours that week. Regular rate =$14.00 OT
rate = $21.00. Employee owed $70.00 in compensation
for week.
o Don’t back into the regular rate.
» No “de-minimus for wages owed”
102. Conclusion
1. Little problems can easily become big
problems when applied to entire workforce.
2. With travel time, if it seems simple, it’s
probably wrong. Come up with policies
governing travel and have them reviewed.
3. Watch deductions!
4. Paying someone a salary DOES NOT make
them exempt.
Employees are using a variety of devices to work in a variety of places.
Litigation arising out of data security – much better defense to have a plan and policies than none.Not one size fits all solution
Cant eliminate all liabilityNo 1 size fits all answer – solutions are company-specificDetermine which risks you can live with and which may create big problems
IT solutions
Risks for all devicesIC use personal device for multiple clients
Litigation holds – ct and reg sanctions; negative effects on your litigationWiping information – rotating clients; Privacy issues
What kind of data you have important financial info not so bad personal identifying health information trade secrets
IT solutions
Brendan will cover more, but liability
Nothing new, just new ways to conduct illegal behavior camera use--disability: Revealed via mobile devicesAccommodations may be necessary to use the devicesEmployees’ personal prejudices in your officeDisabilityProviding accommodations to use devices
Collective bargaining agreements International travel
Devices are not appropriate for all employeesR&D
IT solutions
**company owns – company property, just like desk computer, can search and wipe, install software, etc**BYOD – notify and accept risks of doing business on a personal phone upon legitimate request/complaint, access data Nearly all of these problems/liabilities already exist in your workplace.Ensure your policies address the cyber versions of human error and poor decision making. **just like ER computer, if sending harassing text messages, we will read them
Analyze the sensitivity of the information your EE handle, the inherent security concerns in your industry, legal regulations you face, and ability to oversee and manage use of such devicesIT
Harassment, discrim, driving issues Camera use
Timing - (e.g., unless directed to provide an immediate response, respond only during work hours)Address timing for responding to after-hour emails
- US Supreme Court Ruled on Health Care Reform under its Taxing Authority- Mandate not a command to obtain health insurance but a tax assessment if fail to do so
Who does the Health FSAs impact?:Impacts employers that sponsor health FSAsImpacts employees who participateThe $2,500 limit applies only to salary reduction contributions under Health FSAWhat must be amended?:Cafeteria plans offering a Health FSA must be amended to describe the $2,500 (or lower) limitWhen does the Health FSA apply?:The $2,500 limit on Health FSAs salary reduction contributions applies on a plan-year basis and is effective for plan years beginning after December 31, 2012Constructing the Amendment:May be expressed as a maximum dollar amountMay be expresses as another method of determining the maximum dollar amount of salary reduction contributions to a Health FSAIn no case may the plan permit a participant to make salary reduction contributions for a plan year beginning after December 31, 2012 exceeding the $2,500 limit
General Purpose: This reporting is to provide employees with comparable consumer information on the cost of their health care coverage. Who must report?: All employers who provide employer-sponsored coverage during the calendar year must report the cost of that coverage. Includes, Federal, State, Local Government Entities, Churches, and Other Religious Organizations. Where must the information be reported?: Employee’s Form W-2, Wage and Taxes Statement, Box 12, Code DDWhat information included?: Aggregate cost of all reportable benefits that an employee received under all the group health plans in which he or she participated during all or part of the plan year:MandatoryMajor medicalHealth FSA value for the plan year in excess of employee’s cafeteria plan salary reduction for all qualified benefitsHospital indemnity or specified illness(insured or self-funded), paid through salary reduction (pre-tax) or by employerDomestic partner coverage included in gross incomeEmployee Assistance Plan (EAP) providing applicable employer-sponsored healthcare coverage IF employer charges a COBRA premiumOn-site medical clinics providing applicable employer-sponsored healthcare coverage IF employer charges a COBRA premiumWellness programs providing applicable employer-sponsored healthcare coverage IF employer charges a COBRA premium
