Advisory Opinions

Requests for interpretations and other rulings under Title 1 of ERISA are handled by the Office of Regulations and Interpretations under the provisions established by ERISA Procedure 76-1.  The office answers inquiries from individuals and organizations in the form of advisory opinions, which apply the law to a specific set of facts, or information letters, which merely call attention to well established principles or interpretations.

Data Dictionary

1993
AO/ Date/ Reference Recipient Description of Request
12/16/1993
3(1)
3(4)
3(5)

Mr. Kevin G. Long 
Weintraub Genshlea Hardy 
Erich & Brown 
P.O. Box 13530
Sacramento, California 95853-4530

Whether the long-term disability program sponsored by the California Law Enforcement Association (CLEA), a non-profit mutual benefit corporation formed to provide a program of disability benefits to law enforcement personnel in the State of California, is an employee welfare benefit plan within the meaning of section 3(1) of Title I of ERISA. Whether CLEA is an employee organization under section 3(4) or an employer group or association under section 3(5).

11/18/1993
3(1)

Mr. William G. McKelvey 
Medical Claims Service, Inc. 
300 Congress Street 
Quincy, Massachusetts 02169

Whether the TNCO, Inc. Health Benefits Plan (TNCO Plan), a single-employer plan that is self-funded with stop loss coverage, is an employee welfare benefits plan within the meaning of section 3(1) of Title I of ERISA. Whether the plan is subject to the exceptions in section 514(b).

10/27/1993
3(1)

Mr. William G. McKelvey
Medical Claims Service, Inc.
300 Congress Street
Quincy, Massachusetts 02169

Whether the Tremont Nail Company Health Benefits Plan, a single-employer plan that is self-funded with stop loss coverage, is an employee welfare benefits plan within the meaning of section 3(1) of Title I of ERISA. Whether the plan is subject to the exceptions in section 514(b)(6).

10/12/1993

Mr. Alfred W. Gross 
Deputy Commissioner
Virginia Bureau of Insurance
Box 1157
Richmond, Virginia 23209

Whether a health benefit program (the ERM Program) offered by Employers Resource Management Company, Inc. (ERM), an employee leasing firm that markets certain services relating to employees of client companies, is a multiple employer welfare arrangement (MEWA) within the meaning of ERISA section 3(40).

10/12/1993
3(32)
4(b)(1)

Mr. Thomas M. Pollan 
Bickerstaff, Heath & Smiley, L.L.P. 
San Jacinto Center, Suite 1800 
98 San Jacinto Boulevard
Austin, Texas 78701-4039

Whether the Capital Metro Retirement and Savings Plan (formerly known as the Capital Metro 401(k) Plan) is a governmental plan within the meaning of section 3(32) of Title I of ERISA and, thus, excluded from ERISA Title I coverage by section 4(b)(1) of Title I of ERISA.

10/12/1993
3(1)

Ms. Deborah Holland Tudor 
Greenebaum Doll & McDonald 
333 West Vine Street, Suite 1400 
Lexington, Kentucky 40507

Whether the Toyota Motor Manufacturing, U.S.A., Inc. Employer's Short Term Disability Plan and its Salary Continuation Plan, which pay benefits out of the employer’s general assets for absences due to certain medical reasons that equal or are a significant portion of, but do not exceed, the employee’s normal compensation, are payroll practices within the meaning of the Department of Labor regulations at 29 C.F.R. §2510.3-1(b) and therefore are not "employee welfare benefit plans" within the meaning of section 3(1) of Title I of ERISA.

09/09/1993
4975
PTE 77-4

Donald S. Kohla, Esq. King & Spalding
191 Peachtree Street
Atlanta, Georgia 30303-1763

Whether Prohibited Transaction Exemption 77-4 applies to transactions involving IRAs not covered by Title I of ERISA but which are subject to section 4975 of the Internal Revenue Code.

09/03/1993
3(1)

Ms. Mary B. Hevener 
Lee, Toomey & Kent
1200 Eighteenth Street, N.W. 
Washington, D.C. 20036 

Whether the Armstrong Dependent Care Reimbursement Account, adopted by Armstrong World Industries, Inc. to provide its full-time and part-time employees with dependent care assistance by reimbursing dependent care services freely chosen by employees, is an employee welfare benefit plan within the meaning of section 3(1) of ERISA.

09/13/1993
406(b)(1)
406(b)(3)

Roger W. Thomas 
Staff Attorney 
Department of Financial Institutions 
Fourth Floor, The John Sevier Building
500 Charlotte Avenue
Nashville, TN 37243-0705

Whether a bank acting as an agent or trustee for employee benefit plans earning interest for their own accounts from the "float" when a benefit check is written to a participant until the check is presented for payment is prohibited under section 406(b)(3) of ERISA.

09/03/1993
404(a)(1)
514(d)

Frederick D. Hunt, Jr., President 
Society of Professional Benefit Administrators
Two Wisconsin Circle, Suite 670
Chevy Chase, MD 20815-7003

What are the appropriate actions to be taken by plan administrators under Title I of ERISA when presented with requests for recovery of mistaken primary payments made by Medicare under the Medicare Secondary Payer provisions. Whether medical providers or plan participants who have been paid for the same services by both Medicare and employee benefit plans, or who have otherwise misled plan fiduciaries, could be held liable as knowing participants in any fiduciary breach resulting from such actions.