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To investigate challenges to pension plans or early retirement incentive programs, investigators should typically obtain the following, as well as other documents relevant to the facts of a particular charge:.

To investigate charges that allege age discrimination in life insurance, health insurance, or disability plans, investigators should obtain the following:. DOL ascertains that employers are investing and safeguarding plan assets for the benefit of the employees, not the employer.

The Employee Plans Division of the Internal Revenue Service enforces the tax aspects of employee benefit plans, with special emphasis on the legality of pension plans.

To encourage employers and employees to save actively to pay for the employees' retirement, employers that maintain pension plans are permitted favorable tax treatment for their contributions to the plans, including tax deductions and delayed taxation for plan earnings.

The Internal Revenue Code sets out detailed rules for determining whether or not a pension plan qualifies for favorable tax treatment. PBGC provides insurance to guarantee the pensions of plan participants in the event that plan assets are inadequate to cover employees' pensions.

The requirements and prohibitions set forth in this Chapter apply to employers, employment agencies, labor organizations, and joint labor-management committees. For convenience, the term "employer" is used throughout this Chapter to refer to all covered entities. See, e. Norris, U. Internal Revenue Code.

Regulations implementing the Internal Revenue Code may be relevant to a charge in the limited context of pension accruals and allocations. If an employer alleges that ERISA or the Internal Revenue Code provides a defense to the provision of unequal benefits in this or other contexts, contact the Office of Legal Counsel for further guidance.

If an employer's benefit plan is facially discriminatory, there is no need to amass additional evidence of the employer's intent to discriminate. Gary Community School Corp. International Union, UAW v. Johnson Controls , Inc. California Public Employees Retirement Syst.

The Commission believes that Arnett misreads fundamental principles of disparate treatment analysis to the extent that it suggests that proof of discriminatory motive is necessary where a benefit plan is facially discriminatory. Board of Education , F. In some cases, it may be appropriate to assess whether the benefit plan discriminates against a larger class of older employees.

In such cases, investigators may need to gather additional information about the benefits the employer pays, or would pay, to employees at a range of ages, salaries, and years of service. If questions arise about application of the equal cost defense to other benefits, contact the Office of Legal Counsel.

The equal cost defense is codified at 29 U. The Commission's regulations on the requirements of the defense, which were codified by Congress and are described in this section, can be found at 29 C. A copy of the regulations is attached as Appendix D. The principles set forth in sections 3 and 4 above apply equally to "cafeteria" plans.

Under the equal cost defense, an employer would have to demonstrate that it had made the same amount of money available to its older and younger employees. The employer would also be required to prove that any reduction in the benefits that older workers could purchase for that amount was actuarially justified, under either a benefit-by-benefit or a benefit package analysis.

Employers may also deduct non-age-based benefits -- such as workers' compensation payments -- from benefits they provide, as long as the deductions are made uniformly for all employees. If employers assert that they may make age-based offsets other than those discussed in this Chapter, contact the Office of Legal Counsel.

See 42 U. Occasionally, an employer might reduce benefits to older workers who are under the age of 65, and then raise those benefits once the workers turn 65 in order to comply with Medicare requirements. An employer might, for example, decrease benefits for employees between the ages of 56 and 64 and then restore the benefits for 65 year olds to the level received by 55 year old employees.

Although such actions may not violate the Medicare laws, they would violate the ADEA unless the employer could satisfy the equal cost defense as to the benefit reductions imposed on employees between the ages of 56 and An employer is not required to offer health benefits to retirees; in addition, such benefits, if offered, need not be as generous as the health benefits provided to current employees. This section addresses the situation in which older retirees receive lower benefits than similarly situated younger retirees on the basis of age.

The numbers used in this example are illustrative only and do not necessarily reflect the actual benefits paid by Medicare. Because the law does not itself permit employers to reduce or eliminate health benefits provided to retirees simply because those retirees are eligible for Medicare, the Commission is not persuaded by legislative history to the contrary.

Final Substitute: Statement of Managers, Cong. S Sept. First, the legislative history contains conflicting statements on this question. See S. Where a law is not ambiguous on its face, moreover, resort to legislative history -- which simply states the views of legislators who may or may not have been able to enact their interpretations into law -- is unnecessary.