Background:Employee now has choice to chose a plan from a state-run exchangeUnder PPACA, the health benefit exchange will be operational on January 1, 2014Starting March 1, 2013, all employees and new hires must be informed of the new exchangesExchange plans required to limit out-of-pocket costs based on high deductible health plans (HDHPs) that qualify individuals for health savings accounts (HSAs)Notice must inform of two items: 1. Availability of Exchange; and 2. Employee eligibility for premium tax credit or cost-sharing reductionWho is eligible to enroll?:Individuals may enroll if, 1. residing in a state that establishes the exchange;2. not incarcerated, except individuals in custody pending the disposition of charges; and3. lawful residentInformation included in the Notice of Exchange Availability:- Must inform about the existence of the health benefit exchangeMust inform employees about how the Exchanges operateMust inform employees of what circumstances in which they may receive coverageMust inform that if employees purchased a QHP through the exchange they may lose any employer contribution toward the cost of employer-provided coverage, and that all or a portion of the employer contribution to employer-provided coverage may be excludable for federal income tax purposesMust include contact information for customer service resources within the exchange, and an explanation of appeal rights(The Notice need be in print form)Information included in the Notice of Premium Credits & Cost-sharing Subsidies:If the employer contribution is less than 60%, a statement that the employee may be eligible for premium tax credits and cost-sharing reductions if purchasing coverage through the ExchangeIf the employee purchases coverage through the Exchange, a statement that the employee will lose the employer contributions and that the employer contributions are excludable from income taxEligibility for Premium Credits:Qualifying individuals at or below 133% Federal Poverty Level (FPL)Qualifying individuals between 133%-300% FPLQualifying individuals between 300%-400% FPLNo individual above 400% FPL
An assessable payment to an applicable large employer for two coverage failures in regards to certain full-time employees: 1. Large employers not offering health coverage; 2. Large employers offering coverage with employees who qualify for premium tax credits or cost-sharing reductionsThe applicable statute: (a) Large employers not offering health coverage (26 USC Section 4980H)If— (1) any applicable large employer fails to offer to its full-time employees (and their dependents) the opportunity to enroll in minimum essential coverage under an eligible employer- sponsored plan (as defined in section 5000A (f)(2)) for any month, and (2) at least one full-time employee of the applicable large employer has been certified to the employer under section 1411 of the Patient Protection and Affordable Care Act as having enrolled for such month in a qualified health plan with respect to which an applicable premium tax credit or cost-sharing reduction is allowed or paid with respect to the employee, then there is hereby imposed on the employer an assessable payment equal to the product of the applicable payment amount and the number of individuals employed by the employer as full-time employees during such month.1/12 of $2,000 per month. (b) Large employers offering coverage with employees who qualify for premium tax credits or cost-sharing reductions (1) In generalIf— (A) an applicable large employer offers to its full-time employees (and their dependents) the opportunity to enroll in minimum essential coverage under an eligible employer-sponsored plan (as defined in section 5000A (f)(2)) for any month, and (B) 1 or more full-time employees of the applicable large employer has been certified to the employer under section 1411 of the Patient Protection and Affordable Care Act as having enrolled for such month in a qualified health plan with respect to which an applicable premium tax credit or cost-sharing reduction is allowed or paid with respect to the employee, then there is hereby imposed on the employer an assessable payment equal to the product of the number of full-time employees of the applicable large employer described in subparagraph (B) for such month and an amount equal to 1/12 of $3,000. (2) Overall limitation The aggregate amount of tax determined under paragraph (1) with respect to all employees of an applicable large employer for any month shall not exceed the product of the applicable payment amount and the number of individuals employed by the employer as full-time employees during such month.For purposes of calculating the penalty, the number of individuals employed is reduced by 30. 26 USC 4980H(c)(2)(D). Please note that where employees are aggregated, then there is only one 30 employee reduction that is spread on a pro rata basis among the employers in the group. -Who is the applicable employer?:An employer, with respect to a calendar year, that employed an average of 50 or more FTE on business days during the preceding calendar year[more detail on next slide]-What is the applicable payment amount?:26 USC Sec 4980H(c)- The term “applicable payment amount” means, with respect to any month, 1/12 of $2,000-Look-Back/Stability Period Method:IRS acknowledged month-to-month calculation (discussed on next slide) as difficult and suggest this method. Under this method, an employer would determine if an employee is full-time by looking at a period of 3-12 months (“the measurement period”) to determine whether the employee averages at least 30-hours of work per week or at least 130 hours of service per calendar year[more discussion]
