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The IRS provided confirmation of a new qualifying event in which a participant may revoke his or her health plan election without violating the Section 125 cafeteria plan election in order to purchase coverage through a competitive marketplace (Exchange) established under the ACA. These provisions do not apply to FSAs.  

This IRS notice expands the application of the permitted change rules for health coverage under a � 125 cafeteria plan. In particular, this notice addresses the situation in which a cafeteria plan participant may wish to revoke, during a period of coverage (commonly a plan year), the employee's election for employer-sponsored health coverage under the cafeteria plan in order to purchase a Qualified Health Plan through a competitive marketplace established under � 1311 of the Patient Protection and Affordable Care Act, commonly referred to as an Exchange or a Health Insurance Marketplace. This situation involves an employee participating in an employer's group health plan, who would like to cease coverage under the group health plan and purchase coverage through a Marketplace without that resulting either in a period of duplicate coverage under the employer's group health plan and the coverage purchased through a Marketplace or in a period of no coverage.

 

This notice permits a cafeteria plan to allow an employee to revoke his or her election under the cafeteria plan for coverage under the employer's group health plan (other than a flexible spending arrangement (FSA)) during a period of coverage. 

The Treasury Department and the IRS intend to modify the regulations under � 125 consistent with the provisions of this notice, but taxpayers may rely on this notice immediately. 

Please contact us if you have questions or need assistance.

Thank you,
 
George Knox, CLU, ChFC
214.443.1400