BLS Reports on Access to Health and Retirement Benefits
July 28, 2014 (PLANSPONSOR.com) – Employer-provided medical care was available to 86% of full-time private industry employees in the United States as of March, according to survey results from the U.S. Bureau of Labor Statistics (BLS).
The BLS National Compensation Survey, which provides measures
of compensation cost levels and trends, as well as incidence and provisions of
employee benefit plans, also finds that only 23% of part-time employees had
medical care benefits available. Access or availability also varied by establishment
size, with 57% for employees of small businesses (those with fewer than 100 employees),
compared with 84% in medium and large businesses (those with 100 employees or
more).
Retirement benefits followed a similar pattern, according to
the survey data. In private industry, 74% of full-time employees had access to
a retirement plan, compared with 37% of part-time employees. Retirement
benefits were available to 50% of employees of small businesses and 82% of employees
in medium and large businesses. The survey defines an employee with access to a
medical or retirement plan as having an employer-provided plan available for
use, regardless of the decision to enroll or participate in the plan.
In addition, the survey finds that paid sick leave benefits
were also more commonly offered to full-time employees and those in medium and large
businesses in private industry—74% of full-time employees
and 24% of part-time employees. Similarly, 52% of employees in small businesses
and 72% in medium and large businesses had access to a paid sick leave benefit.
Other findings from the survey include:
In private industry, 65% of employees had access to
retirement benefits and 48% of employees participated in retirement plans. In
state and local government, 89% of employees had access and 81% participated in
retirement plans.
Almost all full-time employees in state and local
government (99%) had access to retirement and medical care benefits. For state
and local government part-time employees, 38% had access to retirement benefits
and 24% had access to medical care benefits.
For private industry employees in the lowest 10% of
average earnings, employers paid 70% of the single coverage medical plan
premium. For employees in the highest 10% of average earnings, the employer
share of the premium was 81%. For family coverage, the employer share of the
premium was 57% for employees in the lowest 10% of earnings, significantly less
than the 72% for employees in the highest 10% of earnings.
Access and participation in life insurance benefits
varied significantly for full-time and part-time employees. In private industry,
72% of full-time employees had access to life insurance benefits. In contrast,
only 13% of part-time employees in private industry had access. For state and local
government workers, 90% of full-time employees and 22% of part-time employees had
access. Most employees who had access participated in life insurance benefits.
Paid holidays were provided to 90% of full-time and 37%
of part-time employees in private industry. In state and local government 74%
of full-time employees and 30% of part-time employees had access.
The Bureau of Labor Statistics says more information will be
published in September about the incidence and provisions of health care benefits,
retirement benefits, life insurance, short-term and long-term disability
benefits, paid holidays and vacations, and other selected benefits.
More information about the survey results can be
obtained by calling 202-691-6199, sending an email to ncsinfo@bls.gov, or by visiting http://www.bls.gov/ebs.
Plaintiffs Granted Summary Judgment in Church Plan Case
July 25, 2014 (PLANSPONSOR.com) – A federal district court in California has granted a motion for partial summary judgment against an employer in a widely followed “church plan” case.
The court handing down the decision, the United States
District Court for the Northern District of California, simultaneously denied
the defendants’ cross-motion for partial summary judgment in Rollins vs. Dignity Health, case
documents show. The case is about whether defendant Dignity Health—a California-based
not-for-profit public benefit corporation that operates hospitals and ancillary
care facilities—should conform its defined benefit pension plan to the Employee
Retirement Income Security Act (ERISA), or whether the plan is exempt from ERISA
because it is a “church plan” as defined by the ERISA statute.
There is a long list of similar cases making their way
through the federal court system—some with the potential to reverse
upwards of 30 years of benefits law precedent by taking a stricter stance towards benefit plan compliance at religiously affiliated organizations that
aren’t churches per se. Like other defendants in these cases, Dignity urged the
court to dismiss this suit by claiming that, because it is an entity controlled
by or associated with a church, its retirement plan can be considered a church plan within
the definition of the ERISA statute, and is thereby exempt from ERISA’s regulatory
provisions.
In finding for the plaintiffs in Rollins vs. Dignity Health on this particular motion, the court took
a step towards granting plaintiff Starla Rollins’ ultimate appeal for
declaratory and injunctive relief directing Dignity Health to bring its pension
plan into compliance with ERISA—including its reporting, vesting and funding
requirements. An appeal of the decision, which is likely, would go to the 9th U.S.
Circuit Court of Appeals.
Background materials included in text of the decision show
that, in December 2013, Dignity first moved to have the suit dismissed because
of its previously unchallenged church plan status. But the district court
subsequently denied Dignity’s motion, holding that under the ERISA statute, a
plan must be “established by a church” to be considered a church plan, and Dignity
had not argued that it could meet that definition—only that it was affiliated
with a church (see “Court
Weighs In on Church Plan Issues”).