Radloff , U. Bergeron , U. See EEOC v. City of Mt. Lebanon , F. City of Milwaukee , F. The schedule set forth in the example in text was discussed in the preamble to the regulations originally drafted by the Department of Labor to implement the benefit provisions of the ADEA. The preamble stated that plans adhering to this schedule would be lawful only if data to support the cost justification for the plan were available.

Pensions may be offset against disability benefits at the point at which an employee becomes eligible for an unreduced pension. See Kalvinskas v. California Institute of Technology , 96 F. This principle stems logically from the holding in Kalvinskas. See Arnett v. Lyon v. Ohio Education Assn , 53 F.

Lyon did not address a disability retirement plan. The Commission in any event disagrees with the Lyon analysis. Where a benefit plan ties the amount of benefits provided to the number of years it will be before an employee reaches normal retirement age, it is explicitly age-based.

This is facial discrimination that does not require additional proof of intent. Westinghouse Elec. Borden's , Inc. Congress cited both of these cases with approval. H Oct. An employer may assert that the cost of severance benefits increases with an employee's years of service, and that increases in years of service are correlated with increases in age.

Even if an employer's costs increase based on a factor correlated with age, however, the Supreme Court has made clear that this is insufficient to show that the cost increases are in fact age- based.

Hazen Paper Co. Biggins, U. Thus, an employer cannot assert that severance benefits entail age-related cost increases that trigger application of the equal cost defense. These valuations were to be adjusted annually on the basis of the medical component of the Consumer Price Index.

If an employer is using valuations other than those set out in the ADEA, therefore, the investigator should ask for the Consumer Price Index data upon which the employer is relying. If questions about valuation arise, contact the Office of Legal Counsel. Westinghouse Savannah River Co. That principle has been recognized where pension payments are offset from long-term disability benefits, see Kalvinskas v.

Congress has also explicitly recognized that an individual may sue an employer that takes an offset based on a promise to provide retiree health benefits, and then fails to provide such benefits, for specific performance -- that is, for the actual benefits the individual has been denied. See 29 U. See Quinones v. City of Evanston, 58 F. Section For employees hired within five years of the plan's normal retirement age, the employer may not require more than five years of service before those individuals are eligible to participate in the pension plan.

An employer may assert that these prohibitions do not apply to pension benefits paid to highly compensated employees, or alternatively that its treatment of older employees is governed by regulations governing pension accruals and allocations under the Internal Revenue Code. If an employer makes either of these assertions, contact the Office of Legal Counsel for further guidance. See Pub. If questions arise about how to compute the actuarial value of pension payments, contact the Office of Legal Counsel.

An employer may not, however, stop pension accruals or contributions because an employee is eligible for Social Security benefits. Auerbach v. The employee has the burden of proving that an ERI is not voluntary. Employers must also meet various other criteria for a waiver to be valid. For cases addressing voluntariness, see, e. This will not violate the ADEA, as long as the older workers eligible for the ERI receive at least the same total pension amount as similarly situated younger employees.

Employers eligible for this exemption may also attempt to justify any age-based reductions in ERI benefits under one of the other rationales set forth in this section. The prohibition on arbitrary age discrimination is the purpose generally implicated when considering ERIs.

Solon v. Crown Point Community School Corp. City Colleges of Chicago , F. Indeed, in enacting this exemption, Congress stated explicitly that nothing in the exemption was intended to affect application of the ADEA to any other type of plan or to any employer other than an institution of higher education. Thus, Congress clearly intended to limit the use of age-capped plans to these employers alone.

For these reasons, the Commission disagrees with Auerbach v. Because, moreover, the challenged conduct in each of these cases occurred before Congress enacted the amendments permitting age-capped benefits for tenured faculty -- and making clear that authorization for age-capped benefits is limited to this context -- it is unclear that the courts in each case would reach the same result today.

H October 2, statement of Congressman Goodling, minority floor manager of the bill "[t]he bill would not permit employers to use window plans targeted at a select group of employees with an upper age bracket--that is, those aged 55 to 60" ; id. Other parts of the legislative history, as well as the Final Substitute: Statement of Managers, contain some conflicting language on this question. To the extent that this language does anything more than authorize employers to set a minimum age for eligibility for ERI benefits, the Commission believes that it is inconsistent with the language and purposes of the ADEA.

