It
seems that everyone has a smartphone or a tablet, and I can’t think of anyone I
know who does not have Internet access at home. Consequently, plan
sponsors ask all the time if they can just email plan documents to employees to
satisfy the notice requirements, or maybe just post new plan documents on the
company intranet.
Well,
the recent decision in Thomas v. CIGNA (E.D.N.Y.) serves as a
reminder that the short answer to that question is no.
Factually,
the case involves a claim for benefits. A plan participant had life
insurance through her employer’s ERISA plan. She ultimately became disabled and
stopped working or paying premiums.
When
she passed away, her beneficiaries made a claim for life insurance benefits,
which the insurer denied because, although the coverage allowed premium waivers
for disability, the participant had not timely requested a premium waiver and
thus was not covered when she died. Of course the beneficiaries sued, claiming
that the premium waiver requirements had not been appropriately communicated to
the participant due to inadequate summary plan description (SPD) distribution.
Guess
what? The court held that there was no evidence that the plan administrator had
provided the participant with an SPD.
While
the new SPD was available electronically, the company never sent notices out
that the document was available. Plus, there was no evidence that new SPDs
were furnished in any manner other than intranet posting.
There
are actually rules that govern electronic disclosure of plan documents. If
employees have work-related computer access, ERISA disclosures may be delivered
electronically, or posted on the intranet, if the employees have the ability to
effectively access documents furnished in electronic form at any location where
the employee is reasonably expected to perform his duties, and are expected to
have access to the employer’s electronic information as an integral part of
those duties.
It
is not enough that they have access somewhere at work or have access at a
common location (like a break room). Accessing the computer has to be an
actual requirement for their job function.
Documents
can still be sent to employees and beneficiaries without work-related access to
a computer as long as additional requirements are met. The employer or
plan administrator must first obtain a consent form signed by the employee or
beneficiary that specifically states the following:
The
names or types of documents to which the consent applies
A
sentence stating that consent can be withdrawn at any time without charge
An
email address where the employee will be able to receive future announcements
and/or documents if sent by email
The
procedures for updating the email address used for receipt of electronically
furnished documents
The
procedures for withdrawing consent
The
right to request and obtain a printed version of an electronically furnished
document and, if there is a charge for the printed document, how much it will
cost.
The
computer hardware or software needed to access and download the electronically
delivered documents.
If
the plan administrator changes the hardware or software requirements, it must
provide a new notice and obtain a new consent.
Without this consent,
electronically providing documents is not sufficient. Hard copies have to
be provided.
But
don’t forget this case. Even if documents are provided electronically,
notifications must be sent either in electronic or paper form to each employee
or beneficiary at the time a document is provided electronically explaining the
significance of the document and that the participant’s right to request a
paper copy.
You
can’t just send an email and say “here it is.” Likewise, you can’t just
post a document on the intranet and not alert everyone. And unless you
have consents, you can’t say that you satisfied the delivery obligation to
employees who don’t have regular access to a computer at work.
So
if you want to distribute plan documents electronically you can. But you
have to follow the rules. Don’t assume intranet posting is enough because
it is not.
Source: Employee
Benefit Adviser
No comments:
Post a Comment