Dignity moved for interlocutory appeal of that decision and
included in a footnote to its reply brief that it was reserving the argument that
its plan may have indeed been established by a church, and therefore the plan
may be exempt even under the court’s reading of the statute. Concluding that
the dismissal order did not satisfy the requirements set out in 28 U.S.C. §
1292(b), the court denied the interlocutory appeal motion.
In
the meantime, Rollins moved for partial summary judgment seeking declaratory
relief that the plan is not exempt—along with injunctive relief directing
Dignity to bring its plan into compliance with ERISA. Case documents show Rollins
argued that there is no genuine dispute of material fact that the plan was
established by Dignity’s predecessor company, Catholic Healthcare West (CHW); that
CHW, being essentially identical to Dignity apart from the name change, was also
not a church; and that therefore the plan cannot be an exempt church plan under
the statute.
Dignity countered Rollins’s motion for summary judgment and
argued that there is a genuine dispute of material fact because at the time the
plan was established in 1989, CHW was controlled by various religious women’s
orders known as the “sponsoring congregations,” which would be considered
churches for purposes of the statute.
Further, Dignity argued that the sponsoring congregations established
the plan jointly with CHW, and alternatively that by way of the sponsoring congregations’
control over CHW, the sponsoring congregations indirectly established the plan.
Dignity additionally argued that it is entitled to partial summary judgment in
opposition to Rollins because her claim for declaratory relief is barred by the
statute of limitations, and because the declaratory relief Rollins seeks would
not be “equitable,” given that that the Internal Revenue Service has
consistently considered the plan exempt. Indeed, Dignity contends that because
it previously relied on the IRS’s rulings that it was exempt, that for the court
to now rule that Dignity’s plan is not in fact exempt would be “inconsistent”
and “grossly unfair.”
But according to the district court, “Dignity appears to
confuse the meaning of the term ‘equitable’ insofar as it distinguishes
remedies available at law from remedies available in equity, and the meaning of
the term as it relates to fairness to Dignity. Declaratory relief is a form of
equitable relief.”
The court goes on to point to an earlier decision from the 9th
U.S. Circuit Court of Appeals, in Hodgers-Durgin
v. de la Vina, handed down in 1999, to make the case that “nothing in the ERISA
statute creates an exemption from such relief where the result would be, in one
parties’ view, ‘inequitable’ or ‘unfair,’ and the court declines to create such
an exception for Dignity here. … Furthermore, if adhered to, Dignity’s argument
would lead to the perverse result where one erroneous IRS determination would
have to be infinitely perpetuated for the sake of avoiding so-called ‘gross
unfairness.’ An erroneous IRS ruling, however, should not be permitted to trump
a Court’s interpretation of a statute.”
Dignity also argued that it is entitled to summary judgment
because Rollins’s declaratory relief claim is barred by the statute of
limitations set out in ERISA. Under ERISA §413, an action for breach of
fiduciary responsibility must be commenced within the earlier of (i) six years
from the affirmative act constituting the alleged violation or breach of
fiduciary duty, or (ii) three years from when plaintiff had actual knowledge of
the breach or violation. Dignity contended that the affirmative act constituting
the breach was when the plan began operating as a church plan. As that began in
1992, the six-year statute of limitations would have expired in 1998.
Dignity
entered a number of supplementary arguments on this point; however the court
was not convinced, essentially because Rollins seeks declaratory relief that
Dignity’s plan is not a church plan. So it is not actually within the scope of
the case, the court ruled, to decide whether the statute of limitations would
bar Rollins’ complaints.
Based on the Court’s previous rulings that under the ERISA
statute, “only a church may establish a church plan,” Rollins argues that
because CHW established the plan at issue here, and CHW was not a church,
Rollins is entitled to a declaration that the plan is not a church plan exempt
from ERISA.
With respect to Dignity’s counter arguments, the court
believes Dignity failed to raise a dispute sufficient to defeat summary judgment
because, whether or not the sponsoring congregations controlled CHW is immaterial
because CHW was a separate corporation at the time it established the plan.
As the court explains in the text of its decision, “Looking at
the totality of the evidence and viewing it in the light most favorable to
Dignity, Dignity fails to raise a genuine issue of material fact as to whether
CHW established the plan in question. Although the sponsoring congregations may
have been involved in CHW’s management, and may have joined on to the CHW Plan,
Dignity fails to put forth any evidence to rebut the position … that CHW
established the CHW Plan.”
Looking Ahead
Where does this leave the case? According to a recent post
on The
Fiduciary Matters Blog, the plaintiff will now need to move the court to
grant it the relief it seeks, i.e. forcing the pension plan to meet ERISA
reporting and funding requirements.
“I
wouldn’t be surprised to see the court enter an order granting the relief
plaintiffs seek and then immediately stay the order until defendants can appeal
the case to the 9th Circuit Court of Appeals,” says Thomas E. Clark, Jr., the
blog’s editor. “I wouldn’t be surprised to see the defendants want to move the
case along as fast as they can in order to get the case to the appeal stage. No
true predictions here as to what will happen next, but I suspect speed will be
a dominant factor.”