types of defined contribution plans
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Cash or Deferred Arrangements (CODAs)
It permits employees to defer part of their
compensation to the trust of a qualifieddefined contribution plan.
Only private sector or tax- exempt employers
are eligible to sponsor 401(k)plans
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It offers tax benefits.
1. Employees do not pay income taxes on the
contributions to the plan until they withdrawfunds.
2. Employers deduct their contributions to theplan from taxable income.
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3. Investment gains are not taxed untilparticipants received payments.
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To distribute money to employees.
Companies start by establishing a
Companies determine the pool of profit-sharing money by application of a formula.
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Allocation Formulas:
All employees should share
equally in the companys gains in order topromote cooperation among employees.
higher paying jobspresumably indicate the greatest potential toinfluence a companys competitive position.
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measureemployee contributions to profits based on
job performance.
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Rewards employees with company stock.
Benefits are also paid in shares of company
stock.
Participants of stock bonus plans possess theright to vote as shareholders.
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Leveraged or Non Leveraged
plan administrator
borrows money from a financial institution topurchase company stock.
the company
contributes stock or cash to buy stock.
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Defined Benefit PlanDefined ContributionPlan
Determines pensiondue at normalretirement age.
An annuity- series of
payments beginning atthe plans normal agefor the life of theparticipant.
Determines amountregularly contributedto individual account.
A single lump sum
distribution anytime.
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Defined Benefit Plan Defined Contribution Plan
Employee isguaranteed benefitsregardless ofinvestment returns ontrust. Employer is
responsible forensuring sufficientfunding to paypromised benefit.
Generally insured byPBGC.
Employee bears theinvestment risk, whichcan result in higherinvestment returns or
the loss of previouslyaccumulated pensionbenefits.
By individualinvestment vehicle, if
any.
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- combine features of traditionaldefined benefit and defined contributionplan.
- defined benefit plansthat define benefits for each employee byreference to the amount of the employees
hypothetical balance.
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Cash balance plans are less costly to
employers than defined benefit plans.
Cash balance plans pay out benefits in alump sum instead of a series of payment.
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covers the cost of avariety of services that promote soundphysical and mental health, including physicalexaminations, diagnostic testing, surgery,
hospitalization, psychotherapy, dentaltreatments and corrective prescription forlenses for vision deficiencies.
- specifies the amount of
money the insurance company will pay forsuch particular services such as physicalexaminations.
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- more than one partyis responsible for covering the cost of healthcare, including the government, employers,labor unions, employees or individuals not
currently employed.
government regulates
the health care system and uses taxpayersdollars to fund health care.
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the amount paid by the employersto insurance companies, to establish andmaintain insurance policies.
Insured refers to employees covered by theinsurance policy.
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The single payer system is referred to asuniversal health care systemsbecause thegovernment ensures that all of its citizenshave access to quality health care regardless
of ability to pay.
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- extends benefit only to thecovered employee.
- offers benefits to thecovered employee and his or her familymembers as defined by the plan.
- extends coverage to agroup of employees and their dependentsunder a single master contract.
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Provides protection against health careexpenses in the form of a cash benefit paid tothe insured or directly to the health careprovider after the employee has received
health care services.
Pay benefits on a reimbursement basis.
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Two types of fee-for- service plans:
based on a contract between the employer
and an insurance company.
- operates in the same fashion as indemnityplans.
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In Indemnity plans, Insurance companies paybenefits from their financial reserves, whichare based on the premiums companies andemployees pay to receive insurance.
In self- fund insurance, such companies paybenefits directly from their own assets, either
current cash flow, or funds set aside inadvance for potential future claims.
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Features of Fee-for-Service Plans
Deductable
Coinsurance
Out-of-Pocket Maximum
Pre existing Condition Clauses
Pre admission Certification
Second Surgical Opinions
Maximum Benefit Limits
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Emphasize Cost Control by limitingemployee's choice of doctors and hospitals.
Health Maintenance Organization(HMOs),Preferred Provider Organization(PPOs), Point-of-service(POS plans)
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Provides prepaid medical services for allmedically necessary services, only if theservices are delivered or approved by theHMO.
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Features of Health Maintenance Organizations
Out-of-pocket maximums
Pre existing condition clauses
Preadmission Certifications Second Surgical Opinions
Maximum benefits limit
Primary Care Physicians
Copayments