If the American Recovery and Reinvestment Act wasn’t enough
to make employers reexamine their trust relationship with their COBRA
administrator, the IRS Form 8928 reporting requirements should certainly do
so. Beginning with the 2010 Plan or
taxable year, employers are now required to self-report their failures to
comply with COBRA, HIPAA, and other health plan regulations to the IRS on Form
8928 and pay excise taxes and penalties for these compliance failures. If you’re not familiar with Form 8928, the instructions
for the Form can be found on the IRS website here www.irs.gov/pub/irs-pdf/i8928.pdf,
and the Form itself can be found here www.irs.gov/pub/irs-pdf/f8928.pdf. While the penalties for failing to comply
with COBRA have always been there, now employers can’t cross their fingers and
wait for a potential IRS audit or lawsuit to uncover them – they have to
self-report them. Furthermore, interest
begins accruing on all excise taxes and penalties the moment they are due if
they are not paid on time, so a failure to report failures to comply will start
to become very expensive quickly.
What does this mean
for employers who outsource their COBRA compliance administration to a
professional administrator? It means
employers better have a way to effectively review and audit the work performed
on their behalf, and it better be a “real time view.” The old fashioned “black box” method of
providing outsourced COBRA administration where employers report Qualifying
Events to their administrator by fax or file and then hope that the
administrator does their job is no longer a viable model. Employers should have real-time access to all
QB records including access to the letters their administrator has sent to each
QB. Employers should also have access to
real-time reports detailing letters sent to verify that all new hires and new
Qualified Beneficiaries reported to the administrator resulted in the appropriate
letters being sent and sent in a timely fashion. Only through this kind of transparent view
into their administrator’s world can any employer confidently report on their
Form 8928 that they have had no compliance failures. Waiting for paper reports at the end of the
month simply does not provide employers the data they need in the time frame
needed to ensure their compliance. If
you are an employer or group health plan sponsor who must comply with COBRA and
your COBRA administrator is not providing you real-time, secure (always
remember PHI) web-based access to your QB records and the reports you need, it
is time (right now) to find a new COBRA administrator who will.