
A Brief Explanation of the New Accounting Rules
Affecting Post-Retirement Health Plans]
Retiree health coverage is usually provided on a pay-as-you-go basis. Employers pay the costs as they are incurred. From an accounting standpoint, however, the benefit is earned during employees' working careers. So, the costs are also incurred during employees' working careers. The GASB rules essentially require that the cost for retiree health coverage (and other non-pension retiree benefits) be reported in a manner similar to defined benefit pension plans. If sufficient assets are not set aside to pay for such benefits, the employer or plan must report the unfunded liability.
Many believe the GASB methodology is flawed. While requiring employers to display the long term liability associated with employee retirement benefits, GASB does not authorize governments to display the value of all of their assets (such as real estate and other infrastructure) on their balance sheets. Such assets are displayed on the balance sheets of private sector entities. Moreover, GASB has singled out employee based benefits for accrual-based accounting. Many other governmental functions necessarily incur long term liabilities including incarceration, medical assistance and education program, yet those liabilities are not reported under GASB requirements. Finally, the actuarial methodology used to develop the liability estimates are little more than educated guesses. Healthcare inflation, which is a cornerstone assumption in the methodology, has been extremely volatile over the past decade and actuarial methodologies are prone to overstating inflation based on very recent trends. This has the effect of vastly overstating the liability associated with retiree health benefits.
Special Purpose Governmental Trust
A special purpose trust can be used to designate funds for retiree health insurance. The trust can be funded and operated similar to a pension or health benefit trust fund. Unfortunately, this type of trust fund is considered as part of the general assets of the employer, and, as such, the sponsoring governmental entity can terminate the trust and use the assets for any other legitimate purpose. However, the creation and disciplined operation of a trust fund may be the most preferable way of offsetting the cost of retiree health benefits from AFSCME's perspective. Trust funds most commonly serve as the funding method for a defined benefit but can be used as the source of funds in a defined contribution arrangement.
Health Reimbursement Account (HRA)
Sometimes referred to as a Health Retirement Account, HRAs are accounts maintained by the employer on behalf of an employee. The federal tax code does not allow HRAs to receive employee contributions, but mandatory employee contributions can be reclassified as employer contributions under certain circumstances. In all circumstances, the employer maintains ownership of the funds in the accounts. HRAs can serve as the source of funds in a defined contribution retiree health benefit plan.
Voluntary Employee Benefit Association (VEBA)
VEBAs provide for tax deferred contributions to a trust account on behalf of an employee, similar to a deferred compensation or 401(k) arrangement. Often, VEBAs are funded by "cashing out" an employee's accumulated leave or other severance payments upon retirement but VEBAs may be funded throughout an employee's working career. VEBAs are already in use in many jurisdictions and many benefit consultants are promoting them to public employers as a method to deal with the issues presented by the GASB requirements. VEBAs typically play a role in defined contribution methods of funding retiree health care.
Health Savings Account (HSA)
An HSA is an individual health spending account that is owned by the employee and may be used for the payment of current and future medical expenses, or as retirement income. One major problem with HSAs is that they must be coupled with High Deductible Health Plans which shift costs and risks to employees. HSAs are a defined contribution method of funding for retiree health benefits and benefit experts have concluded that HSAs are ineffective vehicles for funding retiree health care.
Section 401(h) Pension Funds
Some public employers fund retiree health benefits using a 401(h) plan, which is a separate account under the employer's pension plan. Although the account is separate from the pension plan, all administration, investment management and recordkeeping is done by the pension plan, thereby avoiding the need to create and administer a separate retiree health plan. Up to 25% of an employer's pension contribution can be designated for the retiree health benefit account.
The 25% limitation is further limited in two ways. First, the 25% applies to the pension plan's "normal cost," which does not include amortization of the actuarial unfunded liability. If the normal cost is $3, the employer can contribute $4, designating $1 for the 401(h) separate account. The 25% is also limited to actual payments made by the employer. If the employer in the above example pays less than the $3 normal cost, then the contribution into the 401(h) plan is reduced accordingly. However, the 25% ratio is cumulative. That is, an employer who underpays the maximum allowance in any year can carry the unused balance into future fiscal years, catching up when the financial position improves. 401(h) funding is typically associated with a defined benefit retiree health plan but can be used as the source of funds in a defined contribution arrangement.
For more information on HRAs and HSAs, please refer to the AFSCME Fact Sheet on consumer driven health plans or call the Research Department at 202-429-1215.
GASB Nos. 43 and 45 may be found at the GASB publication web page.
Additional information may be found at the NASRA web site.
Updated 3/2006