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Qualified Sick
Pay Plans (QSPP)


     advice4retirement.com
     Member of FINRA, SIPC
What is a QSPP?

A legal, formal sick pay plan
It is not insurance.




              advice4retirement.com
              Member of FINRA, SIPC
What is a QSPP?

A QSPP defines:
 – Who
 – How much and
 – Under what conditions

a person will receive money during a period of
disability.



                advice4retirement.com
                Member of FINRA, SIPC
Why Establish
  a QSPP?



   advice4retirement.com
   Member of FINRA, SIPC
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.
                  advice4retirement.com
                  Member of FINRA, SIPC
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.


                 advice4retirement.com
                 Member of FINRA, SIPC
Why establish a QSPP?




You need a plan document. Without
one, payments are ad hoc.




             advice4retirement.com
             Member of FINRA, SIPC
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


                 advice4retirement.com
                 Member of FINRA, SIPC
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.


                 advice4retirement.com
                 Member of FINRA, SIPC
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.



                  advice4retirement.com
                  Member of FINRA, SIPC
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




                 advice4retirement.com
                 Member of FINRA, SIPC
Funding the Plan



    advice4retirement.com
    Member of FINRA, SIPC
Funding the Plan



  – A company can choose to:
    1. Establish cash reserves
    2. Use current cash flow
    3. Buy insurance




                  advice4retirement.com
                  Member of FINRA, SIPC
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?


                   advice4retirement.com
                   Member of FINRA, SIPC
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.




                                              advice4retirement.com
                                              Member of FINRA, SIPC
Best Solution is to Buy
      Insurance




       advice4retirement.com
       Member of FINRA, SIPC
Buy Insurance


    A company can either:
 Self-fund the QSPP
 Fund the QSPP through an insurance
 policy




                advice4retirement.com
                Member of FINRA, SIPC
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.




                         advice4retirement.com
                         Member of FINRA, SIPC
Buy Insurance

Which would an employer rather do?

Take on the responsibility him/herself
               - OR -
Shift the burden to an insurance company




                 advice4retirement.com
                 Member of FINRA, SIPC
Buy Insurance



 Decision is made to buy insurance.
  – What is next?




                advice4retirement.com
                Member of FINRA, SIPC
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.


                    advice4retirement.com
                    Member of FINRA, SIPC
ERISA Issues
Concerns regarding employee benefit rights
Limitation to amount for which employee can
sue




               advice4retirement.com
               Member of FINRA, SIPC
Buy Insurance

       What kind to buy?

 Group LTD
 Individual DI
 Combination – Group LTD and IDI



                 advice4retirement.com
                 Member of FINRA, SIPC
Buy Insurance

           Group LTD

 Many companies already have LTD
 Limitations to LTD




                advice4retirement.com
                Member of FINRA, SIPC
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)

                         advice4retirement.com
                         Member of FINRA, SIPC
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
                   advice4retirement.com
                   Member of FINRA, SIPC
A. Van Richards
van@advice4retirement.com
www.advice4retirement.com




      advice4retirement.com
      Member of FINRA, SIPC

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Qualified sick pay plan presentation

  • 1. Qualified Sick Pay Plans (QSPP) advice4retirement.com Member of FINRA, SIPC
  • 2. What is a QSPP? A legal, formal sick pay plan It is not insurance. advice4retirement.com Member of FINRA, SIPC
  • 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. advice4retirement.com Member of FINRA, SIPC
  • 4. Why Establish a QSPP? advice4retirement.com Member of FINRA, SIPC
  • 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. advice4retirement.com Member of FINRA, SIPC
  • 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. advice4retirement.com Member of FINRA, SIPC
  • 7. Why establish a QSPP? You need a plan document. Without one, payments are ad hoc. advice4retirement.com Member of FINRA, SIPC
  • 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 advice4retirement.com Member of FINRA, SIPC
  • 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. advice4retirement.com Member of FINRA, SIPC
  • 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. advice4retirement.com Member of FINRA, SIPC
  • 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 advice4retirement.com Member of FINRA, SIPC
  • 12. Funding the Plan advice4retirement.com Member of FINRA, SIPC
  • 13. Funding the Plan – A company can choose to: 1. Establish cash reserves 2. Use current cash flow 3. Buy insurance advice4retirement.com Member of FINRA, SIPC
  • 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? advice4retirement.com Member of FINRA, SIPC
  • 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. advice4retirement.com Member of FINRA, SIPC
  • 16. Best Solution is to Buy Insurance advice4retirement.com Member of FINRA, SIPC
  • 17. Buy Insurance A company can either: Self-fund the QSPP Fund the QSPP through an insurance policy advice4retirement.com Member of FINRA, SIPC
  • 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. advice4retirement.com Member of FINRA, SIPC
  • 19. Buy Insurance Which would an employer rather do? Take on the responsibility him/herself - OR - Shift the burden to an insurance company advice4retirement.com Member of FINRA, SIPC
  • 20. Buy Insurance Decision is made to buy insurance. – What is next? advice4retirement.com Member of FINRA, SIPC
  • 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. advice4retirement.com Member of FINRA, SIPC
  • 22. ERISA Issues Concerns regarding employee benefit rights Limitation to amount for which employee can sue advice4retirement.com Member of FINRA, SIPC
  • 23. Buy Insurance What kind to buy? Group LTD Individual DI Combination – Group LTD and IDI advice4retirement.com Member of FINRA, SIPC
  • 24. Buy Insurance Group LTD Many companies already have LTD Limitations to LTD advice4retirement.com Member of FINRA, SIPC
  • 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) advice4retirement.com Member of FINRA, SIPC
  • 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 advice4retirement.com Member of FINRA, SIPC
  • 27. A. Van Richards van@advice4retirement.com www.advice4retirement.com advice4retirement.com Member of FINRA, SIPC