Minimum cost requirement; deductibility; section
101 of Medicare Prescription Drug, Improvement and Modernization Act of 2003
(MMA). This ruling holds that the employer subsidy for maintaining
prescription drug coverage provided under section 1860D-22 of the Social Security
Act, as added by section 101 of the Medicare Prescription Drug, Improvement
and Modernization Act of 2003, is not taken into account in computing the
applicable employer cost for purposes of determining whether the minimum cost
requirement of § 420(c)(3) of the Code is satisfied.
Is the employer subsidy for maintaining prescription drug coverage provided
under section 1860D-22 of the Social Security Act (SSA), as added by section
101 of the Medicare Prescription Drug, Improvement and Modernization Act of
2003, Pub. L. 108-173 (MMA) taken into account in computing the applicable
employer cost for purposes of determining whether the minimum cost requirement
of § 420(c)(3) is satisfied?
Company M, a calendar year taxpayer, maintains Plan A, a single employer
defined benefit plan qualified under § 401(a) of the Internal Revenue
Code. Company M also maintains Plan B, a retiree medical benefit plan. In
2005, in accordance with § 420 of the Code, Company M transfers
a portion of Plan A’s assets to an account described in § 401(h)
in order to provide for retiree medical benefits under Plan B. Company M’s
applicable employer cost was $3,600 for 2003, $3,800 for 2004 and $4,000 for
2005. By September 30, 2005, Company M applies for the employer subsidy for
maintaining prescription drug coverage pursuant to section 1860D-22 of SSA.
In 2006, Company M receives a payment of the employer’s subsidy in an
amount equal to $600 per covered retiree. In 2006, the aggregate amount paid
by Company M with respect to applicable health benefits, without regard to
the employer subsidy for maintaining prescription drug coverage, is $4,300
per covered retiree.
Section 420(a) provides that if there is a qualified transfer of any
excess pension assets of a defined benefit plan (other than a multiemployer
plan) to a health benefits account which is part of the plan, the related
trust is not treated as failing to meet the requirements of § 401(a)
or (h) solely by reason of the transfer. In addition, no amount is includible
in gross income of the employer solely by reason of the transfer, and the
transfer is not treated as an employer reversion for purposes of § 4980
or as a prohibited transaction for purposes of § 4975.
Among the requirements for a transfer to be a qualified transfer, as
defined in § 420(b), is that the minimum cost requirements of § 420(c)(3)
must be satisfied. Section 420(c)(3)(A) provides, in relevant part, that each
group health plan or arrangement under which applicable health benefits are
provided must provide that the applicable employer cost for each taxable year
during the cost maintenance period is not less than the higher of the applicable
employer costs for each of the 2 taxable years immediately preceding the taxable
year of the qualified transfer.
Section 420(c)(3)(B) generally defines applicable employer cost for
a taxable year as the amount determined by dividing the qualified current
retiree health liabilities of the employer for the year by the number of individuals
to whom coverage for applicable health benefits was provided during the year.
Section 420(c)(3)(C) allows the minimum cost requirements to be applied separately
with regard to individuals eligible for benefits under Title XVIII of the
Social Security Act. Under § 420(c)(3)(D), the cost maintenance
period is the period of 5 taxable years beginning with the taxable year in
which the qualified transfer occurs. Section 420(c)(3)(E) provides that the
Secretary shall prescribe such regulations as may be necessary to prevent
an employer who significantly reduces retiree health coverage during the cost
maintenance period from being treated as satisfying the minimum cost requirement.
Section 420(c)(3)(E) also provides that an employer will not be treated as
reducing retiree health coverage when an employer reduces applicable employer
cost by an amount not in excess of the reduction in cost which would have
occurred if the employer had made the maximum permissible reduction in retiree
health coverage permitted under the regulations.
Section 420(e)(1)(A) defines ”qualified current retiree health
liabilities” as the aggregate amounts (including administrative expenses)
which would have been allowable as a deduction to the employer for the taxable
year with respect to applicable health benefits provided during the year if
(i) the benefits were provided directly by the employer, and (ii) the employer
used the cash receipts and disbursements method of accounting. Section 420(e)(1)(C)
defines ”applicable health benefits” as health benefits or coverage
which are provided to (i) retired employees who, immediately before the qualified
transfer, are entitled to receive such benefits upon retirement and who are
entitled to pension benefits under the plan, and (ii) their spouses and dependents.
Section 1860D-22 of SSA provides a subsidy for sponsors of retiree prescription
drug plans that provide drug coverage that is at least ”actuarially
equivalent” to the Medicare Part D benefit. The subsidy is available
only with respect to retirees who are eligible for, but do not enroll in,
Medicare Part D and who are covered under the employer’s retiree prescription
drug plan.
Section 139A of the Code provides that gross income does not include
any employer subsidy payment received under section 1860D-22 of SSA. Under
§ 139A, this exclusion is not taken into account in determining
whether any deduction is allowable with respect to any cost taken into account
in determining the payment.
The applicable employer cost is based on qualified current retiree health
liabilities which in turn is based on aggregate amounts which would be allowable
as a deduction to the employer for the taxable year with respect to applicable
health benefits. In accordance with § 139A, the determination of
the aggregate amounts which would be allowable as a deduction to the employer
for the taxable year with respect to applicable health benefits is made without
regard to the employer subsidy for maintaining prescription drug coverage.
Accordingly, the receipt of that subsidy is not taken into account in determining
applicable employer cost. Company M satisfies the minimum cost requirements
of § 420(c)(3) for 2006 because the applicable employer cost of
$4,300 is not less than $3,800 (the higher of the applicable employer cost
for 2003 and 2004).
The employer subsidy for maintaining prescription drug coverage provided
under Section 1860D-22 of SSA as added by section 101 of MMA is not taken
into account in computing the applicable employer cost for purposes of determining
whether the minimum cost requirement of § 420(c)(3) is satisfied.
The principal drafter of this revenue ruling is Kathleen Herrmann of
the Employee Plans, Tax Exempt and Government Entities Division. For further
information regarding this revenue ruling, please contact the Employee Plans’
taxpayer assistance telephone service at 1-877-829-5500 (a toll-free number)
between the hours of 8:00 a.m. and 6:30 p.m. Eastern Time, Monday through
Friday. Ms. Herrmann may be reached at (202) 283-9888 (not a toll-free number).
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