Skip to content
Health Insurance FAQs Health Insurance FAQs

questions and answers about health insurance and employee benefits

  • Enrollment & Eligibility
  • Costs & Affordability
  • Accounts
  • Compliance
Health Insurance FAQs
Health Insurance FAQs

questions and answers about health insurance and employee benefits

Which employers are subject to ERISA?

March 27, 2025January 25, 2026

Short answer: ERISA applies to most private-sector employers that sponsor health or welfare benefit plans, regardless of size, while government and church employers are generally exempt.


ERISA applies broadly to private-sector employers that establish or maintain employee benefit plans. This includes corporations, partnerships, limited liability companies, and nonprofit organizations that offer health or welfare benefits to employees.

There is no small-employer exemption under ERISA. If a private employer offers a group health plan or other covered welfare benefit, ERISA generally applies even if the plan covers only one employee. Employer size affects certain reporting obligations, such as Form 5500 filing requirements, but it does not determine whether ERISA applies.

Certain employers and arrangements are excluded from ERISA. Governmental employers, including federal, state, and local government entities, are generally exempt. Church plans and plans sponsored by religious organizations are also generally exempt unless they voluntarily elect ERISA coverage. In addition, benefit arrangements that cover only self-employed individuals with no common-law employees are not subject to ERISA.

Employers that are exempt from ERISA may still be subject to other federal or state laws governing health benefits, but ERISA’s specific requirements for plan documents, disclosures, and fiduciary duties would not apply.

Oversight and enforcement of ERISA’s employer coverage rules are handled by the U.S. Department of Labor.

Sources

  • U.S. Department of Labor, ERISA – Health Plans
    https://www.dol.gov/general/topic/health-plans

  • Employee Retirement Income Security Act of 1974 (ERISA)


Content history

Originally published: March 27, 2025
Last reviewed: January 25, 2026

Compliance ERISA

Post navigation

Previous post
Next post

ERISA sets standards for retirement and health benefit plans in private industry to protect individuals in these plans. The law was passed in 1974, but it is still applicable today as it creates compliance requirements for employers of all sizes that offer group health insurance benefits, particularly egarding plan management and employee communications. Some employers choose to purchase an “ERISA Wrap” document from a third-party administrator (TPA) to make sure they are in compliance with the ERISA law.

© BenefitLab LLC, 2025