SUPREME COURT RULES ON SAME-SEX MARRIAGE AND DOMA: STILL WAITING FOR GUIDANCE
1. SUPREME COURT RULES ON SAME-SEX
MARRIAGE AND DOMA: STILL WAITING
FOR GUIDANCE
On June 26, 2013, the United States Supreme Court ruled in a 5-4 decision that Ā§ 3 of the Defense of Marriage Act
(DOMA) was unconstitutional under the Fifth Amendment of the United States Constitution. Section 3 of DOMA
aļ¬ects more than 1,000 federal laws, including those related to estate and gift taxes, Social Security beneļ¬ts and tax
return ļ¬lings. Its eļ¬ect on the Internal Revenue Code (IRC) and the Employee Retirement Income Security Act of
1974 (ERISA) will have a signiļ¬cant impact on employers and employer-sponsored plans.
In the days and weeks following the decision, many experts asserted that employers must (or must not) take various
actions immediately. Adding to the confusion, less than a week after the Supreme Courtās decision, the Treasury
Departmentās blog noted plans to delay the employer pay or play excise tax until 2015 (the Treasury later issued
guidance conļ¬rming this delay). All of which left employers and their advisers with many questions to mull over.
With the dust ļ¬nally settling, it appears that employers may be best served by waiting for guidance from the federal
agencies that enforce the laws aļ¬ected by DOMA. This Alert discusses why this is so.
BACKGROUND ON DOMA
In 1996, President Clinton (D) signed into law DOMA. Section 3 of DOMA deļ¬ned marriage for all federal law
purposes as a union between one man and one woman; the term āspouseā referred only to a person of the opposite
sex who is a husband or a wife. Under the law, the federal government did not recognize same-sex marriages for any
legal purpose. Individuals in same-sex marriages were, therefore, barred from enjoying those federal marital
beneļ¬ts aļ¬orded to individuals in opposite-sex marriages. These beneļ¬ts include, for example, receiving employer-
sponsored health beneļ¬ts on a tax-free basis and the right to continue health coverage under COBRA. DOMAās
deļ¬nition of spouse meant that if an employer chose to extend health beneļ¬t eligibility to same-sex spouses (or
domestic or civil union partners), the employee would be subject to federal income tax on the value of such beneļ¬ts,
assuming the individual did not qualify as a tax dependent for such purposes.
DOMA, speciļ¬cally Ā§ 2, also grants states the authority to refuse to recognize same-sex marriages, including those
that have been performed in, and recognized by, other states. This section of DOMA was not challenged in the case
decided by the Court and remains federal law. Thirteen states and the District of Columbia currently permit same-
sex marriage ā California, Connecticut, Delaware, Iowa, Maine, Maryland, Massachusetts, Minnesota, New
Hampshire, New York, Rhode Island, Vermont and Washington. Several states recognize similar types of
relationships, such as civil unions and domestic partnerships, although the Supreme Courtās decision in United
States v. Windsor does not speciļ¬cally apply to these types of relationships. However, many states do not recognize
same-sex marriage or confer any special status upon these types of relationships.
ALERTWilllis Human Capital Practice
www.willis.com
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SUPREME COURTāS DECISION IN WINDSOR
United States v. Windsor involved a same-sex couple, Edith Windsor and Thea Spyer, married in Canada in 2007 and
residing in New York, a state that recognizes same-sex marriage. When Ms. Spyer died in 2010, she left her entire estate
to her spouse. Ms. Windsor, however, was barred from claiming the federal estate tax exemption for surviving spouses
due to Ā§ 3 of DOMA. Ms. Windsor paid the tax bill and sought a refund, which the Internal Revenue Service (IRS) denied.
She then brought suit challenging the constitutionality of Ā§ 3 of DOMA. Both the United States District Court and the
U.S. Court of Appeals for the Second Circuit Court of Appeals held that this section of DOMA is unconstitutional and
ordered the U.S. to pay a refund. The U.S. Supreme Court aļ¬rmed the holding of the appeals court.
HOW THE RULING AFFECTS EMPLOYER-SPONSORED HEALTH BENEFITS
Federal laws, such as the IRC, ERISA and COBRA, use the terms āspouseā and āmarriageā to deļ¬ne and explain who is
speciļ¬cally entitled to the rights and beneļ¬ts granted under those laws. With the Courtās ruling that DOMAās deļ¬nition
of marriage is unconstitutional, these terms are no longer limited to opposite-sex spouses. The Courtās opinion
appeared to limit itself to those same-sex marriages āmade lawful by the State,ā but this does nothing to clarify which
same-sex marriages are recognized and for what purposes. This means, for example, that some ā but possibly not all ā
same-sex spouses could now meet the COBRA deļ¬nition of a qualiļ¬ed beneļ¬ciary and have an independent right to
elect and maintain COBRA (a right opposite-sex spouses already enjoy).
The Courtās ruling does not answer the many questions that employers have, particularly when it comes to determining
who exactly is a same-sex spouse and therefore entitled to federal beneļ¬ts. Such questions as:
n Will the federal agencies limit themselves to just same-sex marriage or will they extend rights and beneļ¬ts to civil
unions or domestic partnerships (e.g., spousal equivalent laws)?
n Must the same-sex spouses reside in a state that recognizes same-sex marriage to be entitled to federal beneļ¬ts or is
it suļ¬cient that they have been legally married in a state that allows such marriages (state of āresidenceā vs. state of
ācelebrationā)?
n Will the agencies extend federal beneļ¬ts retroactively and, if so, what does an employer need to do to address?
n Must employers extend beneļ¬ts to same-sex spouses or can they choose to exclude them?
n What will happen in states that do not speciļ¬cally recognize same-sex marriage but where the state tax code
conforms to federal income tax law?