The fact that individuals with particular disabilities have not received equal benefits does not necessarily mean that the plan violates the ADA. An investigator must still determine whether the distinction drawn by the plan is disability-based. In the context of health insurance, for example, differences in the coverage of expenses for mental and physical conditions are not disability-based distinctions.

See p. Mental conditions are "impairments" only if they are based on a mental or psychological "disorder. The Commission has taken the position in litigation, on the other hand, that distinctions between mental and physical conditions in long-term disability LTD plans are disability-based.

This means that in most instances employees who are eligible for or are receiving LTD benefits have disabilities as defined by the ADA, because their impairments substantially limit their ability to work or to engage in one or more other major life activities.

Courts have disagreed with the Commission's position and have held that treating physical and mental conditions differently in an LTD plan does not violate the ADA. Staten Island Savings Bank , F. Kmart Corp. Schering-Plough Corp. An "insured" benefit plan is a plan that is purchased from an insurance company or other entity.

In a "self-insured" plan, the employer directly assumes the liability of an insurer. Self-insured benefit plans are typically subject to ERISA, but are not subject to state laws that regulate insurance. If questions arise concerning whether a bona fide insured plan is consistent with state law, contact the Regional Attorney. This showing was required under a prior version of the ADEA in order to prove that an age-based distinction in benefits was a subterfuge to evade the purposes of that law.

Betts , U. See H. Courts are split on the issue of whether the Betts analysis applies to disability-based distinctions in fringe benefits.

Compare, e. Prudential Ins. The Commission disagrees with cases applying the Betts analysis because the ADA makes clear that discrimination in fringe benefits is covered, regardless of the date of adoption of the plan, and is unlawful absent an actuarial justification for disability-based distinctions in coverage.

See Castellano v. City of New York , F. This section focuses on sex discrimination in benefits because most Title VII benefits issues have arisen in this context. The same principles will apply, however, to charges challenging benefits discrimination on the bases of race, color, national origin, or religion. Although the analytic framework is different, moreover, the same basic principles apply to charges of gender discrimination brought under the EPA, since fringe benefits constitute compensation covered by that law.

Arizona Governing Committee v. Norris , U. Manhart , U. Sometimes the excluded condition, treatment, or test will affect either exclusively or nearly exclusively members of one protected group.

For instance, as discussed in the example in text, the employer's neutral standard might have the effect of excluding a treatment for breast cancer. In such circumstances, the Commission will find that there is a disparate impact on the basis of sex without the need for further investigation.

In other circumstances, the effect of the exclusion may not be as clearly linked to the protected classification. In these circumstances, the Commission will apply other established principles to evaluate whether the exclusion has a cognizable adverse effect on a prohibited basis.

It is important to keep in mind that determining whether there is a disparate impact is only the first part of the analysis and is not determinative of whether there is unlawful discrimination. Of course, the standard must, in fact, be neutrally applied. If it is not, the investigator should consider whether the employer's practice constitutes unlawful disparate treatment.

Henderson v. Bodine Aluminum, Inc. See 29 C. EEOC , U. Pacific Bell , F. American Tel. Ohio same , vacated by consent , WL S. Ohio Sept. Bell Atlantic Corp. Communications Workers of America , F. Whitehead v. The Commission disagrees with the court's analysis in Ameritech and believes that the Pallas decision states the correct application of the law. See generally 29 C. The same requirements apply whether the insurance plan is funded by the employer, by the employees, or by a combination of the two.

It is not necessary that an employer's health plan be shown to benefit men. It is sufficient to establish a violation of the PDA if an employer treats pregnancy differently from other medical conditions, whether those conditions affect men, women, or individuals of both genders. Pension plans maintained by state and local governments and religious institutions generally are exempt from the requirements of ERISA and the Internal Revenue Code.

If a plan's exemption from those statutes is at issue, please contact the Office of Legal Counsel. Breadcrumb Home laws guidance Section 3 Employee Benefits. Introduction B. Equal Cost Rule 1. Definition of Equal Cost 2. Benefits Subject to the Equal Cost Defense 3. Requirements of the Equal Cost Defense 4. Benefit Packaging 5. Offsets IV. Life Insurance B. Health Insurance C. Long-Term Disability 1. Equal Cost Rule 2.

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