Definition:Section 4980H(c)(4) provides that a full-time employee with respect to any month is an employee who is employed on average at least 30 hours of service per week (or, under proposed regulations, at least 130 hours of service per month)Seemingly, under the 130 hour rule, a non-FTE (including seasonal employees) is taken into account in the FTE calculation A worker who is an employee under the common-law testFull-time employees status are determined on a monthly basis Employer is to count each FTE employed during the preceding year as one FTE for that yearSteps to determine # of FTEs for each calendar month in the preceding year:Calculate the aggregate number of hours of service (not ore than 120 hours of service for any employee) for all employees who were not FTEs for that monthDivide the total hours of service in step 1 by 120. This is the number of FTEs for the calendar monthSteps to determine # of FTEs in the preceding calendar year:Calculate the number of full-time employees (including seasonal) for each calendar month in the preceding yearCalculate the number of FTEs (including seasonal) for each calendar month in the preceding year (as described in the previous section Steps to determine # of FTEs for each calendar month in the preceding year)Add the number of FTEs from steps 1 and 2 for each of the 12 months in the preceding yearAdd up the 12 monthly numbers in step 3 and divide the sum by 12. (this is the avg number of the employer’s FTEs for the preceding calendar year)If the number of FTEs in step 4 is less than 50, the employer is not an applicable large employer for the current calendar yearIf the number of FTEs in step 4 is 50 or more, determine whether the “seasonal employee exception” applies. If it does apply, the employer is not an applicable large employer for the current calendar year. If the seasonal exception does not apply, the employer is an applicable large employer for the current calendar yearHours of Service Calculation:Calculation of hours for service for hourly employeesEmployees paid on hourly basis are hourly employeesEmployers required to calculate actual hours of services from records or hours worked and hours for which payment is made or dueCalculation of hours for services for non-hourly employeesEmployees not paid on hourly basis are non-hourly basisEmployer would be permitted to calculate the number of hours of service under any three methods:1. counting actual hours of service from records of hours worked and hours for which payment is made or due for vacation, holiday, illness, incapacity, etc.2. using a days-worked equivalency method whereby the employee is credited with eight hours of service for each day for which the employee would be required to be credited with at lest one hour of service under the rule in Section III.C3. using a weeks-worked equivalency of 40 hours of service per week for each week for which the employee would be required to be credited with at least one hours of service under the rule in Section III.C
Background:One of two tests, the other being the Affordability Test, to ensure that the coverage offered by an employer is adequateIf fail will have to pay the assessment taxHowever, the tax will only need to be paid if, in addition to the test’s failure, one or more FTEs receive a premium assistance tax creditMinimum Value Test- I.R.C. Sec 36B(c)(2)(C)(ii)Employer-provided coverage provides minimum coverage if:The plan’s share of the total allowed costs of benefits provided under the plan is at least 60% of such costs for a single plan
General Purpose: Help assist enrollees (employees) better understand and evaluate health insurance coverageWhat is it?:1 of 2 required forms, the second being the uniform glossary of terms, that summarizes health plans’ benefits and coverage. A form intended to cause employers and insurers to take competitive steps on the price and quality of benefitsWhen should it be given?:The PPACA requires the SBC be given to applicants prior to enrollment or re-enrollment, i.e., first open enrollment period after 9-23-2012 Who gives it?:Insured or insured health plans and plan administrators of self-insured health plans via paper or electronic formProvided as soon as practicable following receipt of the application but no later than seven (7) business days following receipt of applicationTo what does it apply?:All group health plansHealth Reimbursement Arrangements (HRAs) (not constituting “Excepted Benefits”)Need to know regarding HRAsEmployer-funded and offered in conjunction with high-deductible planAllows group to offer high-deductible plans while helping employees pay for covered cost shares (e.g. deductibles, coinsurance, copayments)An HRA integrated with other major medical coverage need not separately satisfy the SBC requirements; SBC can be prepared for the other major medical coverage To what does it not apply?:Group health plans that provide “Excepted Benefits” (e.g. Benefits that fall under one of the following: 1. Worker’s compensation or similar, Credit-only insurance, Automobile medical payment insuranceWhat is its appearance?:No longer than four (4) pagesPrint no smaller than 12-point font Language understandable to average enrolleeContent must contain uniform definitions, copayments, and other costs sharing provisions(2 disclosure requirements)Items to be included:12 required items+1 (coverage examples for common benefits scenarios adopted by the Health and Human Services (HHS)Failure to comply:Subject to fine up to $1,000 for each failureSubject to an excise tax reporting requirement for group health plans under IRC Sec. 4980D
