Read this if you are an employer looking for more information on the Employee Retention Credit (ERC).
If you are an employer who did not qualify for or request a Paycheck Protection Plan (PPP) loan, the ERC provisions of the CARES Act may be available to you.
The ERC is a fully refundable tax credit for eligible employers equal to 50 percent of qualified wages (including allocable qualified health plan expenses) an eligible employer pays their employees. This ERC applies to qualified wages paid after March 12, 2020, and before January 1, 2021. The maximum amount of qualified wages (including allocable qualified health plan expenses) taken into account with respect to each employee for all calendar quarters is $10,000, so that the maximum credit for an eligible employer can receive on qualified wages paid to any employee is $5,000.
Eligibility
Eligible employers for the ERC carry on a trade or business during calendar year 2020, including tax-exempt organizations, that either:
- Fully or partially suspend operation during any calendar quarter in 2020 due to orders from an appropriate governmental authority limiting commerce, travel, or group meetings due to COVID-19; or
- Experience a significant decline in gross receipts during the calendar quarter.
Self-employed individuals are not eligible for this credit for their own self-employment earnings, though they may be able to claim the credit for wages paid to their employees.
If an eligible employer averaged more than 100 full-time employees in 2019, qualified wages are limited to wages paid to an employee for time that the employee is not providing services due to an economic hardship, specifically, either (1) a full or partial suspension of operations by order of a governmental authority due to COVID-19, or (2) a significant decline in gross receipts. If the eligible employer averaged 100 or fewer full-time employees in 2019, qualified wages are the wages paid to any employee during any period of economic hardship described in (1) or (2) above.
As with most provisions of the CARES Act, very limited formal guidance has been issued by the IRS. Instead, the IRS issues and updates FAQs on the IRS website.
One area where eligible employers have been seeking advice is what qualifies as wages and allocable health insurance costs. Qualified wages include an allocable portion of the qualified health plan expenses paid or incurred by an eligible employer to provide and maintain a group health plan. For purposes of the ERC, this also includes employee pre-tax contributions.
IRS FAQs
The IRS recently updated the Employee Retention Credit FAQs to indicate an eligible employer can claim the ERC for qualified health plan expenses, regardless of whether the employee is paid qualified wages. Updated FAQs 64-65 clarify that health plan expenses paid to laid off or furloughed employees are considered qualified wages for purposes of the ERC. This is welcome news since most employers continue to a pay their share (if not the full amount) of the health insurance premiums for employees who have been laid off or furloughed.
Read specific examples in the updated FAQs here.
How are qualified health plan expenses determined and allocated?
Qualified health plan expenses are determined separately for each plan sponsored by an employer. For employers sponsoring more than one health plan, for example a group health plan and a health flexible spending arrangement, expenses for each plan are allocated to the employees who participate in that plan. Allocated expenses will be aggregated for those employees who participate in more than one plan.
Qualified health plan expenses may be allocated using any reasonable method by those employers sponsoring a fully-insured group health plan, including (1) the COBRA applicable premium for the employee, (2) one average premium rate for all employees, or (3) a substantially similar method that takes into account the average premium rate determined separately for employees with self-only and other than self-only coverage. An eligible employer allocating expenses using the average premium rate for all employees may determine a daily rate as detailed in FAQ 67.
Example
An employer sponsors an insured group health plan that covers 400 employees, some with self-only coverage and some with family coverage. Each employee is expected to have 260 work days a year (5 days/week for 52 weeks). The employees contribute a portion of their premium by pre-tax salary reduction, with different amounts for self-only and family. The total annual premium for the 400 employees is $5.2 million. Using the one average premium rate method, the annual premium rate is $13,000 ($5.2 million divided by 400 employees). For each employee expected to have 260 work days a year, the resulting daily average premium is $50 ($13,000 divided by 260 days). The $50 daily rate represents qualified health plan expenses allocated to each day of the qualified wages per employee.
For those employers sponsoring self-insured group health plans, qualified health plan expenses may be allocated using any reasonable method, including (1) the COBRA applicable premium for the employee, or (2) any reasonable actuarial method to determine the estimated annual expenses of the plan.
An eligible employer sponsoring a self-insured group health plan and allocating expenses using a reasonable actuarial method to determine estimated annual expenses may determine a daily rate similar to the rules for fully-insured plans—that is, taking the estimated annual expenses, dividing by the number of employees covered, and then dividing by the average number of work days during the year by the employees.
For both fully-insured and self-insured plans, paid-time off days are considered work days when determining the average daily rate.
FAQs 69 and 70 provide that qualified health plan expenses do not include eligible employer contributions to health savings accounts (HSA), Archer medical saving accounts (Archer MSA), or a qualified small employer health reimbursement arrangement (QSEHRA).
However, qualified health plan expenses may include contributions to a health reimbursement arrangement (HRA), including an individual coverage HRA, or a health flexible spending account (FSA). To allocate contributions to an HRA or a health FSA, eligible employers should use the amount of contributions made on behalf of the particular employee.
Additionally, qualified health plans expenses do not include health plan expenses allocated to any sick leave and family medical wages under the FFCRA (FAQ 71).
Summary
For those eligible employers with 100 or more employees, the guidance that can be inferred from the available FAQs appears to be the following:
- If an employer is paying an employee for more than the hours the employee is actually working then a credit would be available for the difference between wages paid and the wages for the hours worked.
- If an employer has decreased the hours worked by an employee but continues to pay the same (or greater) cost for health insurance, a credit would be available for the allocable health insurance costs while the employee is not working. For example, if an employee is only working 60% of the his/her normal hours, an employer would be able to receive a credit equal to 40% of the health insurance costs paid for that employee.
For more information
If you have more questions, or have a specific question about your particular situation, please call us. We’re here to help.