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What is ERISA and how does it apply to health plans?

March 27, 2025

ERISA stands for the Employee Retirement Income Security Act of 1974. While it’s often associated with retirement plans, it also governs most employer-sponsored health and welfare benefit plans, including:

  • Medical, dental, and vision plans

  • Health FSAs and HRAs

  • Group life and disability insurance

  • Some wellness programs

ERISA is a federal law that sets standards for plan administration, disclosures, fiduciary responsibilities, and participant rights. It was designed to protect employees by ensuring plan transparency and accountability.


🏢 Who Must Comply?

ERISA applies to most private-sector employers, including corporations, partnerships, and nonprofits that offer benefit plans.
Government entities and churches are generally exempt.


🧠 Key ERISA Requirements for Health Plans:

  • Provide a Summary Plan Description (SPD) to participants

  • Maintain a formal plan document

  • Operate plans in the best interest of participants

  • Distribute required notices and disclosures

  • File Form 5500 (if applicable, usually for plans with 100+ participants)


Employer Responsibilities ERISA

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