2. What is a QSPP?
A legal, formal sick pay plan
It is not insurance.
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3. What is a QSPP?
A QSPP defines:
– Who
– How much and
– Under what conditions
a person will receive money during a period of
disability.
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4. Why Establish
a QSPP?
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5. Why establish a QSPP?
Chism vs. Commissioner 1963
When an employee is disabled he/she no
longer is an employee.
Wages can only be paid to employees.
Any money paid that is greater than $25 is a
gift.
A QSPP must be in place before an employee
is disabled. If there isn’t a QSPP in place, it is
considered ad hoc and as a result is not tax
deductible.
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6. Why establish a QSPP?
1. Under a QSPP, payments made to an
employee who is hurt or sick are tax
deductible.
- Ad hoc payments are not tax deductible.
2. Under a QSPP, employers can be
selective as to who can and can’t be
covered.
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7. Why establish a QSPP?
You need a plan document. Without
one, payments are ad hoc.
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8. Why establish a QSPP?
Ad Hoc vs. Plan Payment
Ad Hoc Payment Plan Payment
> $25 gift Legal Obligation
Not a business Business Expenses
expense Taxable to
Taxable to Executive Executive
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9. Why establish a QSPP?
1. Under a QSPP, payments made to an
employee who is hurt or sick are tax
deductible.
- Ad hoc payments are not tax deductible.
2. Under a QSPP, employers can be
selective as to who can and can’t be
covered.
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10. Why establish a QSPP?
The plan can be set up for a particular
class of employees, allowing the
employer flexibility in covering those
employees he/she wants.
Benefits can vary by class, allowing the
employer flexibility in the amount of
benefit to be provided to each class.
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11. What are the advantages
of a QSPP?
1. Allows tax-deductible payments to the
disabled employee, which is good for the
employer
2. Requires payments to the disabled
employee, which is good for the employee
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13. Funding the Plan
– A company can choose to:
1. Establish cash reserves
2. Use current cash flow
3. Buy insurance
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14. Funding the Plan
Financial Issues of Self-funding a QSPP
A company may not have the cash
immediately
Current cash flow goes toward paying
employees plus replacement for the
disabled employee.
– What happens when revenue is down?
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15. Funding the Plan
Annual Employer Cost For One Disabled Employee**
No Plan Self-Funded QSPP Insured QSPP
Revenue $100,000 Revenue $100,000 Revenue $100,000
Income Tax * - 32,000 Sick Pay - 30,000 Premium - 1,000
Net Profit 68,000 Pre-Tax 70,000 Pre-Tax 99,000
Sick Pay - 30,000 Income Tax* - 22,400 Income Tax* - 31,680
Retained Earnings Retained Earnings Retained Earnings
$38,000 $47,600 $67,320 plus
DI Benefits
•Assumes a 32% Corporate tax rate. $30,000
** Approximate annual cost of insuring on a 35-year old employee
with $30,000 annual benefit to age 65.
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16. Best Solution is to Buy
Insurance
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17. Buy Insurance
A company can either:
Self-fund the QSPP
Fund the QSPP through an insurance
policy
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18. Buy Insurance
Financial Accounting Standard 112
With a self-funded plan:
– Payments for employee sick pay must come from
company cash funds.
– In addition, the company must estimate the future
cost of sick pay payments and record these as a
business liability in the year the disabling accident
or sickness occurs.
– The employer must make the claims decisions.
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19. Buy Insurance
Which would an employer rather do?
Take on the responsibility him/herself
- OR -
Shift the burden to an insurance company
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20. Buy Insurance
Decision is made to buy insurance.
– What is next?
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21. Government Requirements
for QSPP (IRS Code 105)
The plan should be in writing, although a board
resolution may suffice.
The plan must be in effect before a disability
occurs.
The plan must be communicated to
participating employees.
The plan must be set up solely for employees.
The benefits cannot be excessive.
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22. ERISA Issues
Concerns regarding employee benefit rights
Limitation to amount for which employee can
sue
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23. Buy Insurance
What kind to buy?
Group LTD
Individual DI
Combination – Group LTD and IDI
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24. Buy Insurance
Group LTD
Many companies already have LTD
Limitations to LTD
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25. Group LTD (continued)
Limitations to LTD
Typically protects only 60 percent of income
Are often employer paid, resulting in taxable benefits
Often have a cap on benefits, such as $5,000/month
Typically cancelable by the insurance company or by
the employer
May have contractual limitations
Designed for a group of individuals and does not allow
each individual to tailor his/her coverage
Often does not cover certain types of income
(i.e., bonuses)
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26. Buy Insurance
Supplement with Individual DI
Key advantages:
– Excellent contract provisions
– Non-can contracts
– Insured owns the policy
– Customer design, extremely flexibility
– Portable
– Best of both worlds
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