While same-sex spouses residing in a state that recognizes same-sex marriage may be clearly entitled to federal beneļ¬ts,
until the employer knows how the relevant agencies are answering these questions, any changes they make are likely to
be over- or under-inclusive, and will need to be repeated or, worse, corrected after the fact. An employer also runs
considerable risk if it guesses wrong. For example, an employer who adjusts its payroll to allow same-sex spouses to
participate in its cafeteria plan and pay for coverage on a pre-tax basis and ceases to impute income on the value of the
beneļ¬ts provided to such same-sex spouses may have to go through this process again if federal regulatory agencies
determine that any same-sex couple legally married in a state that allows for such marriages, regardless of where they
reside, is also entitled to federal beneļ¬ts. Not only would there be the administration issues to consider, but the
employer could be putting its plan at risk for disqualiļ¬cation if it extends tax beneļ¬ts to individuals who are not entitled
to them.
3. 3 Willis North America ā¢ 8/13
NEXT STEPS
While we wait for agency guidance on the many issues raised by the Supreme Courtās ruling on DOMA, it is important
for employers to take the time to study what these changes could mean for them and their beneļ¬t plans.
STEP ONE: KNOW WHAT YOU HAVE
Employers should have a clear understanding of what their plan currently provides and how they have interpreted and
applied those provisions in the past. The Supreme Courtās ruling, since it dealt with the deļ¬nitions of spouse and
marriage, highlights the importance of clearly worded eligibility in plan documents. Some employers may ļ¬nd that
when it comes to the issue of same-sex spouses, their current eligibility is too vague, or the subject is not addressed at all.
A plan that covers spouses by referencing state law, uses the term ālegal spouseā or that does not deļ¬ne the term
āspouseā at all, could automatically be deemed to cover same-sex spouses, even if that is not the employerās intent.
Employers that currently exclude same-sex spouses will need to review the terms of their plan, particularly if they
reference DOMA and its deļ¬nition of marriage.
Furthermore, employers may not know if someone they are covering qualiļ¬es as a same-sex spouse. Even if the
employer currently extends coverage to domestic partners and same-sex spouses, it may not have diļ¬erentiated
between same-sex spouses and other spousal-equivalent relationships when it comes to the administration of their
beneļ¬t plans. Changes to the employerās current processes may be necessary to capture this information.
STEP TWO: KNOW WHAT YOU WANT
Employers should have a clear idea as to whom they wish to cover under their beneļ¬t plans and should analyze their current
beneļ¬t eligibility to determine if the terms of the plan are in agreement with that decision. For example, do the current
terms of the plan extend eligibility (by design or default) to the following individuals (and is this the employerās intent)?
n Common law spouses
n Legally separated spouses
n Spouses eligible for coverage through their own employerās plan
n Step-children
n Children for whom the employee is a legal guardian
n Grandchildren
An employer cannot realistically begin the plan amendment process until it knows who it wants or needs to cover.
Many employers are currently pondering the benefit eligibility issue in light of health care reform and its
many requirements. Under the employer pay or play mandate, large employers ā those with 50 or more full-
time employees (generally counting part-time employees as fractions) ā may incur a penalty tax unless they
meet standards for offering health coverage to their full-time employees.
Specifically, no employer will incur the penalty tax if it offers its full-time employees and those employeesā
dependents āminimum essential coverageā and, with respect to the full-time employees, the coverage is
affordable and provides minimum value. While the health care reform law generally defines a full-time
employee as being employed for an average of at least 30 hours of service per week, the employer may
currently have a different definition or have certain classifications of employees that are excluded regardless
of the number of hours worked in a week (e.g., temporary or seasonal). The pay or play excise taxes require
coverage for full-time employees and their dependents, but the term dependents does not include spouses.
The pay or play excise tax was set to become effective for coverage provided during 2014, but the IRS
announced a delay of the pay or play penalties and related information reporting requirements until 2015
(other requirements under the health care reform law that are effective in 2014 are not affected). As
employers anticipate implementing whatever guidance is coming from federal agencies regarding the DOMA
decision and prepare to comply with health care reform provisions other than pay or play, the pay or play
delay is particularly welcome.
4. 4 Willis North America ā¢ 8/13
STEP 3: WAIT FOR GUIDANCE
While the ruling has generated many employee questions regarding their employer-sponsored health beneļ¬ts and has
resulted in employees demanding immediate changes, employers must approach the issue carefully and thoughtfully.
Acting immediately, such as amending the employerās plan to include or exclude same-sex spouses and changing current
payroll processes to stop reporting imputed income, without having the necessary guidance, could result in having to
undo or redo changes once the agencies release guidance.
CONCLUSION
The full implications of this decision and its eļ¬ect on employers and employer-sponsored plans are unclear. Additional
guidance from the IRS and other regulatory agencies is needed. Employers should consult with their tax advisers and
legal counsel before changing their beneļ¬t plans in response to the ruling. The National Legal & Research Group will
continue to provide updates on guidance, as it becomes available.
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ATLANTIC
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Metro DC
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MIDWEST
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