Background:Governed by Dept. of Labor (DOL) and Dept. of Health and Human Services (DOHHS)ACA requires health insurance issuers to submit data on premium revenues spent on clinical services and quality improvement, also known as Medical Loss Ratio (MLR)If the percentage does not meet minimum standard, issuers required to issue rebatesMinimum Standard: 1. Large Group Market (50+ employees)= health insurers spend at least 85% of premium dollars received from policies on a combination of medical care claims and activities to improve health care quality2. Individual and Small Group Plans= spend at least 80% of premium dollars “”Based on statewide information Employers’ Duty:Policyholders (employers) must ensure the rebate is used for the benefit of subscribers Rebates may only be used for the benefit of participants in the plan that generated the rebatesEmployers’ Distribution of Rebates:Create a Plan Document Provision prescribing how distributions from insurance companies will be treated[]Employers’ Distribution Absent Plan Document Provision:1. Policyholders that sponsor plans subject to ERISAIn considering allocation approaches, the plan fiduciary may weigh the costs to the plan and the ultimate plan benefits and may allocate shares of the rebate among plan participants under any method that is “reasonable, fair, and objective” under the circumstancesPortion of rebates that are “plan assets” may be distributed to plan participants in cash, used to enhance benefits, applied to reduce participant premiums or otherwise used in accordance with the terms of the plan, which could include payment of administrative expensesPlan Assets: Under ERISA, insurance rebates attributable to employee contributions are considered plan assetsWhen handling MLR rebates, employer must determine the extent to which the amounts received must be treated as “plan assets” under ERISA2. Policyholders that are non-federal governmental group health plansPolicyholder use the amount of the rebate that is proportionate to the total amount of premiums charges in subsequent policy years to subscribers who were covered under the group health plan at the time the rebate is receivedPolicyholder may either limit the premium reduction to subscribers who were covered under the option generating the rebate or make a cash refund to those individualsPolicyholder may determine whether to evenly divide the rebate among all subscribers, to divide it based on each subscriber’s actual contributions, or to apportion it on any other reasonable basis3. Plans that are neither ERISA nor governmental plansPolicyholder must agree in writing with insurer that rebate will be paid to subscribers in the same manner as required for non-Federal governmental plansIf no agreement, insurer pays full amount (including amount based on the premiums paid by the policyholder) to subscribers in equal amountsIncome Tax Treatment of Rebates- Tax implication on employers for using MLR rebates for the benefit of employers Tax treatment depends on whether the employee paid for coverage with pre-tax or after-tax dollars[more information if preferred]
Taxes:Medicare Tax; Wages Hospital Tax on High Income Tax PayersMedicare Tax Unearned IncomeShared Responsibility- Individual Mandate TaxTax on non-qualified HAS and Archer MSA Medical ExpensesCorporate Estimated Tax ShiftTax on Medical Device Manufacturers (not on employers, but may be important to know with regards to possible increase in medical devices)Fees:Penalties for Employers for No Coverage and Unaffordable CoverageCorporate Clinical Effectiveness Research Fee
Who Regulates?:Department of Labor, which has not promulgated binding rulesDOL plans to complete rulemaking by 2014Until such rules are promulgated, employers are not required to comply with automatic enrollmentTo whom does it apply?:Applies to to Employers to which the FLSA applies and that have 200 or more full-time employeesWhat must employer do?:Must automatically enroll new FTE in one of the employer’s health benefit plansMust continue the enrollment of current employees in a health benefits plan offered through employerWhat should be included in the Automatic Enrollment Program?:- Include adequate notice and opportunity for an employee to opt out of any coverage the individual or employee were automatically enrolled in
Exempt employee vs. Formerly exempt employee
The training, even though it includes actual operation in the employer’s facilities, is similar to training that would be given in a vocational school (this means the training is “fungible,” or interchangeable, and can be used by the employee in another position with another employer);The training is for the benefit of the trainee;The trainees do not displace regular employees but work under close observation;The employer that provides the training derives no immediate advantage from the trainees’ activities and at least on occasion, its operation may actually be impeded;The trainees are not necessarily entitled to a job at the completion of the training period; andBoth the employer and the trainees have an understanding that the trainees are not entitled to wages for the time spent in training.
Kinder Morgan to pay more than $830,000 in overtime back wages to 4,659 employees, resolving US Labor Department lawsuit